- Coping Mechanisms Utilized by Individuals With Drug Addiction in Overcoming Challenges During the Recovery Process: A Qualitative Meta-synthesis
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Agus Setiawan, Junaiti Sahar, Budi Santoso, Muchtaruddin Mansyur, Syamikar Baridwan Syamsir
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J Prev Med Public Health. 2024;57(3):197-211. Published online May 3, 2024
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DOI: https://doi.org/10.3961/jpmph.24.042
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Abstract
Summary
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- Objectives
Recovery from drug addiction often poses challenges for the recovering person. The coping mechanisms employed by these individuals to resist temptations and manage stress play a key role in the healing process. This study was conducted to explore the coping strategies or techniques that individuals with addiction use to handle stress and temptation while undergoing treatment.
Methods A qualitative meta-synthesis approach was utilized to critically evaluate relevant qualitative research. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines were used for article selection, with these standards applied to 4 academic databases: Scopus, PubMed, ProQuest, and CINAHL. The present review included studies published between 2014 and 2023, selected based on pre-established inclusion criteria. The quality of the studies was assessed using the Critical Appraisal Skills Programme Qualitative Studies Checklist. This review was registered with the International Prospective Register of Systematic Reviews (PROSPERO) under the registration number CRD42024497789.
Results The analysis of 13 qualifying qualitative articles revealed 5 major themes illustrating the coping mechanisms employed in the pursuit of recovery by individuals who use drugs. These themes include seeking social support, as well as psychological coping strategies, spiritual experiences, professional interventions, and the enhancement of awareness.
Conclusions Among individuals with drug addiction, coping mechanisms are crucial for resisting stress and temptations throughout the recovery process. Healthcare professionals, as medical specialists, can establish more thorough and effective plans to support these patients on their path to recovery.
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Summary
Key Message
This study attempts to investigate the coping mechanisms used by individuals with drug addiction during the recovery process. Through a qualitative meta-synthesis of 13 qualitative studies, we identified five main coping mechanisms: seeking social support, psychological coping strategies, spiritual experiences, professional interventions, and the enhancement of awareness. These results suggest that these coping mechanisms are important for managing stress and temptation, supporting a more holistic approach to addiction treatment.
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Citations
Citations to this article as recorded by 
- A Qualitative Meta-Synthesis on Drug Addicts Recovery Based on a Transtheoretical Model
Riah Kim, Youngeun Park, Jieun Kim Journal of Korean Academy of psychiatric and Mental Health Nursing.2024; 33(3): 238. CrossRef
- Mobile App-based Care Management Training to Improve Family Caregiver Competence in Caring for Children With HIV: A Quasi-experimental Study
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Nyimas Heny Purwati, Syamikar Baridwan Syamsir, Mutmainah Mutmainah, Dhea Natashia, Amelia Hartika Rani, Dwi Budiyati, Agus Setiawan
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Received December 31, 2024 Accepted April 15, 2025 Published online May 7, 2025
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DOI: https://doi.org/10.3961/jpmph.24.789
[Accepted]
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Abstract
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- Objectives
Family caregivers play a crucial role in the care of children with HIV; however, they frequently face limitations in knowledge, attitudes, and skills. Mobile application (app)-based training may offer an effective solution to enhance caregiver competence. This study aimed to assess the effectiveness of mobile app-based care management training in improving the knowledge, attitudes, and skills of family caregivers caring for children with HIV.
Methods A quasi-experimental design, including pretest, posttest, and follow-up assessments, was conducted at a national referral hospital for infectious diseases in Jakarta, Indonesia. The study involved 44 respondents, divided equally into intervention and control groups (22 per group). The intervention group received mobile app-based training, while the control group received conventional caregiver education. Questionnaires assessing caregivers\' knowledge, attitudes, and skills in managing children with HIV were utilized. Data were analyzed using Independent Sample T-tests and Repeated Measures ANOVA.
Results Repeated Measures ANOVA revealed that the intervention group experienced significant improvements in knowledge, attitudes, and skills from pretest to posttest, which were maintained at the 1-month follow-up (p<0.001). In contrast, the control group did not exhibit significant changes in any of these variables (knowledge, attitudes, and skills) throughout the study period (p>0.05).
Conclusions Mobile app-based care management training significantly enhances caregiving competencies among family caregivers of children with HIV. These findings underscore the potential of digital technology as an innovative and sustainable approach for caregiver training in various healthcare settings, supporting the long-term effectiveness of educational interventions.
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