Volume 12, Issue 4 (Autumn 2023)                   aumj 2023, 12(4): 448-467 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Ghaedniay Jahromi A, Panaghi L, Imani S, Heidari M, Norouzi A. The Structure And Psychometric Properties Of the Organizational Structure Assessment Questionnaire For Addiction Harm Reduction Centers. aumj 2023; 12 (4) :448-467
URL: http://aums.abzums.ac.ir/article-1-1578-en.html
1- PhD in Clinical Psychology, Shahid Beheshti University, Tehran, Iran.
2- Associate Professor, Family Research Institute, Shahid Beheshti University, Tehran, Iran.
3- Assistant Professor, Counseling Department, Shahid Beheshti University, Tehran, Iran.
4- Associate Professor, Department of Clinical Psychology, Shahid Beheshti University, Tehran, Iran.
5- Assistant Professor of Psychiatry, National Center for Addiction Studies, Tehran University of Medical Sciences, Tehran, Iran.
Abstract:   (881 Views)
Aim: The present research was conducted with the aim of developing a tool to evaluate the organizational structure of transit centers to reduce addiction harm.

Method: This research was created with the qualitative analysis method of the questionnaire, and the psychometric characteristics were investigated with the quantitative method of confirmatory factor analysis. The research community included experts and officials working in transition centers in 2019 and 2020. Sampling in the qualitative section continued until theoretical saturation, and in the quantitative section, 237 people were sampled. In the qualitative part of the interview method with experts and officials of transit centers and through content analysis, important indicators were identified and the tool was developed, and in the quantitative part, the validation of the tool was done through confirmatory factor analysis. The research tool in the qualitative part included a semi-structured interview, and in the quantitative part, the tool was made in the qualitative stage.

Results: a total of 10 themes in the qualitative section named founder, employees, supporting organization, physical environment, monitoring and supervision, training program, Out Reach team, statistics and information, performance and social and responsible support as The sub-codes of the organizational structure were obtained and finally led to the construction of a questionnaire with a main scale and 10 components and a total of 80 items. In the quantitative part, the results of confirmatory factor analysis indicated the fit of the model with the data (RMSEA=0.02 and Chi2/df=1.16).

Conclusion: The compiled questionnaire is a suitable tool for measuring the organizational structure of harm reduction in harm reduction transit centers, and therefore, this tool can be used on a wide level to measure the provision of transit center services.
Full-Text [PDF 416 kb]   (364 Downloads)    
Type of Study: Original | Subject: Special
Received: 2022/07/28 | Accepted: 2022/11/14 | Published: 2023/12/01

