Understanding and Addressing Disclosure to Members of Social Networks among People Recovering from Substance Use Disorders

了解并解决向药物使用障碍康复者的社交网络成员披露信息的问题

• 批准号: 10000900
• 负责人: Valerie Ann Earnshaw
• 金额: $ 18.93万
• 依托单位: UNIVERSITY OF DELAWARE
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-01 至 2022-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10000900
• 关键词: Address; Adult; Alcohol or Other Drugs use; Behavior; Boston; Caring; Center for Translational Science Activities; Characteristics; Chronic Disease; Clinical Sciences; Data; Data Analyses; Decision Aid; Decision Making; Development; Disclosure; Disease remission; Dropout; Drug Use Disorder; Educational workshop; Ego; Ensure; Event; Family; Focus Groups; Foundations; Friends; General Hospitals; Goals; Growth; Health behavior; Individual; Intervention; Intervention Studies; Lead; Massachusetts; Measures; Medical; Mental disorders; Mentored Research Scientist Development Award; Mentorship; Methods; Modeling; National Institute of Drug Abuse; Outcome; Participant; Patient Self-Report; Patients; Pediatric Hospitals; Phase; Pilot Projects; Play; Population; Process; Protocols documentation; Provider; Randomized; Randomized Controlled Trials; Reaction; Recording of previous events; Recovery; Research; Research Methodology; Research Personnel; Research Project Grants; Resources; Role; Science; Severities; Social Network; Social support; Stigmatization; Strategic Planning; Substance Use Disorder; Testing; Toxicology; Training; United States National Institutes of Health; Urine; Work; Workplace; alcohol use disorder; career development; control trial; design; evidence base; experience; follow-up; illicit drug use; improved; innovation; insight; medical schools; medication compliance; meetings; member; opioid epidemic; programs; reduced substance use; relapse risk; risk minimization; social; social stigma; therapy development

PROJECT SUMMARY/ABSTRACT Over 5 million people in the US received treatment in 2014 for substance use disorders (SUDs), which are chronic illnesses that require ongoing care and carry significant risk of relapse. Relationship processes may play a powerful role in the recovery trajectories of people with SUDs, with stigma acting as a barrier to and social support acting as a facilitator of reduced substance use, treatment retention, and medication adherence. Disclosure of SUDs represents a gateway to stigma and social support from others. Interventions that help people in recovery decide to whom, why, when, what, and how to tell others about their SUD recovery status may help them disclose in ways that minimize risk of stigma and maximize access to social support from others, thereby supporting their recovery efforts. The goal of the proposed Mentorship Research Scientist Development Award (K01) is to facilitate my growth into an independent investigator who studies and intervenes in relationship processes among people in recovery from SUDs, ultimately promoting long-term recovery among this population. To achieve this goal, I will pursue a training plan to build expertise in SUDs, develop mastery in social network research, and gain training in intervention science. This training plan draws on a wealth of institutional resources at Harvard Medical School, Boston Children's Hospital, Massachusetts General Hospital, and the Harvard Clinical and Translational Science Center, and consists of mentorship from experts; formal training via courses, workshops, and programs; attendance at national meetings; and career development activities. I will apply my training to a research project that aims to: (1) examine longitudinal associations between disclosure, stigma, social support, and SUD recovery-related outcomes among people receiving SUD treatment; (2) develop an intervention to help people disclose SUD recovery to others in ways that minimize risk of stigma and maximize access to social support; and (3) pilot the disclosure intervention among people receiving treatment for SUDs to evaluate its acceptability and feasibility. These aims will be reached by conducting a longitudinal egocentric social network study with 160 people receiving treatment for SUDs (150 for study + 10 for pilot); online focus groups with 15-20 people receiving treatment for SUDs, providers of SUD treatment, and friends and family of people receiving treatment for SUDs; and a mixed- methods pilot study of the intervention with 50 people receiving treatment for SUDs. All work will be conducted in Boston, Massachusetts, which is currently experiencing an opioid crisis. Results of the study will form the foundation an NIH R01 application to evaluate the disclosure intervention in the context of a large-scale randomized control trial. This will ensure my transition into an independent investigator and contribute to the long-term recovery efforts of people receiving treatment for SUDs.

项目摘要/摘要 2014年，美国有超过500万人因药物使用障碍（SUD）接受治疗 需要持续护理并承担重大复发风险的慢性疾病。关系过程可能 在有泡沫的人的恢复轨迹中发挥强大的作用，污名充当和 社会支持是减少药物使用，治疗保留和药物依从性的促进者。 SUD的披露代表了他人污名和社会支持的门户。有帮助的干预措施 康复中的人们决定向谁，为什么，何时，什么以及如何告诉他人有关其肥皂恢复状态 可能会帮助他们以最大程度地减少污名风险并最大程度地获得社会支持的方式来帮助他们 其他人则支持他们的恢复工作。拟议的指导研究科学家的目标 发展奖（K01）是为了促进我的成长成为一个独立的研究者 研究 和 介入人们从SUD恢复的人之间的关系过程，最终促进长期 该人群的恢复。为了实现这一目标，我将制定一项培训计划，以建立SUD的专业知识， 在社交网络研究中掌握掌握，并获得干预科学的培训。该培训计划得出 马萨诸塞州波士顿儿童医院哈佛医学院的大量机构资源 综合医院以及哈佛临床和转化科学中心，由 专家；通过课程，研讨会和课程进行正规培训；参加全国会议；和职业 发展活动。我将把培训应用于一个旨在：（1）检查纵向的研究项目 披露，污名，社会支持和与SUD恢复相关的结果之间的关联 接受SUD治疗； （2）制定一种干预措施，以帮助人们以方式向他人披露SUD恢复 这样可以最大程度地减少污名风险，并最大程度地获得获得社会支持的机会； （3）试行披露干预 在接受SUD治疗的人中，以评估其可接受性和可行性。这些目标将是 通过进行纵向自我中心社交网络研究，有160人接受治疗 SUDS（研究 + 10的150个飞行员）；在线焦点小组有15-20人接受泡沫治疗， SUD治疗的提供者，以及接受SUD治疗的朋友和家人；和混合 方法对50人接受SUD治疗的干预措施进行了试点研究。所有工作都将进行 在马萨诸塞州波士顿，目前正在遇到阿片类药物危机。研究结果将形成 基金会在大规模的背景下进行NIH R01的应用程序评估披露干预措施 随机对照试验。这将确保我过渡到独立调查员，并为 接受SUD治疗的人的长期恢复工作。

项目成果

Addressing LGBTQ Student Bullying in Massachusetts Schools: Perspectives of LGBTQ Students and School Health Professionals.

解决马萨诸塞州学校中 LGBTQ 学生欺凌问题：LGBTQ 学生和学校卫生专业人员的观点。

• DOI: 10.1007/s11121-019-01084-4
• 发表时间: 2020
• 期刊: Prevention science : the official journal of the Society for Prevention Research
• 作者: Reisner,SariL;Sava,LaurenM;Menino,DavidD;Perrotti,Jeff;Barnes,TiaN;Humphrey,DLayne;Nikitin,RuslanV;Earnshaw,ValerieA
• 通讯作者: Earnshaw,ValerieA

Stigma and substance use disorders: A clinical, research, and advocacy agenda.

• DOI: 10.1037/amp0000744
• 发表时间: 2020-12
• 期刊: The American psychologist
• 作者: Earnshaw VA