Recovery-Based Relapse Prevention: Acceptability and Feasibility

基于恢复的复发预防：可接受性和可行性

• 批准号: 10429160
• 负责人: Paul B. Tchounwou
• 金额: $ 7.55万
• 依托单位: JACKSON STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-08 至 2025-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10429160
• 关键词: Addictive Behavior; Address; Applications Grants; Behavior; Client; Clinic; Clinical Competence; Communities; Crime; Data; Disadvantaged; Educational Background; Effectiveness; Environment; Esthesia; Exclusion Criteria; Family; Felis catus; Follow-Up Studies; Frequencies; Funding; Funding Agency; Funding Opportunities; Future; Goals; Grant; Group Therapy; Health Services Accessibility; Individual; Informed Consent; Intervention; Interview; Lead; Low income; Measures; Mental Health; Mentorship; Methods; Mississippi; National Institute of Drug Abuse; Outcome; Outpatients; Participant; Pilot Projects; Policies; Poverty; Poverty Areas; Prevention approach; Procedures; Professional counselor; Provider; Recovery; Relapse; Research; Research Personnel; Research Support; Resources; Rural; Sample Size; Schedule; Severities; Structure; Substance Use Disorder; Suicide; Symptoms; Technology; Telephone; Thinking; Time; Training; Unemployment; United States National Institutes of Health; Universities; acceptability and feasibility; addiction; base; behavioral outcome; cost effective; digital; disadvantaged background; disorder later incidence prevention; effective therapy; evidence base; experience; flexibility; follow up assessment; health disparity; health disparity populations; improved; inclusion criteria; innovation; interest; member; novel; peer support; prevention service; programs; public health relevance; recruit; rural area; rural environment; self help; smartphone Application; substance use treatment; tool; treatment group

PROJECT SUMMARY A single-group pilot study with 60 participants will be conducted to assess the acceptability and feasibility of a novel treatment approach for addictive disorders, titled Recovery-Based Relapse Prevention (RBRP). RBRP is an open-format group treatment which relies on widely cited principles of recovery to address the relapse prevention goals of its members. The RBRP approach is innovative because it seeks to address disparities that limit treatment access for many low-income and rural individuals. For example, RBRP does not require attendance on a repeating schedule (i.e., the same day and time each week), nor must groups be led by the same provider or with fixed members. Furthermore, the treatment structure is flexible and can be used with individual members if attendance is low. Also, unlike some group- based treatments that can only be delivered by providers with high levels of education and clinical competencies, which limits the pool of available providers, RBRP is suitable to be delivered by a wide range of professionals including peer supports and addictions counselors. Finally, RBRP's structure includes treatment components that can be offered through digital self-help resources (e.g., online videos, handouts, smartphone applications). This single group pilot study will target recruitment to low-income individuals and those living in rural areas. RBRP groups will be offered within a university mental health clinic that caters to clients from the community. Those that are interested will be screened for inclusion and exclusion criteria over the phone. After providing informed consent, those that are eligible for the study and outpatient group therapy will be offered the opportunity to engage in up to three RBRP groups per week. There are three main objectives of the research: 1) To assess the feasibility of RBRP to include the open group format and a newly developed progress tracking tool, 2) to measure acceptability of RBRP including members' experiences of the group and relevant program components using rating scales and qualitative interviews, and 3) to collect quantitative data including frequency of use and symptom severity to obtain effect-size estimates for planning future studies. If this pilot and future studies are successful, RBRP has the potential to become an efficient and cost-effective method of increasing access to evidence-based relapse prevention services for individuals from low-income and disadvantaged environments. This aim is directly in line with the RCMI-CHDRs goal of supporting research focusing on health disparity populations and NIDAs goal of developing new and improved treatments for substance use disorders.

项目概要 将进行一项有 60 名参与者的单组试点研究，以评估新颖的可接受性和可行性 成瘾性疾病的治疗方法，名为基于恢复的复发预防（RBRP）。 RBRP 是一种开放格式 团体治疗依靠广泛引用的康复原则来实现预防复发的目标 成员。 RBRP 方法具有创新性，因为它旨在解决限制许多人获得治疗机会的差异 低收入和农村人口。例如，RBRP 不要求参加重复的时间表（即， 每周同一天和同一时间），团体也不得由同一提供者或固定成员领导。此外， 治疗结构灵活，如果出勤率低，可以对个人会员使用。而且，与某些团体不同的是—— 基于的治疗只能由具有高水平教育和临床能力的提供者提供， 限制了可用提供者的数量，RBRP 适合由包括同行在内的广泛专业人士提供 支持和成瘾顾问。最后，RBRP 的结构包括可以提供的治疗组件 通过数字自助资源（例如在线视频、讲义、智能手机应用程序）。这项单组试点研究 将针对低收入个人和农村地区的人员进行招聘。 RBRP 团体将在 大学心理健康诊所，为社区客户提供服务。有意者将被筛选 通过电话确定纳入和排除标准。在提供知情同意书后，那些有资格参加研究的人 门诊团体治疗将有机会每周参加最多三个 RBRP 小组。有 研究的三个主要目标： 1) 评估 RBRP 包括开放小组格式和新的可行性 开发进度跟踪工具，2) 衡量 RBRP 的可接受性，包括小组成员的经验和 使用评级量表和定性访谈的相关计划组成部分，以及 3) 收集定量数据，包括 使用频率和症状严重程度以获得效应大小估计以规划未来的研究。如果这位飞行员和 未来的研究是成功的，RBRP 有潜力成为一种有效且具有成本效益的增加 为来自低收入和弱势环境的个人提供基于证据的复发预防服务。 这一目标与 RCMI-CHDRs 的目标直接一致，即支持关注健康差异人群和 NIDA 的目标是开发新的和改进的物质使用障碍治疗方法。