collaborative peer recovery coaching or cprc research for those with substance use disorders
TRANSCRIPT
The impact of remotely delivered collaborative peer recovery coaching
(CPRC) on recovery capital resources, in subjects with poly-drug use issues.
Presented by Maria Pau
COLLABORATIVE PEER RECOVERY COACHING (CPRC)
Motivation and goals attainment are the key
Contribute to lessening DALY, YLL, YLD
Remotely delivered intervention
International Coaching Federation (1995)
Recovery Coaching International (2002)
CPRC by Maria Pau (2010)
PRIOR LEARNINGMaster of Public Health, UQ
Alcohol, Tobacco and Other Drugs Stream Qld Alcohol & Drug Research Education Centre
I am accredited with the following:www.CoachFederation.org
www.RecoveryCoaching.org
www.Givenow.Com.Au/CoachingWithSubstanceAlmost $50,000 AUD raised on this portal
Community Services Industry Expert at:www.clet.edu.au/about-clet/coaching-with-substance
PRIOR LEARNING
<< Published 4 Books about my life as a peer in recovery
www.Twitter.com/OzRecoveryCoachOver 4,700 followers
www.YouTube.com/AddictionHelpQLDOver 125,000 views
www.Facebook.com/CoachMariaPauAlmost 3000 friends
www.Facebook.com/AddictionHelpQLDAlmost 2000 fans
LEARNING PROFILEPractical Knowledge and understanding of (workshops delivered recognised in community):
domestic violence foster care abuse perpetrator behaviour criminality substance use disorders (SUD) suicide self-harm addictive behaviours such as
gambling, overeating, co-dependence and sex/porn addiction
LEARNING PROFILE Help clients recognise their strengths
and weaknesses
Instil discipline
Extinguish unwanted behaviours
Increase motivation for change
Own self-actualising behaviour and consistent role modelling
Successful governance of Not-For-Profit Board
LEARNING AREAS TO BE ENHANCED
Critical judgement – The ability to demonstrate deeper self-reflection stronger deductive & inductive reasoning better understanding of project management and governance
Analytical Skills Greater understanding and application of statistical research design, methods,
and data analysis
Communication Skills Mastery of dissertation writing skills using academic language in a powerful,
informative yet concise way
Coaching Skills Increase dimensions of intuitiveness and reading of body language Rapport building Mirroring of client language
LEARNING OBJECTIVES Gain a clearer understanding of specific
coaching practices that can increase clients’ recovery capital, emotional stability, mental clarity, heart-brain coherence and overall mental wellbeing
Enable clients to learn to identify and achieve desired personal outcomes (goal attainment) through participation in collaborative peer recovery coaching (CPRC)
PURPOSE OF STUDY Combat substance abuse,
now 5th leading global disease (now at 30% prevalence)
In 2010, 183,900,000 disability adjusted life years (DALYs)
Contribute to lowering DALYs and prevalence of SUD
RESEARCH QUESTIONS Can collaborative peer recovery coaching (CPRC)
enhance recovery from poly drug use?
Which factors are significantly influenced in recovery?
What effect does CPRC have on emotional stability?
Does CPRC improve mental clarity and coherence?
Can the CPRC intervention increase recovery capital resources and over mental well-being?
