{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T19:00:05Z","timestamp":1782846005805,"version":"3.54.5"},"reference-count":69,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Form Res"],"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n 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 well-being interventions for affected friends and family members (AFFMs). Stigma has also been shown to discourage help-seeking among AFFMs. Web-based interventions may facilitate help-seeking by ensuring privacy and anonymity.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n This pilot study examines the usability, acceptability, and feasibility of the Family and Friend Support Program (FFSP), a world-first, evidence-based web-based resilience and well-being program designed with, and for, people caring for someone using AOD. This study also examined AFFM\u2019s experiences of caring for a loved one using AOD and their help-seeking behaviors and barriers.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n In 2021 (November-December), participants across Australia completed a baseline web-based cross-sectional survey that assessed the impact of caring for a loved one using AOD (adapted Short Questionnaire for Family Members-Affected by Addiction), and distress levels (Kessler Psychological Distress Scale [K-10]). Following baseline, participants were invited to interact with the FFSP over 10 weeks. Postprogram and follow-up surveys (10 and 14 wk postbaseline, respectively) and semistructured interviews assessed the usability and acceptability of the program, as well as help-seeking experiences and barriers.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Baseline surveys were completed by 131 AFFMs, with 37% (n=49) completing the postprogram survey and 24% (n=32) completing the follow-up survey. A total of 5 participants took part in individual semistructured interviews at postprogram. On average, K-10 scores fell in the moderate to severe range at baseline (mean 28.4, SD 8.6). At postprogram, the majority of participants (n=27, 55.1%) reported that they did not seek help to cope with or manage their role supporting their loved one and the most common endorsed barrier was cost (n=11, 28.6%). Overall, participants found the FFSP easy to use and provided them with relevant, helpful, and validating information. The majority (n=35, 71.5%) of participants said they would be likely to recommend the FFSP to a person supporting a loved one using AOD. Qualitative responses highlighted the need for free, accessible support for AFFMs such as the FFSP. Limitations included low program engagement and high attrition.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Overall, the FFSP appears to be a promising mental health intervention for AFFMs. This study builds on existing research finding high levels of distress among AFFMs, while highlighting the ongoing barriers to help-seeking. Limitations and future directions for refinements and future efficacy evaluation of the FFSP are discussed including ways to address attrition and increase engagement.<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/72425","type":"journal-article","created":{"date-parts":[[2025,5,21]],"date-time":"2025-05-21T00:40:07Z","timestamp":1747788007000},"page":"e72425-e72425","source":"Crossref","is-referenced-by-count":0,"title":["A Web-Based Well-Being and Resilience Intervention for Family Members and Friends Supporting a Loved One Using Alcohol and Other Drugs: Mixed Methods Pilot Study"],"prefix":"10.2196","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2494-4391","authenticated-orcid":false,"given":"Steph","family":"Kershaw","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-0096-4330","authenticated-orcid":false,"given":"Jessica","family":"Deng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6762-2128","authenticated-orcid":false,"given":"Madeleine","family":"Keaveny","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8018-2179","authenticated-orcid":false,"given":"Bronte","family":"Speirs","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-7322-9091","authenticated-orcid":false,"given":"Anna","family":"Grager","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2666-3393","authenticated-orcid":false,"given":"Dara","family":"Sampson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8223-9546","authenticated-orcid":false,"given":"Kate","family":"Ross","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6305-2623","authenticated-orcid":false,"given":"Nicola","family":"Newton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6744-463X","authenticated-orcid":false,"given":"Maree","family":"Teeson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4252-5572","authenticated-orcid":false,"given":"Frances","family":"Kay-Lambkin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2460-6862","authenticated-orcid":false,"given":"Cath","family":"Chapman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2025,7,9]]},"reference":[{"issue":"1","key":"R1","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1080\/1533256X.2020.1870287","article-title":"Family-focused practices in addictions: a scoping review","volume":"21","author":"Kourgiantakis","journal-title":"J Soc Work Pract Addict"},{"issue":"sup1","key":"R2","doi-asserted-by":"publisher","first-page":"44","DOI":"10.3109\/09687637.2010.514192","article-title":"The experiences of affected family members: a summary of two decades of qualitative research","volume":"17","author":"Orford","journal-title":"Drugs Educ Prev Policy"},{"key":"R3","unstructured":"Australian Guidelines to Reduce Health Risks from Drinking Alcohol. 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