References
1. Gratz, K. L., & Tull, M. T. (2010). The relationship between emotion dysregulation and deliberate self-harm among inpatients with substance use disorders. Cognitive Therapy and Research, 34(6), 544-553. [DOI:10.1007/s10608-009-9268-4]
2. Tavakol, M., Naserirad, M., Avanessian, E., Anis, S., Abrahamian, H. Differential Quality Assessment of Harm Reduction Service in Drop-in Centers and Shelters: from expectations to perceptions. Journal of Health Literacy, 2016; 1(2): 118-128. doi: 10.22038/jhl.2016.10972 . (In Persion)
3. Dastjerdi, G. H., Ebrahimi, V., Kholasezade, G., & Ehsani. F. (2010). The effects of methadone on reducing high-risk behaviors. Journal of Shahid Sadoughi University of Medical Sciences, 18(3), 215-219. (In Persion)
4. Shojaeizadeh, D., Taheri, G.E., Tehrani, H. (2012). The Effect of Education on Knowledge and Attitude of High School Students about AIDS in Faruj, Iran. Journal of Health and Development. 1(1):67-73. (In Persion) (In Persion)
5. Marlatt, G. A., Larimer, M. E., & Witkiewitz, K. (2012). Harm reduction: Pragmatic strategies for managing high-risk behaviors. Guilford Press.
6. Meshkati, Marjan, Atai, Behrouz, Nakhodian, Zari, Yaran, Majid, Babak, Anahita, Asgarianzadeh, Mohammadreza, Farshad, Marzieh, Adibi, Peyman. Hepatitis C screening in transit centers in Isfahan province: description of an experience. Journal of Isfahan Medical School, 2009; 28 (special letter on hepatitis): 1559-1553. (In Persion)
7. Friedman, S. R., de Jong, W., Rossi, D., Touzé, G., Rockwell, R., Des Jarlais, D. C., & Elovich, R. (2007). Harm reduction theory: Users' culture, micro-social indigenous harm reduction, and the self-organization and outside-organizing of users' groups. International Journal of Drug Policy, 18(2), 107-117. [DOI:10.1016/j.drugpo.2006.11.006]
8. Ghiasi, M., Farahbakhsh, M., Hekmatpour, A. (2013). Assessment of harm reduction programs in behavioral health clinics (triangle) for covered veterans. Iranian Journal of War and Public Health. 5 (3) : 1 -6. (In Persion)
9. Yarmohammadi-Vasel M, Bayat A, Tavakkoli M, Farhoudian A, Farhadi M H, Sharifi F. Effectiveness of Methadone Maintenance Treatment on the Mental Health of Harm Reduction Services' Recipients in Drop-In Centers. jrehab. 2014; 14 (S1) :49-58. (In Persion)
10. Childs, E., Biello, K., Valente, P. K., Salhaney, P., Biancarelli, D. L., Olson, J., Earlywine, J. J,. Marshall, B. D. L,. Bazzi, A. R. (2021). Implementing harm reduction in non-urban communities affected by opioids and polysubstance use: a qualitative study exploring challen-ges and mitigating strategies. International Journal of Drug Policy. 90-103080. https ://doi.org/ 10.1016/ j.drugpo .2020.103080. [DOI:10.1016/j.drugpo.2020.103080]
11. Roshanfekr, P., Farnia, M., & Dejman, M. (2013). The effectiveness of harm reduction programs in seven prisons of Iran. Iranian Journal of Public Health, 42(12), 1430-1437. (In Persion)
12. Eshrati, B., Asl, R. T., Dell, C. A., Afshar, P., Millson, P. M., Kamali, M., & Weekes, J. (2008). Preventing HIV transmission among Iranian prisoners: initial support for providing education on the benefits of harm reduction practices. Harm Reduction Journal, 5(1), 21-31. [DOI:10.1186/1477-7517-5-21]
13. Sadeghi H, Habibi Z, Haghrangbar F, Madanipour K. The Effectiveness of Harm Reduction Programs on Reduce Crimes of Addicts Referred the Drop in Centers (DIC), Procedia - Social and Behavioral Sciences 2012; 84: 496- 500. [DOI:10.1016/j.sbspro.2013.06.591]
14. Radfar, S. R., Mohsenifar, S., & Noroozi, A. (2017). Integration of methamphetamine harm reduction into opioid harm reduction services in Iran: Preliminary results of a pilot study. Iran J Psychiatry Behav Sci, 11(2), 1-7. (In Persion) [DOI:10.5812/ijpbs.7730]
15. Ritter, A., & Cameron, J. (2006). A review of the efficacy and effectiveness of harm reduction strategies for alcohol, tobacco and illicit drugs. Drug and Alcohol Review, 25(6), 611-624. [DOI:10.1080/09595230600944529]
16. Logan, D. E., & Marlatt, G. A. (2010). Harm reduction therapy: A practice‐friendly review of research. Journal of Clinical Psychology, 66(2), 201-214. [DOI:10.1002/jclp.20669]
17. Chen, W.J., Chen, CY., Wu, SC. Wu, K.C.C, Jou, S,. Tung, Y.C. (2021). The impact of Taiwan's implem-entation of a nationwide harm reduction program in 2006 on the use of various illicit drugs: trend analysis of first-time offenders from 2001 to 2017. Harm Reduction Jour-nal. 18, 117. [DOI:10.1186/s12954-021-00566-5]
18. Mahdavi, P. (2009). Passionate uprisings: Iran's sexual revolution. Stanford University Press. [DOI:10.1515/9781503627093]
19. Tavakol, M., Naserirad, M., Avanessian, E., Anis, S., Abrahamian, H. Differential Quality Assessment of Harm Reduction Service in Drop-in Centers and Shelters: from expectations to perceptions. Journal of Health Literacy, 2016; 1(2): 118-128. doi: 10.22038/jhl.2016.10972
20. Bruggmann P, Grebely J. Prevention, treatment and care of hepatitis C virus infection among people who inject drugs International Journal of DrugPolicy 2015; 26: 22-26. [DOI:10.1016/j.drugpo.2014.08.014]
21. Ravaghi, H., Zandian, H., Afsar Kazerooni, P., Sabet, M., Mostafavi, H., Alipouri Sakha. M. (2017). Challenges and Successes of Harm Reduction Services in Drop-in Centers: Perspectives of Service Providers International Journal Of High Risk Behaviors And Addiction.;6(2): 29391. doi: 10.5812/ijhrba.29391. [DOI:10.5812/ijhrba.29391]

Add your comments about this article : Your username or Email:
CAPTCHA

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2025 CC BY-NC 4.0 | Alborz University Medical Journal

Designed & Developed by : Yektaweb