What is Recovery?

什么是恢复？

• 批准号: 8311092
• 负责人: Lee A Kaskutas
• 金额: $ 34.7万
• 依托单位: PUBLIC HEALTH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-08-20 至 2014-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8311092
• 关键词: Abstinence; Address; Advertisements; Affect; Age; Alcohol abuse; Alcohol consumption; Alcohol dependence; Alcoholics Anonymous; Alcoholism; Alcohols; Applications Grants; Behavior; California; Characteristics; Chronic Disease; Cities; Climacteric; Communities; Conduct Clinical Trials; Consensus; Data; Decision Making; Development; Dimensions; Disease remission; Drug Addiction; Drug usage; Effectiveness; Elements; Epidemiologic Studies; Ethnic Origin; Evaluation; Face; Family; Family member; Feedback; Frequencies; Funding; Gender; General Population; Generic Drugs; Goals; Healed; Health; Health Services; Health Services Research; Home environment; Housing; Individual; Institutes; Internet; Interview; Kentucky; Language; Lead; Length; Life; Life Style; Literature; Malignant Neoplasms; Measures; Medicine; Minnesota; Minority; NIH Program Announcements; Newspapers; Online Systems; Pathway interactions; Performance; Persons; Pharmaceutical Preparations; Philosophy; Population Heterogeneity; Psyche structure; Psychometrics; Quality of Care; Quality of life; Recovery; Recruitment Activity; Reporting; Research; Research Personnel; Resolution; Respondent; Sampling; Services; Severities; Social Behavior; Specific qualifier value; Stage Grouping; Staging; Stigmata; Strategic Planning; Surveys; Symptoms; Techniques; Telephone; Telephone Interviews; Testing; Therapeutic community technique; Validity and Reliability; Voice; Work; World Health Organization; addiction; alcohol abuse therapy; alcohol use disorder; base; care systems; career; design; dissemination research; drinking; experience; healing; help-seeking behavior; improved; indexing; inner city; instrument; interest; medical specialties; member; method development; population health; problem drinker; programs; public health relevance; sobriety; social; social stigma; sound; standard measure; treatment program; volunteer

DESCRIPTION (provided by applicant): The term 'recovery' is widely used in the research literature. It also appears in NIAAA's strategic plan, and in the title of one of its divisions. Recovery is a goal of alcohol treatment. Alcoholics who no longer drink, and are trying to pursue an improved way of living/being, say that they are 'in recovery.' Yet for all its use, and seeming centrality, there is no agreed upon definition of the term within the alcohol literature. Lacking a definition, recovery usually is equated with abstinence or symptom remission in research, even though it is not so narrowly circumscribed by those who say they are in recovery. This alcohol methods development study aims to develop a Recovery Scale that is based on how people who have been through the experience of recovery define the term. To develop potential items for the scale, we will conduct surveys and qualitative interviews (n=200) with members of alumni groups from sober living and treatment programs, members of recovery organizations (many of whom will not have attended Alcoholics Anonymous/AA or treatment), and recovering individuals recruited from newspaper and online advertisements. This sampling strategy will reach diverse individuals who have achieved recovery with and without treatment, and with and without AA involvement. An Expert Panel (including alcohol researchers and alumni group and recovery organization representatives) will be convened to further advise us on recruitment and item construction. The resultant items, and other relevant instruments (such as the World Health Organization/WHO Quality of Life scales and the Addiction Severity Index) will be administered to the sampling frames from which the 200 individuals were drawn (estimated n of respondents = 11,240) in order to study the performance of the potential scale items and their relationship with other relevant measures. We will conduct intensive psychometric analyses to develop a parsimonious and reliable Recovery Scale with strong convergent and discriminant validity. We will analyze how recovery (defined by the WHO scales, and by the new Recovery Scale) differs based on age, gender, ethnicity, involvement in treatment and in 12-step groups, and stage of recovery (1 year-early; 2-5 years- sustained; and over 5 years-stable). A psychometrically validated scale of addictions recovery that reflects diverse perspectives, pathways, and lengths of recovery among a demographically heterogeneous population will be used extensively by researchers conducting clinical trials of new alcohol treatment options, epidemiological studies of alcohol dependence and remission in the general population, and health services research on recovery without addiction treatment. A comprehensive Recovery Scale will illustrate the personal and social qualities associated with recovery that can be expected, and will provide a framework for educating the public and policymakers about what recovery from alcohol and drug dependence entails. PUBLIC HEALTH RELEVANCE: Our Recovery Scale will provide a framework for educating the public and policymakers about what can be realistically expected when people with serious alcohol problems quit drinking. It will lead to more appropriate evaluations of alcohol treatment programs and health services, and to higher levels of help-seeking among alcoholics. Unlike those in recovery from other chronic disorders, such as cancer, many people in recovery from alcohol addiction (and their families) are cautious about announcing their recovery status. Dissemination of research based on the Recovery Scale should help to dispel the stigma of alcoholism that those in recovery still face, because it will measure the positive life changes and the personal and social qualities that recovery represents.

