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

开发和测试回收资本的多维衡量标准:走向标准化衡量以了解和减少酒精回收结果的社会经济差异

基本信息

项目摘要

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.
项目概要/摘要 本研究的目的是通过开发以下方法来推进酒精问题康复的科学: 回收资本的标准化调查措施。回收资本是一个理论构建 涵盖物理、社会、人力和文化资源塑造一个人的可能性的方式 持续从毒瘾中康复。最近的研究强调了恢复指标的重要性 除了饮酒/戒酒之外,例如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结果中发挥着重要作用,并且赤字 恢复资本可能会部分推动此类结果中的社会经济差异,但该领域因缺乏 心理测量学上合理的定量测量。目前,回收资本的主要措施是 包含 50 项的复苏资本评估 (ARC),最近以包含 10 项的简短版本提供 (BARC- 10)。 ARC 似乎与理论文献不一致;例如,其清醒分量表意味着 基于禁欲的恢复定义,与恢复资本理论不一致。建筑从 初步研究表明 ARC 在与种族和民族群体一起使用时存在心理测量缺陷 多样化的低收入样本(N = 273),在拟议的研究中,我们将制定一种新的资本回收衡量标准, 回收资本的多维清单。我们将采用最佳测量实践 开发以生成一个项目池,该池由回收资本的理论概念化提供信息,如 以及不同个人对康复的看法。初始项目将通过焦点小组和 对戒酒者进行认知访谈,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。紧急措施 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 模型作为项目响应理论的扩展来评估和校准项目性能。该研究还将 在全国代表性样本 (n=500) 中确定最终测量的心理测量特性。使用 采用顺序混合方法,我们的研究将解决以下具体目标:(1)开发一种新的方法 与理论一致的回收资本衡量标准,即回收资本多维清单,使用 对焦点小组和认知访谈数据进行定性分析,具有经济和种族包容性 酒精问题康复者样本; (二)多维回收清单试点 资本来自经济和种族多样化的从酒精问题中恢复的人样本并进行评估 其可行性、可靠性和项目性能; (3) 建立多维的最终版本 通过评估全国范围内的回收资本的可靠性、有效性和因素结构来盘点回收资本 从酒精问题中恢复的人的代表性样本。

项目成果

期刊论文数量(2)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
Qualitative insights in item development for a comprehensive and inclusive measure of recovery capital.
  • DOI:
    10.1080/16066359.2022.2055002
  • 发表时间:
    2022
  • 期刊:
  • 影响因子:
    2.9
  • 作者:
    Bowen, Elizabeth;Irish, Andrew;LaBarre, Charles;Capozziello, Nicole;Nochajski, Thomas;Granfield, Robert
  • 通讯作者:
    Granfield, Robert
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