Racial Differences in Retention in a Community-based Addiction Reduction Program Implemented by Peer Recovery Coaches for Women of Reproductive Age

Bibliographic Data

ID13775693
AuthorsAnastasiya Yakovlyeva (0000-0002-2028-2469, Indiana University School of Medicine), Wilma Pitts Griffin (Regenstrief Institute), Wilma Griffin (Regenstrief Institute, Inc., Indianapolis, IN, USA), Allison Worden (Regenstrief Institute, Inc., Indianapolis, IN, USA), Sarah Roth (0000-0003-1262-9298, Regenstrief Institute, Inc., Indianapolis, IN, USA), Paige DeChant (0009-0003-4485-9036, Regenstrief Institute, Inc., Indianapolis, IN, USA), Dawn Butler (0000-0003-1147-3308, Indiana University School of Medicine), Qing Tang (0000-0002-2253-309X, Indiana University School of Medicine), Debra K Litzelman (0000-0003-2162-8756, Indiana University School of Medicine, corresponding author)
Year2023
Volume60
Pages469580231218644-469580231218644
Publication date2023-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueINQUIRY The Journal of Health Care Organization Provision and Financing (JOURNAL)
Journal identifiersISSN: 0046-9580 • E-ISSN: 1945-7243
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/00469580231218644
PMID38145320
OpenAlexW4390202568
LanguageEN
References cited30

To identify program characteristics that influence the retention of women of reproductive age in the C ommunity-based A ddiction Re duction program (CARE), mixed-method analyses of CARE survey data and CARE Peer Recovery Coach (PRC) narrative entries of participant encounters were performed. About 251 women were enrolled in this prospective community-based implementation science intervention. We compared survey responses by race for treatment status, treatment motivation scales, and retention in the program at intake, 2-, 6-, 9-, and 12-month follow ups using Chi-square/ T -tests. Qualitative analysis of PRC narrative entries was conducted following thematic analysis and crystallization immersion analytic methods. White compared with Black women in CARE were significantly more likely to be in treatment at intake ( P P P P P < .004) months. PRC narrative entries were coded, and emergent themes mapped well to the 4 types of supports provided by PRC as outlined by the Substance Abuse and Mental Health Services Administration: emotional, instrumental, informational, and affiliational. Analysis of narrative entries by race revealed that Black women were given more detailed information, communications with PRC were more encouraging and proactive in identifying and meeting needs, and PRC took a more hands-on approach when assisting and linking to resources. The inclusion of PRC as integral members of SUD recovery programs may preferentially provide Black women with SUD the opportunity to build more trusting relationships with these peer coaches, thereby increasing their participation and retention

Addiction · Family medicine · Health care · Mental health · Narrative · Narrative inquiry · Political science · Psychiatry · Qualitative research · Sociology · Thematic analysis · Health Policy Implementation Science · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Nursing · Prenatal Substance Exposure Effects · Psychology

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