CULTIVATE RECOVERYTo Increase Recovery capital resources:
1. Sobriety2. Psychological Health3. Physical Health4. Community Involvement5. Social Support6. Meaningful Activities7. Housing & Safety8. Risk Taking 9. Coping & Life Functioning10. Recovery Experience
MENTAL CLARITYHeartmath can be measured (by EmWave) = clarity
Improve decision making
Solve problems
Concentration
Focus and mental aptitude
Express oneself
Memorise & multitask
LITERATURE REVIEW
LITERATURE REVIEW
Grant (2003) pioneered coaching studies, n=20 found significantly increased goal attainment, quality of life and decreased depression and stress when coached
over 13 weeks
LePage (2012) did coaching with treatment clients (3
groups), n=54 (see Table next slide) those coached had
significantly less relapse rates
Increased Self
Esteem Bar
(2014)
Better care
planningIrwin
(2014)
Better social
supportfrom peer
coachAndreas et
al(2010)
Abstinence
Kronenberg
2015Decrease
d Waist Line
Ashbrenner et al
(2015)
High program engagementraes
Simon (2011)
Better outcomes
from offenders
Smyth (2014)
Promote self
determination
Lindgren(2011)
Longer participatio
n in treatmentYoshida(2012)
Smoking cessation, Mantler
(2010)
42 out of 45 studies yielded positive results shown belowAll studies post-2010 except Grant’s (2003) seminal work
Coaching studies were across: offenders; executives; homeless veterans; mentally ill; disabled; obese; with diabetes; chronically ill; youth and children; military; with ADHD; in sports, with offenders and remotely delivered (online or telephone coaching)
RECOMMENDATIONS FROM LIT REVIEW Work with higher sample numbers
Examine different aspects of recovery
Use the EmWave device to actually measure physiological evidence
LE PAGE (2012)
WORK-BASED PROJECT Qualitative Report, n=46
Preliminary findings about CPRC
What factors affected recovery
Provide insights into the proposed study
Case studies of self-efficacy and self-determination
Transcripts, videos and audios examined
METHODOLOGY Post-positivist paradigm
Randomised controlled trial (RCT) to test the efficacy of coaching on long-term recovery
Two groups: no intervention and with CPRC
Measure and Tools: AUDIT, ASSIST, DUDIT, K10, Recovery Capital,Emotional Stability, Mental Clutter Scale and Heart-Rate Variability
Measuring Tools administered three times, in the beginning, middle, and at one year or end of coaching.
Non-parametric test to compare groups
SPSS and Nvivo software
NULL HYPOTHESIS Ho1: There is no statistically significant difference in the
levels of alcohol and drug use scores for poly-drug users who received one year of CPRC compared to those who did not receive CPRC.
Ho2: There is no statistically significant difference in the assessment of recovery capital resources and overall well-being for poly-drug users who received one year of CPRC compared to those who did not receive CPRC.
Ho3: There is no statistically significant difference in the levels of mental clarity, heart-brain coherence and emotional stability for poly-drug users who received one year of CPRC compared to those who did not receive CPRC.
RECRUITMENT 100 to be recruited and randomly split 50/50
GC Bulletin and other rural newspapers
Contact rural and remote area groups Rural Health Workforce Health Workforce QLD
Contact rural and remote area universities, schools and other Not-for-Profit groups
Contact International Coaching Federation, n=20
DATA COLLECTION #1
AUDIT
DATA COLLECTION #2
ASSIST
DATA COLLECTION #3
DUDIT
DATA COLLECTION #4
K10
DATA COLLECTION #5
RECOVERY CAPITAL
RECOVERY CAPITAL
RECOVERY CAPITAL
RECOVERY CAPITAL
Emotional Stability Test Always
Often Sometimes
Rarely Never
1 2 3 4 5 1. My life is better than most
people around me.
2. People seem to like me just as I am.
3. I am afraid of being rejected by my loved one/s.
4. I use whatever means possible to get ahead, even if it seems questionable.
5. I don’t have time to chat to people who are always depressed and gloomy.
6. I don’t feel useful and worthy.
7. I am undisturbed by emotions or panic.
8. I am hopeful. 9. I think obesity is a personal
choice to be stupid and lazy.
10.
It don’t like it when there is so much diversity in our cultures as it gives way to confusion and many different points of views.
