Leveraging community-based participatory research and infoveillance to advance the science on recovery community centers serving Black communities

利用基于社区的参与性研究和信息监视来推进为黑人社区服务的康复社区中心的科学

• 批准号: 10661973
• 负责人: Bettina B. Hoeppner
• 金额: $ 6.47万
• 依托单位: MASSACHUSETTS GENERAL HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-04-01 至 2023-08-02
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10661973
• 关键词: Address; African American; Alcohols; Area; Black American; Black race; Caring; Clinical Research; Collaborations; Communities; Data; Data Analyses; Data Set; Development; Dissemination and Implementation; Face; Faith-based organization; Foundations; Funding; Goals; Grant; Growth; Health Services Accessibility; Health trends; Healthcare Systems; Heart; Improve Access; Independent Scientist Award; Individual; Infodemiology; Infrastructure; Internet; Investments; Knowledge; Laboratories; Leadership; Life; National Institute of Drug Abuse; Opioid; Outcome; Paper; Participant; Persons; Pharmaceutical Preparations; Prevalence; Productivity; Psychologist; R24; Recovery; Recovery Support; Research; Research Activity; Research Project Grants; Research Support; Resources; Role; Science; Scientific Advances and Accomplishments; Services; Site; Stigmatization; Structure; Substance Use Disorder; Surveys; Technology; Time; Training; Training Activity; Translational Research; Trust; Underserved Population; Voice; Vulnerable Populations; Work; Writing; addiction; care systems; community based participatory research; community center; community engaged research; effectiveness testing; insight; mHealth; marginalized population; mid-career faculty; novel; opioid epidemic; opioid use disorder; outreach; peer; racial disparity; recovery services; smartphone application; smoking cessation; social stigma; substance use; support tools; trend

Project Summary Recovery community centers (RCCs) are emerging as an important third component of recovery-oriented systems of care that, until recently, were comprised solely of professional treatment and mutual-help organizations. These centers exist in the heart of communities, and provide a range of recovery-oriented, peer-delivered services. Despite recent rapid largescale investment in their growth, empirical data on their functioning and outcomes are extremely limited. To develop infrastructure to support the advancement of scientific knowledge on recovery support services, including specifically RCCs, NIDA created RFA-DA-20-014 in 2019. I am the M-PI of one of 5 R24 grants funded nationwide to build this infrastructure, the only one focusing on RCCs. The goal of this K02 is to provide me with protected time to pursue the extraordinary opportunities for collaboration, insight, and research this R24 provides me with. I am a recently promoted Associate Professor, who specializes in clinical and translational research, with the long-term goal of improving access to care for persons seeking to stop problematic substance use. The K02 would allow me to engage in research activities that deepen and expand the aims of the R24, particularly with regards to RCCs serving Black communities. Specifically, my proposed K02 research plan includes (1) secondary data analyses of two nationwide datasets to examine racial disparities in the utilization of recovery support services; (2) content analyses of smartphone apps that RCCs may connect their participants with that address the content of apps purporting to support recovery from opioid use disorder (OUD), and their findability; (3) an infodemiology study to examine the community-level impact of RCCs on stigma reduction; (4) two community- based participatory research (CBPR) projects with two different, low-resourced RCCs, and (5) research activities that lay the foundation for two large-scale R01s that address fundamental questions regarding the role of RCCs in the healthcare system (i.e., do RCCs work? can RCCs be effective mHealth implementation partners?). To support these research activities, I will expand my expertise by training in two areas: (1) community-engaged research to enable me to build respectful, trusting, productive, and synergistic partnerships with RCCs serving Black communities, and (2) infodemiology to provide community-level insights using real-world, real-time data. My community collaborators are Mr. Phil Rutherford, the chief operating officer of Voices and Faces of Recovery; the Center for African American Recovery Development (CAARD), an organization spanning several RCCs; Chainless Change, an RCC located in FL; and New Life II, an RCC located in CT. My scientific collaborators are Drs. Monica Skewes and Kasisomayajula Viswanath (CBPR), and Dr. Patricia Cavazos-Rehg (infodemiology, OUD mHealth).

项目概要 康复社区中心（RCC）正在成为以康复为导向的第三个重要组成部分。 直到最近，护理系统仅由专业治疗和互助组成 组织。这些中心位于社区中心，提供一系列以康复为导向的、 同行提供的服务。尽管最近对其增长进行了大规模的快速投资，但有关其增长的经验数据 功能和成果极其有限。发展基础设施以支持发展 关于康复支持服务的科学知识，特别是 RCC，NIDA 创建了 RFA-DA-20-014 2019 年。我是全国范围内资助建设这一基础设施的 5 项 R24 赠款之一的 M-PI，也是唯一一项 重点关注农村信用社。这款K02的目标是为我提供受保护的时间来追求非凡 R24 为我提供了协作、洞察和研究的机会。我是一个最近 晋升副教授，专门从事临床和转化研究，长期目标是 改善寻求停止有问题的药物使用的人获得护理的机会。 K02 可以让我 参与深化和扩展 R24 目标的研究活动，特别是 RCC 方面的研究活动 服务黑人社区。具体来说，我提出的K02研究计划包括（1）二手数据 分析两个全国数据集，以检查康复支持服务利用方面的种族差异； (2) 智能手机应用程序的内容分析，RCC 可以将其参与者与这些应用程序连接起来，以解决 声称支持阿片类药物使用障碍 (OUD) 康复的应用程序的内容及其可发现性； (3) 一个 信息流行病学研究，探讨农村信用社对减少耻辱的社区层面影响； (4) 两个社区—— 两个不同的、资源匮乏的 RCC 的基于参与性研究 (CBPR) 项目，以及 (5) 研究 为两个大规模 R01 奠定基础的活动，这些 R01 解决了有关 RCC 在医疗保健系统中的作用（即 RCC 有效吗？ RCC 能否有效实施移动医疗 合作伙伴？）。为了支持这些研究活动，我将通过两个领域的培训来扩展我的专业知识：(1) 社区参与的研究使我能够建立尊重、信任、富有成效和协同作用 与服务黑人社区的 RCC 合作，以及 (2) 信息流行病学提供社区层面的见解 使用真实世界的实时数据。我的社区合作者是 Phil Rutherford 先生，他是首席运营官 康复之声和面孔官员；非裔美国人恢复发展中心 (CAARD) 跨越多个 RCC 的组织； Chainless Change，一家位于佛罗里达州的 RCC；和 New Life II（RCC） 位于CT。我的科学合作者是博士。 Monica Skewes 和 Kasisomayajula Viswanath (CBPR)， 和 Patricia Cavazos-Rehg 博士（信息流行病学，OUD mHealth）。