Testing longitudinal models of substance abuse recovery mechanisms among homeless

测试无家可归者药物滥用恢复机制的纵向模型

• 批准号: 8149868
• 负责人: Heather M Gray
• 金额: $ 3.87万
• 依托单位: CAMBRIDGE HEALTH ALLIANCE
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-25 至 2013-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8149868
• 关键词: Adult; Alcohol abuse; Blood Coagulation Factor VII; Clinical; Collection; Communities; Computer software; Control Groups; DA10; Data; Data Analyses; Data Collection; Decision Making; Development; Drug abuse; Economics; Epidemiology; Equation; Experimental Designs; Foundations; Funding; Funding Agency; Future; Goals; Health; Homeless persons; Homelessness; House Staffs; Housing; Individual; Length; Link; Literature; Longitudinal Studies; Measures; Mediating; Mediator of activation protein; Mind; Modeling; Neurobiology; New England; Occupations; Outcome; Participant; Persons; Population; Process; Program Effectiveness; Program Evaluation; Provider; Public Health; Quality of life; Readiness; Recovery; Rehabilitation therapy; Relative (related person); Research; Research Activity; Research Personnel; Research Project Grants; Research Support; Resources; Role; Sampling; Services; Site; Social Network; Specific qualifier value; Structure; Substance Use Disorder; Substance abuse problem; Technology; Testing; Time; Training; Training Programs; Unemployment; United States; United States National Institutes of Health; Work; addiction; base; design; effective therapy; experience; functional improvement; functional outcomes; improved; improved functioning; member; new technology; programs; psychologic; psychosocial; public health relevance; success; technology development; treatment organization

DESCRIPTION (provided by applicant): Substance use disorders are a pervasive health problem for homeless persons. Among this population, substance use disorders not only create psychological suffering and a serious public health burden; they also create additional barriers to recovery from homelessness. Some research indicates that the development of healthier social networks might underlie homeless persons' long-term recovery from substance abuse and broader functional outcomes. However, evaluating the mediational role of social network changes requires the collection of longitudinal data, which is extremely difficult with this population. With private funding from St. Francis House (SFH), the largest day-service provider for homeless individuals in New England, the Division on Addictions has taken an important step toward overcoming common obstacles to longitudinal research on homelessness. More specifically, the Division has created and implemented new computer software that enables the collection of longitudinal data on SFH guests as they access a wide range of SFH programs and services. However, private funding is limited to technology development and does not support research activities, and SFH staff lack the scientific training and experience to conduct sophisticated research projects. Therefore, we seek Support Opportunity for Addiction Research (SOAR) support to use the new computer software to conduct a systematic program evaluation and to test a model specifying potential social network mechanisms of change among this population. We will accomplish these Specific Aims by conducting a longitudinal study of substance abuse recovery mechanisms among homeless adults. We will use structural equation modeling to test the mediating role of changes in social network quality and structure in producing functional improvements. The study will draw upon data from approximately 144 SFH guests over a data- collection period of six months. Results will have theoretical implications as well as practical significance beyond SFH. PUBLIC HEALTH RELEVANCE: People with substance abuse are overrepresented among those who experience homelessness in the United States. Beyond creating psychological suffering and a substantial public health burden, substance use disorders create barriers to homeless persons' self-sustainability. The proposed research will seek to uncover mechanisms that underlie homeless persons' long-term recovery from substance abuse.

描述（由申请人提供）：药物使用障碍是无家可归者普遍存在的健康问题。在这一人群中，物质使用障碍不仅造成心理痛苦和严重的公共卫生负担；它们还为无家可归者的康复设置了额外的障碍。一些研究表明，更健康的社交网络的发展可能是无家可归者从药物滥用中长期康复和更广泛的功能结果的基础。然而，评估社交网络变化的中介作用需要收集纵向数据，这对于这个人群来说是极其困难的。在新英格兰最大的无家可归者日间服务提供商圣弗朗西斯之家 (SFH) 的私人资助下，成瘾部门在克服无家可归者纵向研究的常见障碍方面迈出了重要一步。更具体地说，该部门创建并实施了新的计算机软件，可以在 SFH 客人访问各种 SFH 计划和服务时收集有关 SFH 客人的纵向数据。然而，私人资金仅限于技术开发，不支持研究活动，而且 SFH 工作人员缺乏开展复杂研究项目的科学培训和经验。因此，我们寻求成瘾研究支持机会（SOAR）的支持，以使用新的计算机软件进行系统的程序评估，并测试一个模型，该模型指定了该人群中潜在的社交网络变化机制。我们将通过对无家可归的成年人的药物滥用康复机制进行纵向研究来实现这些具体目标。我们将使用结构方程模型来测试社交网络质量和结构变化在产生功能改进中的中介作用。该研究将利用大约 144 名 SFH 客人在六个月的数据收集期内的数据。结果将具有超越 SFH 的理论意义和实际意义。 公共卫生相关性：在美国无家可归的人中，药物滥用者所占比例过高。除了造成心理痛苦和巨大的公共健康负担之外，药物滥用障碍还对无家可归者的自我维持造成障碍。拟议的研究将寻求揭示无家可归者从药物滥用中长期康复的机制。

项目成果

How do homeless adults change their lives after completing an intensive job-skills program? A prospective study.

无家可归的成年人在完成强化工作技能课程后如何改变他们的生活？

• DOI: 10.1002/jcop.21900
• 发表时间: 2017
• 期刊: Journal of community psychology
• 影响因子: 2.3
• 作者: Gray,HeatherM;Nelson,SarahE;Shaffer,HowardJ;Stebbins,Patricia;Farina,AndreaRyan
• 通讯作者: Farina,AndreaRyan