JMIR Publications

ABSTRACT

Background:

Despite the known psychosocial challenges associated with supporting a loved one using alcohol and other drugs (AOD), there is a scarcity of mental health and wellbeing interventions for affected family members and friends (AFFMs).

Objective:

This pilot study examines the usability, acceptability, and feasibility of the Family and Friend Support Program (FFSP; ffsp.com.au), a world-first, evidence-based online resilience and wellbeing program designed with and for people caring for someone using AOD.

Methods:

In 2021 (November-December), participants across Australia completed a baseline online cross-sectional survey that assessed impact of caring for a loved one using AOD (adapted Short Questionnaire for Family Members (Affected by Addiction)), and distress levels (Kessler-10 Psychological Distress Scale). Following baseline, participants were invited to interact with FFSP over 10 weeks. Post program and follow up surveys (10 and 14 weeks post-baseline, respectively) and semi-structured interviews assessed usability and acceptability of the program as well as help-seeking barriers.

Results:

Baseline surveys were completed by 131 AFFMs, with 37% completing the post-program survey and 24% completing the follow-up survey. On average, K-10 scores fell in the moderate to severe range at baseline. Overall, participants found FFSP easy to use and provided them with relevant, helpful, and validating information. Limitations included low program engagement and high attrition.

Conclusions:

Overall, FFSP appears to be a promising mental health intervention for AFFMs. This study builds on existing research finding high levels of distress among AFFMs, whilst highlighting the ongoing barriers to help-seeking. Limitations and future directions for refinements and efficacy evaluation of FFSP are discussed.