Background

While clinical interventions used to support the recovery process of U.S. adults are well understood, community-based solutions such as peer-based recovery support services delivered by a recovery community organization are not.

Methods

Previously collected administrative data of 3459 participants at 20 recovery community organizations in the U.S. were analyzed using a paired samples t-test to examine intake and current recovery capital differences, and multiple linear regression models to examine the association between peer-based recovery support engagement on changes in recovery capital.

Results

Participants were mostly male (52.1%), non-Hispanic (80.2%), White (75.5%), with an average age of 39.38 years (SD = 12.57). Participants’ average engagement was 130.68 days (SD = 166.6) with a total of 4290 engagement sessions (M = 4.75, SD = 4.74) and 8913 brief check-ins (M = 5.0, SD = 5.03) facilitated. Reported health events were 0.09 recurrences of substance use (SD = 0.61) and 0.02 emergency room visits (SD = 0.26) on average. Paired sample t-test results showed a statistically significant increase in recovery capital of 1.33 points (95% CI: 0.97–1.69). Multiple linear regression models for predicting improvements in recovery capital (adjusted r² = 0.61) found number of follow-up engagements and completed recovery plan goals were statistically significant predictors.

Conclusions

Peer-based recovery support services delivered by recovery community organizations assist in significantly improving individual recovery capital, as well as helping to facilitate involvement with an array of recovery support services that may contribute to other functional social determinant domain improvements and lower negative health events.

中文翻译：

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恢复社区组织提供的基于同行的恢复支持服务：个人恢复资本改善的预测因素

背景

虽然用于支持美国成年人康复过程的临床干预措施已广为人知，但基于社区的解决方案（例如由康复社区组织提供的基于同伴的康复支持服务）却并非如此。

方法

先前收集的美国 20 个恢复社区组织的 3459 名参与者的管理数据使用配对样本t检验进行分析，以检查摄入量和当前的恢复资本差异，并使用多元线性回归模型来检查基于同伴的恢复支持参与之间的关联回收资本的变化。

结果

参与者大多为男性（52.1%）、非西班牙裔（80.2%）、白人（75.5%），平均年龄为 39.38 岁（SD = 12.57）。参与者的平均参与时间为 130.68 天 (SD = 166.6)，共有 4290 次参与会议 (M = 4.75, SD = 4.74) 和 8913 次简短签到 (M = 5.0, SD = 5.03)。报告的健康事件平均为 0.09 次物质使用复发（SD = 0.61）和 0.02 次急诊就诊（SD = 0.26）。配对样本t检验结果显示，回收资本显着增加了 1.33 个点（95% CI：0.97–1.69）。用于预测恢复资本改善的多元线性回归模型（调整后的 r ²  = 0.61）发现，后续参与的数量和完成的恢复计划目标是具有统计学意义的预测因子。

结论

康复社区组织提供的基于同伴的康复支持服务有助于显着提高个人康复资本，并有助于促进参与一系列可能有助于其他功能性社会决定因素领域改善和减少负面健康事件的康复支持服务。