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- Designing a Nurse-Led Program for Self-Management of Substance Addiction Consequences:Publication . Seabra, Paulo; Nunes, Inês Robalo; Sequeira, Rui; Sequeira, Ana; Simões, Ana Susete De Abreu; Filipe, Fernando Miguel; Amaral, Paula; Abram, Marissa D.; Sequeira, CarlosTherapeutic interventions for people with problematic use of psychoactive substances can help tackle specific needs related to substance addiction consequences. This modified e-Delphi study aimed to establish consensus on a training program for self-management of substance addiction consequences. The study was conducted between February and April 2022, with an experts’ sample of 28 participants in the first round and 24 in the second. A priori consensus criteria were defined for each round. The results revealed a very strong consensus was achieved on the structure of the program and on clinical areas, such as the problematic use of substances, general health knowledge, health-seeking behavior and adherence, self-knowledge and well-being, social role and personal dignity, and family process. Additionally, over 80% participant consensus was achieved on an extensive number of interventions categorized as psychoeducational, psychotherapeutic, socio therapeutic, brief interventions, social skills training, problem solving techniques, relaxation techniques, and counseling. These findings may be able to fulfill a gap concerning structured treatment approaches for people with problematic use of psychoactive substances. Supporting self-management of the consequences of substance addiction and its application can change nurses’ interventions.
- Acceptability and applicability of an intervention programme with substance addictsPublication . Seabra, Paulo; BRANTES, ANA; Sequeira, Rui; Arroja Sequeira, Ana Cristina; Simões, Ana Susete De Abreu; Nunes, Inês Robalo; Amaral, Paula; Sequeira, CarlosThe complexity of the problems related to the harmful use of substances requires regular questioning of practices. This article aims to explore the acceptability and applicability of an intervention programme for patients with problematic substance use. Qualitative study. Data collection, through a focus group with 6 nurses and 6 semi-structured interviews with patients under treatment. We have used lexicographic textual analysis. From the focus group, 151 text segments were analysed, retaining 85.8% of the total for the creation of five classes. An analysis of similarity led to the formation of two central nuclei, represented by the words “Nursing” and “Intervention”. From interviews, 252 text segments were analysed, retaining 71.83% for the creation of 5 classes. An analysis of similarity led to the formation of three central nuclei, represented by the words “want”, “programme” and “see”. Nurses recognise the need for a more structured and flexible approach focused on people’s needs. Users also affirm the need for flexible interventions, without a pre-established time frame, that promote labour integration, therapeutic support for abstinence and management of comorbidities.
- Structured programs for the self‑management of substance addiction consequences in outpatient services: A scoping reviewPublication . Seabra, Paulo; Boska, Gabriella; Sequeira, Rui; Arroja Sequeira, Ana Cristina; Simões, Ana Susete de Abreu; Robalo Nunes, Inês; Sequeira, CarlosStructured intervention programs are an important resource for supporting people with substance addiction. Although evi dence suggests that they improve health outcomes, such as specifc symptoms, less is known about their impact on patients’ ability to self-manage the consequences of substance addiction. The aim of this review is to scope outpatient intervention programs focused on the self-management of substance addiction consequences. Approach. This review followed the Joanna Briggs Institute (JBI) methodology for scoping reviews. MEDLINE and CINAHL (through Ebsco), Psychology & Behav ioral Sciences Collection (including PsycINFO) and Web of Science were screened to identify articles published in the last 10 years. Only primary research was included. Out of 891 records, 19 were eligible for this review—12 randomized con trolled trials (RCT), 6 quasi-experimental study and 1 observational study. Those studies reported group interventions (10), individual interventions (8) and 1 mixed approach. The most common interventions were based on motivational strategies, relapse prevention and defnition of active plans for risky situations. 10 studies reported positive efects. The identifcation of structured programs may support the development of new approaches focused on empowerment and quality of life of people with substance addiction. Programs to empower patients for self-management of substance addiction consequences are often complex and rely on health professionals’ commitment. Nevertheless, they are a feasible approach that seems to beneft patients managing chronic conditions associated with substance addiction.