Developing and Testing a Multidimensional Measure of Recovery Capital: Toward Standardized Measurement to Understand andReduce Socioeconomic Disparities in Alcohol Recovery Outcomes

项目摘要/摘要 这项研究的目的是促进酒精问题康复的科学，通过发展 回收资本的标准化调查措施。回收资本是一个理论上的概念， 包括物质、社会、人力和文化资源如何塑造一个人 持续戒除毒瘾。最近的研究强调了复苏指标的重要性。 除了饮酒/戒酒之外，还包括健康和整体生活质量的提高。虽然研究 表明复苏资本在整体复苏成果中发挥重要作用，而 复苏资本可能在一定程度上导致这种结果的社会经济差距，该领域受到缺乏的限制 一种心理测量学上合理的量化方法。目前，衡量资本回收的主要指标是 50项回收资本评估(ARC)，最近推出了简短的10项版本(BARC- 10)。ARC似乎与理论文献不一致；例如，它的清醒程度意味着 基于禁欲的复苏定义，这与复苏资本理论不一致。从一个 初步研究表明，当与种族和人种一起使用时，ARC存在心理测量弱点 多样化的低收入样本(N=273)，在拟议的研究中，我们将开发一种新的回收资本衡量标准， 复苏资本的多维库存。我们将在测量方面采用最佳实践 开发以生成一个项目库，该项目库由回收资本的理论概念化提供信息，例如 以及不同个人在恢复过程中的观点。初始项目将通过焦点小组和 对正在从酒精问题中恢复的人进行认知访谈，按收入和种族/民族分层，以及 将包括在没有正规治疗系统帮助的情况下康复的个人。应急措施 将使用Amazon MTurk(n=500)在全国样本中进行严格的试点测试，并将使用分级响应 模型作为项目反应理论的延伸，用于评估和校准项目绩效。这项研究还将 在具有全国代表性的样本(n=500)中确定最终测量的心理测量学特性。vbl.使用 作为一种顺序混合方法，我们的研究将解决以下具体目标：(1)开发一种新的 与理论一致的回收资本衡量标准，即回收资本的多维库存，使用 在经济和种族包容性的情况下对焦点小组和认知访谈数据进行定性分析 从酒精问题中恢复的人群样本；(2)试点测试康复的多维清单 在经济和种族多元化的酒精问题康复者样本中的资本和评估 它的可行性、可靠性和项目绩效；以及(3)建立多维的最终版本 在全国范围内通过评估回收资本的信度、效度和因素结构来编制回收资金清单 正在从酒精问题中恢复的有代表性的样本。

Project Summary/Abstract The purpose of this study is to advance the science of recovery from alcohol problems through development of a standardized survey measure of recovery capital. Recovery capital is a theoretical construct that encompasses the ways in which physical, social, human, and cultural resources shape a person's likelihood of sustaining recovery from addiction. Recent studies have highlighted the importance of recovery indicators beyond alcohol consumption/abstinence, such as gains in health and overall quality of life. Although research indicates that recovery capital plays an important role in holistic recovery outcomes and that deficits in recovery capital may partially drive socioeconomic disparities in such outcomes, the field is limited by the lack of a psychometrically sound quantitative measure. Currently, the predominant measure of recovery capital is the 50-item Assessment of Recovery Capital (ARC), recently made available as a brief 10-item version (BARC- 10). The ARC appears misaligned with the theoretical literature; for example, its sobriety subscale implies an abstinence-based definition of recovery, which is inconsistent with recovery capital theory. Building from a preliminary study indicating psychometric weaknesses with the ARC when used with a racially and ethnically diverse low-income sample (N=273), in the proposed study we will develop a new measure of recovery capital, the Multidimensional Inventory of Recovery Capital. We will employ best practices in measurement development to generate an item pool that is informed by theoretical conceptualizations of recovery capital, as well as the perspectives of diverse individuals in recovery. Initial items will be refined through focus groups and cognitive interviews with people in recovery from alcohol problems, stratified by income and race/ethnicity, and will include individuals recovering without assistance from formal treatment systems. The emergent measure will be rigorously pilot-tested in a national sample using Amazon MTurk (n=500) and will use graded response models as an extension of item response theory to assess and calibrate item performance. The study will also establish the psychometric properties of the final measure in a nationally representative sample (n=500). Using a sequential mixed methods approach, our study will address the following specific aims: (1) Develop a new theory-aligned measure of recovery capital, the Multidimensional Inventory of Recovery Capital, using qualitative analysis of focus group and cognitive interviewing data with an economically and racially inclusive sample of people in recovery from alcohol problems; (2) Pilot test the Multidimensional Inventory of Recovery Capital in an economically and racially diverse sample of people in recovery from alcohol problems and assess its feasibility, reliability, and item performance; and (3) Establish a final version of the Multidimensional Inventory of Recovery Capital through assessment of its reliability, validity, and factor structure in a nationally representative sample of people in recovery from alcohol problems.