Advancing Recovery Pathways and Support Services for Alcohol Use Disorders among Black Men and Women

推进黑人男性和女性酒精使用障碍的康复途径和支持服务

• 批准号: 10372433
• 负责人: SHARON REIF
• 金额: $ 65.95万
• 依托单位: BRANDEIS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-03-15 至 2026-12-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10372433
• 关键词: Address; Age; Alcohol consumption; Alcohols; American; Americas; Asian population; Birth; Black American; Black Populations; Black race; COVID-19; Capital; Cellular Phone; Cessation of life; Characteristics; Client; Communities; County; DSM-V; Diagnosis; Disease; Disease remission; Employment; Environment; Ethnic Origin; Evidence based practice; Female; Future; General Population; Goals; Health Insurance; Heavy Drinking; Heterogeneity; Imprisonment; Individual; Injury; Intervention; Knowledge; Legal; Life Expectancy; Low income; Maps; Measures; Methods; Michigan; Morbidity - disease rate; National Institute on Alcohol Abuse and Alcoholism; Pathway interactions; Personal Satisfaction; Persons; Pharmaceutical Preparations; Population; Population Group; Probability; Process; Provider; Qualitative Methods; Quality of life; Race; Randomized Controlled Trials; Recording of previous events; Recovery; Recovery Support; Reporting; Research Personnel; Role; Self Efficacy; Services; Social Problems; Survival Rate; Symptoms; Telephone; Time; Work; alcohol availability; alcohol consequences; alcohol services; alcohol use disorder; base; behavior change; black men; black women; burden of illness; community organizations; digital; effectiveness evaluation; experience; health care availability; health disparity; high risk; improved functioning; maladaptive behavior; male; racial disparity; racism; service intervention; social determinants; socioeconomic disparity; stem; treatment as usual; urban setting

Black Americans demonstrably suffer from a range of health disparities rising from a long history of structural inequities and racism. Although Black Americans are slightly less likely to drink alcohol than the general population, the rate of Black drinkers with alcohol use disorders (AUD) is comparable, representing 1.5 million Black Americans with AUD. Blacks suffer more negative consequences due to alcohol use such as illnesses, injuries, criminal-legal involvement, and social problems. Recovery is a dynamic process of behavior change leading to stable improvements in functioning, purpose and well-being. NIAAA further highlights recovery as remission from AUD symptoms as well as cessation of heavy drinking. Recovery support services and recovery community organizations aim to build recovery capital. Yet, to date little effort has been made to consider recovery within population groups rather than across groups. A “centering in the margins” approach emphasizes the need to examine experiences of racialized and minoritized populations. This proposed study to advance recovery pathways and support services for Black men and women heeds that call. It is directly responsive to RFA-AA-21-001 in its emphasis on health disparities in AUD populations, intersecting with the RFA goals to advance culturally-informed measures and interventions, increase access to AUD services, make services more appealing, and evaluate evidence-based practices. We do this with a focus on Black men and women in AUD recovery. We thus aim to iteratively use quantitative and qualitative methods to capture and assess questions related to AUD recovery in a heterogenous Black population, in partnership with a Black- majority recovery community organization in Detroit. Specifically: (1) Use qualitative methods with a Black population to (a) define AUD recovery pathways; (b) assess and refine a measure of recovery domains (e.g., relationships, living environment); and (c) identify and map community indicators that may facilitate or interfere with AUD recovery. (2) Use quantitative methods to describe and assess the provision of AUD recovery support services provided by the recovery community organization in terms of matching to needs, stage of recovery and other client and community characteristics, by race/ethnicity. (3) Conduct a pragmatic randomized controlled trial that builds on Aims 1 and 2 with a Black AUD recovery population, compared to a treatment as usual group with in-person recovery support services, to determine the effectiveness of an added phone+digital recovery support service intervention (i.e., provision of smartphones and guidance/support for online recovery activities). The proposed study will enable a deep understanding of what recovery means to Black men and women, how it can be measured, and how we can advance recovery journeys of Black Americans with AUD. The results will be meaningful to Black individuals themselves, providers who treat Blacks who have AUD, and to researchers and policymakers who need to better understand the meaning and needs of a heterogenous US population.

黑人美国人证明，遭受了一系列健康差异的困扰 结构性不平等和种族主义。尽管黑人饮酒的可能性比 普通人群，饮酒障碍的黑人饮酒者的速度（AUD）是可比的，代表1.5 百万黑人美国人与aud。黑人由于使用酒精而遭受更大的负面后果，例如 疾病，伤害，法律参与和社会问题。恢复是一个动态的行为过程 变化导致功能，目的和福祉的稳定改善。 NIAAA进一步亮点 从AUD症状缓解以及停止大量饮酒中的缓解。恢复支持服务 恢复社区组织旨在建立恢复资本。但是，迄今为止几乎没有努力 考虑在人口群体内而不是跨群体中的恢复。 “以边距为中心”的方法 强调需要检查种族和少数人群的经验。这项拟议的研究 提前恢复途径和支持黑人男女的服务。直接 对RFA-AA-21-001的反应敏感在强调AUD种群的健康差异时，与 RFA目标，以推进文化知名度的措施和干预措施，增加获得AUD服务的机会，使 服务更具吸引力，并评估循证实践。我们这样做的重点是黑人和 妇女正在恢复。因此，我们旨在迭代使用定量和定性方法来捕获和 评估与黑人人群中与AUD恢复有关的问题，与黑人合作 底特律的多数恢复社区组织。具体：（1）使用黑色的定性方法 人口到（a）定义AUD恢复途径； （b）评估和完善恢复域的度量（例如， 人际关系，生活环境）； （c）识别和绘制可能有助于或干预的社区指标 与AUD恢复。 （2）使用定量方法来描述和评估AUD恢复的提供 恢复社区组织提供的支持服务就需求匹配而言 通过种族/种族恢复和其他客户和社区特征。 （3）进行务实 与A AIM 1和AIM 2建立的随机对照试验与黑色AUD恢复人群相比 像往常一样的治疗小组，通过面对面的恢复支持服务，以确定附加的有效性 电话+数字恢复支持服务干预（即提供智能手机和指导/支持 在线恢复活动）。拟议的研究将使人们能够深入了解恢复的意义 黑人男人和女人，如何测量它，以及我们如何促进黑色的恢复旅程 美国人有澳元。结果对黑人个人，对待的提供者有意义 拥有AUD的黑人，以及需要更好地理解含义和的研究人员和政策制定者 异源人群的需求。