Development of a trauma-informed substance use and sexual risk reduction intervention for young South African women
Purpose: To develop a trauma-informed substance use and sexual risk reduction intervention for young South African women at risk of HIV. Patients and methods: Guided by the ADAPT-ITT framework for intervention development, we selected four focus groups (n=26) to assess the service needs and pref...
| Main Authors: | , , , |
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| Format: | Journal Article |
| Language: | English |
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DOVE MEDICAL PRESS LTD
2018
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| Online Access: | http://hdl.handle.net/20.500.11937/85718 |
| _version_ | 1848764766266327040 |
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| author | Myers-Franchi, Bronwyn Carney, T. Browne, F.A. Wechsberg, W.M. |
| author_facet | Myers-Franchi, Bronwyn Carney, T. Browne, F.A. Wechsberg, W.M. |
| author_sort | Myers-Franchi, Bronwyn |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Purpose: To develop a trauma-informed substance use and sexual risk reduction intervention for young South African women at risk of HIV.
Patients and methods: Guided by the ADAPT-ITT framework for intervention development, we selected four focus groups (n=26) to assess the service needs and preferences of trauma-exposed young women (aged 18–25 years) who use substances. We used findings to develop a needs-based and contextually appropriate intervention. In addition four focus groups (n=30) were selected to explore potential service users’ views of this intervention and recommendations for improving acceptability and appeal. Expert stakeholders were also consulted.
Results: Young women described therapeutic, self-care, and social support needs for coping with traumatic experiences and reducing substance-and sexual-related risks for HIV and further trauma. To address these needs, we expanded the Women’s Health Co-Operative (WHC; an evidence-based HIV prevention program) to include trauma-related psychoeducation; cognitive-behavioral strategies for coping with the emotional impact of trauma, stress, and substance use craving; social support strategies; and self-care components to help young women create a life with purpose. This novel and expanded six-session group-based intervention is called the trauma-informed WHC. Focus group participants and expert stakeholders viewed the trauma-informed WHC as highly relevant and acceptable. They provided recommendations for modifications to the intervention structure and reformatting of intervention materials to enhance the intervention’s appeal and the feasibility of reaching and retaining young women in the program.
Conclusion: Engaging women as potential service users in the process of developing a trauma-informed substance use and sexual risk reduction intervention helped identify service needs not commonly addressed in trauma-informed substance use interventions but critical for recovery and local relevance. It also enhanced the acceptability and appeal of the intervention. While potentially acceptable, the trauma-informed WHC requires feasibility testing before establishing its efficacy in a larger trial. |
| first_indexed | 2025-11-14T11:24:34Z |
| format | Journal Article |
| id | curtin-20.500.11937-85718 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-14T11:24:34Z |
| publishDate | 2018 |
| publisher | DOVE MEDICAL PRESS LTD |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-857182021-10-04T04:28:04Z Development of a trauma-informed substance use and sexual risk reduction intervention for young South African women Myers-Franchi, Bronwyn Carney, T. Browne, F.A. Wechsberg, W.M. Science & Technology Life Sciences & Biomedicine Medicine, General & Internal General & Internal Medicine participatory approach ADAPT-ITT mental health substance use HIV HIV PREVENTION INTERVENTION CAPE-TOWN INTERPERSONAL VIOLENCE ASSOCIATION EXPERIENCES INITIATION HISTORIES DISORDERS OUTCOMES COUPLES Purpose: To develop a trauma-informed substance use and sexual risk reduction intervention for young South African women at risk of HIV. Patients and methods: Guided by the ADAPT-ITT framework for intervention development, we selected four focus groups (n=26) to assess the service needs and preferences of trauma-exposed young women (aged 18–25 years) who use substances. We used findings to develop a needs-based and contextually appropriate intervention. In addition four focus groups (n=30) were selected to explore potential service users’ views of this intervention and recommendations for improving acceptability and appeal. Expert stakeholders were also consulted. Results: Young women described therapeutic, self-care, and social support needs for coping with traumatic experiences and reducing substance-and sexual-related risks for HIV and further trauma. To address these needs, we expanded the Women’s Health Co-Operative (WHC; an evidence-based HIV prevention program) to include trauma-related psychoeducation; cognitive-behavioral strategies for coping with the emotional impact of trauma, stress, and substance use craving; social support strategies; and self-care components to help young women create a life with purpose. This novel and expanded six-session group-based intervention is called the trauma-informed WHC. Focus group participants and expert stakeholders viewed the trauma-informed WHC as highly relevant and acceptable. They provided recommendations for modifications to the intervention structure and reformatting of intervention materials to enhance the intervention’s appeal and the feasibility of reaching and retaining young women in the program. Conclusion: Engaging women as potential service users in the process of developing a trauma-informed substance use and sexual risk reduction intervention helped identify service needs not commonly addressed in trauma-informed substance use interventions but critical for recovery and local relevance. It also enhanced the acceptability and appeal of the intervention. While potentially acceptable, the trauma-informed WHC requires feasibility testing before establishing its efficacy in a larger trial. 2018 Journal Article http://hdl.handle.net/20.500.11937/85718 10.2147/PPA.S175852 English http://creativecommons.org/licenses/by-nc/3.0/ DOVE MEDICAL PRESS LTD fulltext |
| spellingShingle | Science & Technology Life Sciences & Biomedicine Medicine, General & Internal General & Internal Medicine participatory approach ADAPT-ITT mental health substance use HIV HIV PREVENTION INTERVENTION CAPE-TOWN INTERPERSONAL VIOLENCE ASSOCIATION EXPERIENCES INITIATION HISTORIES DISORDERS OUTCOMES COUPLES Myers-Franchi, Bronwyn Carney, T. Browne, F.A. Wechsberg, W.M. Development of a trauma-informed substance use and sexual risk reduction intervention for young South African women |
| title | Development of a trauma-informed substance use and sexual risk reduction intervention for young South African women |
| title_full | Development of a trauma-informed substance use and sexual risk reduction intervention for young South African women |
| title_fullStr | Development of a trauma-informed substance use and sexual risk reduction intervention for young South African women |
| title_full_unstemmed | Development of a trauma-informed substance use and sexual risk reduction intervention for young South African women |
| title_short | Development of a trauma-informed substance use and sexual risk reduction intervention for young South African women |
| title_sort | development of a trauma-informed substance use and sexual risk reduction intervention for young south african women |
| topic | Science & Technology Life Sciences & Biomedicine Medicine, General & Internal General & Internal Medicine participatory approach ADAPT-ITT mental health substance use HIV HIV PREVENTION INTERVENTION CAPE-TOWN INTERPERSONAL VIOLENCE ASSOCIATION EXPERIENCES INITIATION HISTORIES DISORDERS OUTCOMES COUPLES |
| url | http://hdl.handle.net/20.500.11937/85718 |