Collegiate recovery programming in the U.S.: An implementation science and mixed methods study

美国的大学恢复规划：实施科学和混合方法研究

• 批准号: 10767056
• 负责人: Noel Adam Vest
• 金额: $ 17.57万
• 依托单位: BOSTON UNIVERSITY MEDICAL CAMPUS
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-03-01 至 2027-02-28
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10767056
• 关键词: Address; Administrator; Affect; Area; Attention; Award; California; Characteristics; Clinical; Collaborations; Communities; Consolidated Framework for Implementation Research; Development; Effectiveness; Elements; Enrollment; Ethnography; Evidence based intervention; Evolution; Experimental Psychology; Funding; Geography; Goals; Grant; Harm Reduction; Health; Individual; Institution; Interdisciplinary Study; Interview; Investments; Knowledge; Mentored Research Scientist Development Award; Mentors; Mentorship; Methods; Morphologic artifacts; National Institute of Drug Abuse; Nature; Online Systems; Outcome; Population; Preventive; Professional counselor; Proliferating; Public Health; Publications; Qualitative Methods; Recovery; Reporting; Research; Research Methodology; Research Personnel; Safety; Schools; Science; Services; Structure; Students; Substance Use Disorder; Surgeon; Surveys; Testing; Texas; Time; Training; United States National Institutes of Health; Universities; Update; Work; Writing; addiction; career; career development; clinical training; college; comparative; design; emerging adult; emerging adulthood; evidence base; experience; higher education; implementation intervention; implementation science; improved; innovation; insight; member; programs; scale up; skills; statistics; substance use; sustained recovery; trend; university student

PROJECT SUMMARY/ABSTRACT Substance use is a critical public health problem among college students in the US. Roughly 600,000 college students report being in recovery from a substance use disorder (SUD). To support students seeking to maintain or attempting to initiate SUD recovery, a growing number of US higher education institutions (at least 138) have established collegiate recovery programs (CRPs). CRPs have expanded by 500% from 2013 to 2020, but there are no current evidence-based standards to guide college staff, administrators, and communities on how to establish a maximally beneficial CRP. This is at least partly because little empirical evidence exists on CRPs’ design, development, and implementation. To address this critical gap, I propose a mixed-methods study to investigate CRP programs and create a pragmatic, context-sensitive, implementation toolkit for colleges across the US. In Aim 1, I will conduct an ethnography at four well-established, geographically dispersed CRPs (Texas Tech University, Augsburg University, Penn State University, and University of California at Santa Barbara) to identify core characteristics and related barriers to and facilitators of CRP best practices. In Aim 2, I will conduct a national survey among CRP program directors (n=50) and students (n=500) to characterize current CRP programming and the evolution of CRPs over time. The survey results will be compared and contrasted with a smaller national survey completed 7 years ago. In Aim 3, findings from the ethnography (Aim 1) and national surveys (Aim 2) will be used to develop a CRP implementation toolkit. The toolkit will provide colleges with appropriate insight on strategies to best disseminate and implement evidence-based interventions and practices for students who are contemplating or in SUD recovery. Through the award period, I will build upon my clinical training as a SUD counselor, doctoral training in experimental psychology, and experience conducting research in SUD treatment to develop new knowledge and skills in ethnography, SUD recovery among emerging adults, survey design, and implementation of CRP best practices. My proposed research plan integrates coursework, formal training, practical experience, applied training, and mentorship from experts (Drs. Keith Humphreys, Mark McGovern, Christine Timko, John Kelly, Alison Hamilton, and Kitty Harris) in addiction recovery, mutual-help organizations, SUD treatment, quantitative and qualitative methods, and implementation science. This Mentored Research Scientist Development Award (K01) will help me achieve my long-term career goal of being an independent investigator with an established program of research focused on the development, testing, and implementation of interventions for SUD treatment and recovery. In summary, the proposed research and training plan will result in timely, innovative, and impactful findings on CRPs, ultimately leading to substantial findings, high-quality publications, and improved health outcomes in the US.

项目概要/摘要 药物滥用是美国大约 600,000 名大学生中的一个严重的公共卫生问题。 学生报告正在从药物滥用障碍 (SUD) 中恢复，以支持寻求维持药物使用障碍的学生。 或试图启动 SUD 恢复，越来越多的美国高等教育机构（至少 138 所）已经 从 2013 年到 2020 年，已建立的大学恢复计划 (CRP) 已扩大了 500%，但仍然存在。 目前没有基于证据的标准来指导大学工作人员、管理人员和社区如何 建立一个最大效益的 CRP 至少部分是因为关于 CRP 的经验证据很少。 为了解决这一关键差距，我提出了一项混合方法研究。 调查 CRP 项目，并为各大学创建一个务实的、情境敏感的实施工具包 在目标 1 中，我将在四个完善的、地理上分散的 CRP（德克萨斯州）进行民族志研究。 科技大学、奥格斯堡大学、宾夕法尼亚州立大学和加州大学圣巴巴拉分校） 在目标 2 中，我将确定 CRP 最佳实践的核心特征以及相关障碍和促进因素。 对 CRP 项目主管 (n=50) 和学生 (n=500) 进行的全国性调查，以描述当前 CRP 的特征 调查结果将与 CRP 随时间的推移进行比较和对比。 7 年前完成的较小规模的全国调查 在目标 3 中，来自民族志（目标 1）和全国的调查结果。 调查（目标 2）将用于开发 CRP 实施工具包，该工具包将为大学提供。 对最佳传播和实施循证干预措施和实践的策略有适当的见解 对于正在考虑或正在 SUD 康复的学生，我将在奖励期内继续我的临床工作。 SUD 辅导员培训、实验心理学博士培训以及开展研究的经验 在 SUD 治疗中发展民族志方面的新知识和技能，新兴成年人的 SUD 恢复， 我提出的研究计划整合了课程作业、调查设计和 CRP 最佳实践的实施。 正式培训、实践经验、应用培训和专家指导（Keith Humphreys 博士、Mark 麦戈文、克里斯汀·蒂姆科、约翰·凯利、艾莉森·汉密尔顿和基蒂·哈里斯）在成瘾康复、互助中 组织、SUD处理、定量和定性方法以及科学实施。 研究科学家发展奖（K01）将帮助我实现成为一名科学家的长期职业目标 独立调查员，拥有既定的研究计划，重点关注开发、测试和 实施 SUD 治疗和康复干预措施 总而言之，建议的研究和恢复。 培训计划将为 CRP 带来及时、创新和有影响力的发现，最终带来实质性成果 调查结果、高质量出版物以及美国健康状况的改善。