The Development and Validation of an Index to Measure Vicarious Trauma Exposure Among Substance Use Providers

衡量药物使用提供者替代性创伤暴露指数的开发和验证

基本信息

  • 批准号:
    10353869
  • 负责人:
  • 金额:
    $ 5.25万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2022
  • 资助国家:
    美国
  • 起止时间:
    2022-05-15 至 2024-04-30
  • 项目状态:
    已结题

项目摘要

PROJECT ABSTRACT An often-overlooked consequence of the opioid epidemic in the United States is its health impact on substance use providers (SUPs), such as addiction therapists, peer recovery specialists, and case managers. The opioid epidemic has strained addiction treatment services, and the US will likely fall 250,000 SUPs short of the number needed to address the opioid epidemic by 2025. Workforce turnover contributes substantially to this shortage, driven in part by SUP exposure to vicarious trauma. Vicarious trauma refers to the “second hand” trauma transmitted when interacting with people who experienced trauma “firsthand.” Among social service professionals, vicarious trauma is associated with the development of depression, anxiety, and post-traumatic stress. The SUP workforce is likely particularly vulnerable to vicarious trauma since over 50% are recovering from addiction themselves. No instrument currently exists to measure exposure to vicarious trauma, and existing scales only measure biproducts of the exposure, such as symptoms. It is therefore difficult to assess prevalence of vicarious trauma exposure among SUPs and other “helping professionals” and the sources of this exposure. As a result, it is challenging to identify where to intervene to protect this workforce. The goal of this study is to develop the Vicarious Occupational Trauma Exposure (VOTE) Index and assess its validity and reliability in a representative national sample of SUPs. Previously-collected focus group and interview data and empirical literature on social service working conditions will be analyzed to identify vicarious trauma exposure sources. This will inform VOTE Index development, which will be modified using cognitive interview of SUPs (N=10). The refined index will be disseminated in a national sample of SUPs using quota sampling. Participants (N=600) will be recruited through partnerships with the National Association of Alcoholism and Drug Abuse Counselors and Addiction Technology Transfer Centers. A subsample will be randomly resampled to establish test-retest reliability. Respondents will be divided into training and testing datasets. Bootstrapped nonlinear principal component analysis will be used to analyze the structure of items and observations and reduce items to uncorrelated principal components. Confirmatory factor analysis will be used to assess model fit and reliability. A linear model will be fit to assess convergent and discriminant validity. The contribution of this proposed research is the development and validation of the first instrument to measure vicarious trauma exposure and differentiate it from “downstream” effects, such as symptoms and health outcomes. The VOTE Index will advance occupational epidemiologic understanding of the relationship between vicarious trauma exposure and poor worker health, workforce turnover, and client care. This index will also help researchers, practitioners, and policy-makers identify where to intervene to protect the workforce, thereby improving capacity to provide critical addiction treatment services to address the US opioid epidemic.
项目摘要 美国阿片类药物流行的一个经常被忽视的后果是它对物质的健康影响 使用提供者(SVP),如成瘾治疗师、同伴康复专家和病例经理。阿片类药物 流行病已经使成瘾治疗服务变得紧张,美国可能会缺少25万SPS 到2025年解决阿片类药物流行所需的数字。劳动力流动对此有很大的贡献。 短缺,部分原因是SUP暴露在替代性创伤中。替代性创伤指的是“二手” 当与经历过创伤的人“直接”接触时,创伤就会传播。在社会服务中 专业人士认为,替代性创伤与抑郁、焦虑和创伤后的发展有关 压力。SUP工作人员可能特别容易受到替代性创伤的影响,因为超过50%的人正在康复 远离毒瘾本身。目前还不存在测量暴露于替代性创伤的工具,以及 现有的量表只衡量暴露的两个产品,如症状。因此,很难评估 自助性心理医生和其他“助人专业人员”中替代性创伤暴露的流行率及其来源 这种曝光率。因此,确定在哪里进行干预以保护这一劳动力是一项具有挑战性的工作。 这项研究的目标是开发替代性职业创伤暴露(VOTE)指数和 评估其有效性和可靠性,在一个具有代表性的全国SPS样本中。之前收集的焦点小组 并将对社会服务工作条件的访谈数据和经验文献进行分析,以确定 替代性创伤暴露来源。这将通知Vote Index开发,该索引将使用 SUP认知访谈(N=10)。改进后的指数将在全国SUP样本中传播,使用 配额抽样。参与者(N=600人)将通过与全国妇女协会的伙伴关系招募 酗酒和药物滥用咨询师和成瘾技术转移中心。子样本将是 随机重新抽样以建立重测信度。受访者将被分为培训和测试两部分 数据集。将使用自举的非线性主成分分析来分析项目的结构 和观测值,并将项归约为不相关的主成分。验证性因素分析将 用于评估模型的适配性和可靠性。线性模型适用于评价收敛效度和判别效度。 这项拟议研究的贡献是开发和验证了第一个工具 测量替代性创伤暴露,并将其与“下游”影响区分开来,如症状和 健康结果。投票指数将促进对这一关系的职业流行病学理解 替代性创伤暴露与糟糕的工人健康、劳动力流动和客户关怀之间的关系。该索引将 还可以帮助研究人员、从业者和政策制定者确定在哪里进行干预以保护劳动力, 从而提高提供关键成瘾治疗服务以应对美国阿片类药物流行的能力。

项目成果

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Elisabeth Anne Stelson其他文献

Elisabeth Anne Stelson的其他文献

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{{ truncateString('Elisabeth Anne Stelson', 18)}}的其他基金

The Development and Validation of an Index to Measure Vicarious Trauma Exposure Among Substance Use Providers
衡量药物使用提供者替代性创伤暴露指数的开发和验证
  • 批准号:
    10621696
  • 财政年份:
    2022
  • 资助金额:
    $ 5.25万
  • 项目类别:

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