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.

项目摘要/摘要 使用药物是美国大学生的关键公共卫生问题。大约600,000大学 学生报告说，正在从药物使用障碍（SUD）中恢复过来。支持寻求维护的学生 或试图启动SUD恢复，越来越多的美国高等教育机构（至少138个） 既定的大学恢复计划（CRP）。从2013年到2020年，CRP的增长了500％，但那里 没有目前的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 建立一个最有益的CRP。这至少部分是因为CRP的几乎没有经验证据” 设计，开发和实施。为了解决这个关键的差距，我提出了一项混合方法研究 调查CRP计划，并为跨学院创建务实的，上下文敏感的实施工具包 美国。在AIM 1中，我将在四个建筑良好的地理分散的CRP上进行人种志（德克萨斯州） 科技大学，奥格斯堡大学，宾夕法尼亚州立大学和加利福尼亚大学圣塔芭芭拉分校） 确定CRP最佳实践的核心特征和相关障碍和促进者。在AIM 2中，我会进行 CRP计划董事（n = 50）和学生（n = 500）的全国调查，以表征当前的CRP 随着时间的流逝，编程和CRP的演变。调查结果将被比较并与 较小的国家调查于7年前完成。在AIM 3中，人种志（AIM 1）和国家的发现 调查（AIM 2）将用于开发CRP实施工具包。该工具包将为大学提供 对策略的适当见解，以最好地传播和实施基于证据的干预措施和实践 对于正在考虑或恢复SUD的学生。在整个奖项期间，我将在临床上建立 作为SUD辅导员的培训，实验心理学的博士培训以及进行研究的经验 在SUD治疗中以发展民族志的新知识和技能，新兴成年人的SUD恢复， 调查设计和CRP最佳实践的实施。我建议的研究计划整合了课程， 正式的培训，实践经验，应用培训和专家的精神训练（Keith Humphreys博士，Mark McGovern，Christine Timko，John Kelly，Alison Hamilton和Kitty Harris）在成瘾中恢复 组织，SUD治疗，定量和定性方法以及实施科学。这是指导的 研究科学家发展奖（K01）将帮助我实现自己的长期职业目标 既定研究计划的独立研究人员都专注于开发，测试和 实施用于SUD治疗和恢复的干预措施。总而言之，拟议的研究和 培训计划将导致CRP的及时，创新和有影响力的发现，最终导致大量 在美国的发现，高质量出版物和改善的健康状况。