描述（由申请人提供）：“恢复”一词在研究文献中广泛使用。它也出现在NIAAA的战略计划中，并以其一个部门之一的标题出现。恢复是酒精治疗的目标。不再喝酒的酗酒者，并且试图追求一种改善的生活方式/存在，说他们正在康复中。然而，尽管它的所有用途，而且似乎是中心地位，但在酒精文献中尚未同意对术语的定义。由于缺乏定义，恢复通常等同于研究中的禁欲或症状缓解，即使那些说自己正在康复的人并没有那么狭窄的限制。这项酒精方法开发研究旨在制定基于恢复经验的人们如何定义术语的恢复量表。为了开发规模的潜在项目，我们将对来自清醒生活和治疗计划的校友团体的成员进行调查和定性访谈（n = 200），恢复组织的成员（其中许多人都不会参加戒酒匿名/AA或治疗），以及从报纸和在线广告中招募的个人。这种抽样策略将吸引那些在有或没有治疗的情况下以及没有AA参与的情况下实现康复的各种个人。将召集专业的小组（包括酒精研究人员和校友小组和恢复组织代表），以进一步向我们提供有关招聘和项目构建的建议。将对所得的项目以及其他相关工具（例如世界卫生组织/世界卫生组织的生活质量量表和成瘾严重程度指数）进行管理，以研究这些框架的采样框架，从中抽取了200个人（估计受访者= 11,240），以研究潜在规模项目的性能及其与其他相关度量的关系。我们将进行密集的心理测量分析，以建立具有强大的收敛性和判别有效性的简约可靠的恢复量表。我们将根据年龄，性别，种族，参与治疗和12步组以及康复阶段（1年 - 每年; 2-5岁；持续2-5年；以及超过5年稳定的阶段），分析恢复（由WHO量表和新的恢复量表定义）如何不同。在人口统计学异质人群中反映了各种观点，途径和恢复长度的成瘾恢复的规模，将通过进行新酒精治疗方案的临床试验，对一般人群中酒精依赖的流行病学研究以及对康复康复的卫生服务研究的流行病学研究，将广泛使用。全面的恢复量表将说明与恢复相关的个人和社会素质，并将提供一个框架，以教育公共和决策者从酒精和药物依赖中恢复什么需要。 公共卫生相关性：我们的恢复量表将为公共和决策者提供一个框架，以了解当患有严重酒精问题的人消失时，实际上可以预期的是什么。这将导致对酒精治疗计划和卫生服务的更适当评估，并在酗酒者中获得更高水平的寻求帮助。与从其他慢性疾病（例如癌症）中恢复过来的人不同，许多人从酗酒（及其家人）中恢复过来的人对宣布恢复状况持谨慎态度。基于恢复量表的研究的传播应有助于消除酒精中毒仍然面临的酗酒污名，因为它将衡量恢复所代表的积极生活变化以及个人和社会质量。