DATA COLLECTION #6 EMOTIONAL STABILITY
EMOTIONAL STABILITY SCORESPessismism vs. Optimism Score: _________
Question 1, 8, 11 and 16 Pessimist 20/20 Optimist 4/20Apathy vs. Empathy Score: _________
Question 4, 5, 13 and 17 Apathetic 4/20 Empathetic 20/20Dependence vs. Autonomy Score: _________
Question 3, 6, 12 and 20 Dependent 4/20Autonomy 20/20Anxiety vs. Calm Score: _________
Question 2, 7, 14 and 19 Anxious 20/20 Calm 4/20
Aggression vs. tolerance Score: _________
Question 9, 10, 15 and 18 Aggressive 4/20Tolerant 20/20
MENTAL CLUTTER SCALE #7Circle the one number that best describes problems during the past week:
No problem Severe Problem
Concentration 1 2 3 4 5 6 7 8 9 10
Memory 1 2 3 4 5 6 7 8 9 10 Staying Focused 1 2 3 4 5 6 7 8 9 10
Multitasking 1 2 3 4 5 6 7 8 9 10 Expressing Yourself 1 2 3 4 5 6 7 8 9 10 Thinking Clearly 1 2 3 4 5 6 7 8 9 10 Perceptual Clarity 1 2 3 4 5 6 7 8 9 10 Mental Speed 1 2 3 4 5 6 7 8 9 10
MENTAL CLUTTER SCALECircle the one number that best describes how you frequently experienced the problems below during the past week:
Not at all All the time
Spaciness 1 2 3 4 5 6 7 8 9 10
Haziness 1 2 3 4 5 6 7 8 9 10 Confusion 1 2 3 4 5 6 7 8 9 10
Cluttered Thinking 1 2 3 4 5 6 7 8 9 10 Fogginess 1 2 3 4 5 6 7 8 9 10 Rushing Thoughts 1 2 3 4 5 6 7 8 9 10 Fuzzy Headedness 1 2 3 4 5 6 7 8 9 10 Information Overload 1 2 3 4 5 6 7 8 9 10
EMWAVE DEVICE #8
EMWAVE DEVICE
ADDRESSING LIMITATIONS Attrition
Retention
Delivering high sample numbers
Scheduling
Cancellations
Data Integrity (self-reporting)
ETHICAL CONSIDERATIONS Relationship may be unequal
From vulnerable group
Special care to gain consent
Confidentiality issues
Detox remains dangerous
Referral partners needed
Respect the right to say no to ‘video recording’
STUDY OUTCOMES Decrease or eliminate alcohol & drug
use
Increase recovery capital resources
Increase emotional stability
Increase mental clarity
Increase heart-brain coherence
Increase overall mental well-being
BENEFITS OF STUDY Prevention for the 8.6 million MH/AOD lives lost p.a. (2013)
Addresses the shortage of workers in rural & remote areas
1/3 are victims of alcohol-related abuse in rural areas
There are higher rates of drug & alcohol use in rural/remote
Addresses low retention rates (treatment)
Increase engagement & participation rates (rehab)
In the long-term, reduces $56 billion a year costs (Australia in 2008)
ORIGINALITY First study in Australia on recovery coaching
Measures alcohol & drug use three times over a period of a year
Measures specific factors contributing to sobriety Mental clutter Emotional stability Recovery capital resources
Use of emWave device to confirm physiology of coherence
Findings will broaden insight into purposeful and meaningful recovery
Can be duplicated in wide range of context
TIMELINESRecruit 100, randomly assign n=50, n=50
Mar 2015
Maria to start coaching Til Mar 2016
Listen 46 client video logs & start qual. report
Apr-June ‘16
Start recruitment of coaches and confirm, n=20
July ‘16
Recruit 100 for coaches, randomly assign 50/50
August ‘16
Complete Preliminary Qualitative Report August ‘16Collate and clean all data Sept ‘16Start writing dissertation process Nov ‘16Ensure coaches clients’ are all on track Feb 2017Complete SPSS stats analysis Maria CPRC data
By Jun 2017
Collect coaches data By Aug 2017
Complete SPSS stats analysis of Coaches data
By Oct 2017
Ongoing refinement of dissertation with stats
Jun-Dec 2017
Finalise dissertation with qualitative report By Feb 2018
RESEARCH OUTPUTSActivities and Deliverables AmountResearch Placement Students & Volunteers $1950ICF Application & Admin Fees $500Ads in GC Bulletin & other newspapers & FB Ads
$1950
Online Survey Automation and Admin Fees $500Solicitation of gift vouchers for participants $800Travel Costs – Toowoomba – GC- Ipswich $1000Office supplies, internet & phone $1900emWave Pro + mobile emWave $654Coaching Fees $25000 TOTAL
$34,354
APPENDIX Research Letter to Potential Partners
Consent and Confidentiality
All Measuring Tools
REFERENCE LIST 38 sources