process and product in cross-cultural treatment research: development of a culturally sensitive women-centered substance use intervention in georgia

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ID: 253453
2014
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Abstract
Women who inject drugs (WID) are highly marginalized and stigmatized and experience ongoing discrimination in Georgia. Few opportunities exist for WID to receive publicly funded treatment for substance use disorders. The IMEDI (Investigating Methods for Enhancing Development in Individuals) project was developed in response to the need for women-specific and women-centered treatment services. This paper described our approach to understanding the Georgian culture—and WID within that culture—so that we could integrate two interventions for substance use found effective in other Western and non-Western cultures and to outline how we refined and adapted our integrated intervention to yield a comprehensive women-centered intervention for substance use. Reinforcement Based Treatment (RBT) and the Women’s CoOp (WC) were adapted and refined based on in-depth interviews with WID (N=55) and providers of health services (N=34) to such women and focus groups [2 with WID (N=15) and 2 with health service providers (N=12)]. The resulting comprehensive women-centered intervention, RBT+WC, was then pretested and further refined in a sample of 20 WID. Results indicated positive pre-post changes in urine screening results and perceived needs for both RBT+WC and a case management control condition. The approach to treatment adaptation and the revised elements of RBT+WC are presented and discussed.
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jones2014journalprocess Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Hendrée E. Jones;Irma Kirtadze;David Otiashvili;Kevin E. O’Grady;Keryn Murphy;William Zule;Evgeny Krupitsky;Wendee M. Wechsberg
Journal International journal of biological macromolecules
Year 2014
DOI
10.1155/2014/163603
URL
http://dx.doi.org/10.1155/2014/163603
Keywords
social sciences (general)

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