Social-Ecological Resilience: Adapting a Measure for Individuals with Lived Experience of AUD and Homelessness.

项目摘要 虽然研究人员已经开始探索在管理和谈判不利情况下的韧性 与无家可归有关的是，到目前为止还没有研究探索两者兼有的人的适应能力 经历过无家可归的人，正在积极饮酒。理解并能够利用这些 个人韧性作为AUD治疗和服务提供的优势将改善治疗 在这一弱势群体中的结果。候选人Mx的长期职业目标。金牛座芬特莱斯 (LICSW，MPA)，将成为一家独立的酒精研究人员，拥有弹性和保护方面的专业知识 物质使用、治疗和干预发展中的因素。该提案的主要目标是 NIAAA促进健康相关研究多样性的研究补充是验证和测试 建立恢复力测量(RRC-ARM)来表征研究参与者的恢复力，并将其作为 改善的酒精和生活质量结果的相关性，以及假想治疗的潜在调节因素 效果。这一目标将通过检查三个具体目标来实现：1)心理测量学验证 RRC-ARM用于经历过无家可归和AUD的成年人；2)测试自我报告的复原力 作为酒精和生活质量结果跳跃效应的中介；3)定性分析和记录 在这一人群中使用半结构化访谈和 常规内容分析。为了实现这些目标，RRC-ARM将被用于LEAP研究 参与者在基线、3个月、6个月和12个月的时间点和定性访谈将在 12个月的时间点。定量分析将测试样本中RRC-ARM的心理测量学特性 (n=500)，然后将探索RRC-ARM作为假设的预测者和潜在的调解者 在研究过程中改善酒精和生活质量结果。拟议的补编符合以下范围 NIAAA的战略计划，并对公共卫生有重大影响，包括引入具有 加强风险评估和为边缘化群体提供具有成本效益的治疗服务的潜力 有无家可归和澳元生活经验的社区成员。候选人将进行 在西马·克利法菲博士和家长格兰特的Co-I团队以及 候选人的研究生导师迈克尔·斯宾塞博士将获得酒精研究、社区方面的专业知识 以参与性研究、定性研究方法、测量发展和赠款为基础 科学写作。培训活动包括辅导会议、T32赠款撰写课程、统计 咨询、定量研讨会、手稿和会议论文准备，以及 职业发展。这一多样性补充将允许候选人将她的时间奉献给 拟议的活动旨在建立一条作为调查员独立的道路，从而增加 在酒精研究领域开展研究的研究人员人数不足。

Project Summary While researchers have begun to explore resilience in managing and negotiating adverse circumstances associated with homelessness, no research to date has explored the resilience of individuals who have both experienced homelessness and are actively using alcohol. Understanding and being able to leverage these individuals’ resilience as strengths in AUD treatment and service provision stands to improve treatment outcomes in this vulnerable population. The long-term career goal for the candidate, Mx. Taurmini Fentress (LICSW, MPA), is to become an independent alcohol researcher with expertise in resilience and protective factors in substance use treatment and intervention development. The primary objective of this proposed NIAAA Research Supplement to Promote Diversity in Health-Related Research is to validate and test an established measure of resilience (RRC-ARM) to characterize resilience in study participants and test it as a correlate of improved alcohol and QoL outcomes, as well as a potential mediator of the hypothesized treatment effects. This objective will be accomplished by examining three specific aims: 1) psychometrically validate the RRC-ARM for use with adults who have experienced homelessness and AUD; 2) test self-reported resilience as a mediator of the LEAP effect on alcohol and QoL outcomes; 3) qualitatively analyze and document definitions, perceptions and experiences of resilience in this population using semi-structured interviews and conventional content analysis. To fulfill these aims, the RRC-ARM will be administered to LEAP study participants at the baseline, 3, 6 and 12-month time points and qualitative interviews will be conducted at the 12-month time point. Quantitative analyses will test the psychometric properties of the RRC-ARM in the sample (N=500) and will then explore the RRC-ARM as a predictor and potential mediator of the hypothesized amelioration of alcohol and QoL outcomes over the course of the study. The proposed supplement fits within NIAAA’s strategic plan and has significant implications for public health, including introducing tools that have the potential to enhance risk assessment and tailoring of cost-effective treatment services for marginalized community members with lived experience of homelessness and AUD. The candidate will conduct the research under the supervision of Dr. Seema Clifasefi and the parent grant’s team of Co-I’s, as well as the candidate’s graduate school mentor, Dr. Michael Spencer to gain expertise in alcohol research, community based participatory research, qualitative research methodology, measurement development, and grant and scientific writing. Training activities include mentorship meetings, a T32 grant writing course, statistical consults, quantitative workshops, manuscript and conference paper preparation, and opportunities for professional development. This diversity supplement will allow the candidate to dedicate her time to the proposed activities aimed at establishing a path to independence as an investigator, thereby increasing the number of underrepresented researchers conducting research in the field of alcohol research.