Examining the Validity of the Alcohol Use Disorder Recovery Construct Using a Between- and Within-Persons Design

使用人间和人内设计检查酒精使用障碍恢复结构的有效性

• 批准号: 10706548
• 负责人: George B. Richardson
• 金额: $ 26.47万
• 依托单位: UNIVERSITY OF CINCINNATI
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-20 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10706548
• 关键词: Address; Adolescence; Adolescent; Adolescent and Young Adult; Adult; African American; Age; Alcohol consumption; Alcohols; Area; Asian; Black race; Clinical; Community Integration; Consensus; Data; Development; Dimensions; Disease; Disease remission; Education; Emotional; Ethnic Origin; Etiology; Exhibits; Female; Finches; Future; Goals; Growth; Health; Health Personnel; Heavy Drinking; Individual; Knowledge; Life; Link; Longevity; Longitudinal Studies; Measurement; Measures; Mental Health; Mission; Modeling; National Institute on Alcohol Abuse and Alcoholism; National Longitudinal Survey of Adolescent to Adult Health; Native Americans; Nature; Pacific Islander; Participant; Pathway interactions; Pattern; Personal Satisfaction; Persons; Prevalence; Process; Psychometrics; Public Health; Quality of life; Race; Recovery; Religion; Reporting; Research; Resources; Risk Taking; Services; Social support; Spirituality; Structure; Subgroup; Testing; Time; United States National Institutes of Health; Work; Youth; alcohol use disorder; biopsychosocial; care systems; design; disability; emerging adult; expectation; improved; innovation; physical conditioning; sex; stem; substance use; young adult

PROJECT SUMMARY There is growing consensus that recovery extends beyond remission to broader biopsychosocial improvements in domains such as emotional health and community integration (Kelly & Hoeppner, 2014; Richardson et al., 2019; White, 2012). Qualitative (e.g., Borkman et al., 2016) and quantitative studies of between-persons differences (Garner et al., 2014; Lusczakoski et al., 2014) appear consistent with broader recovery definitions. These definitions describe a process, however, and research has not yet addressed the validity of the broader recovery construct at the within-persons level. This is crucial because evidence that domains included in recovery definitions converge at the between-persons level does not guarantee that within- persons change is similarly patterned. Moreover, it is not clear if adult-based conceptualizations of recovery can be applied to youth (Finch et al., 2020) or if recovery has the same meaning across race/ethnicity, sex, recovery pathways, and disordered vs. normative use. Our long-term goal is to facilitate efforts to improve recovery- oriented systems of care. The overall objective for this R21 application is to evaluate the validity of the recovery construct across nearly 25 years from adolescence to mid-adulthood using an exploratory, data-driven approach. Our central hypothesis is that domains included in recovery definitions are moderately correlated at the between- persons differences level, exhibit some important differences in empirical meaning across subgroups, and are significantly correlated within persons. The rationale for the current project is that it informs operational definition of recovery from adolescence to mid-adulthood and provides a point of comparison for future R01 level efforts to validate recovery measures in late adulthood. This study uses data from the National Longitudinal Study of Adolescent to Young Adult Health, longitudinal measurement invariance analysis, and parallel process latent growth modeling to achieve the following specific aims: 1) Determine the importance of time and subgroup membership in moderating the meaning of recovery scores. 2) Determine whether domains included in recovery definitions are linked within persons. It is our expectation that this study will determine the validity of the alcohol use disorder (AUD) recovery construct from adolescence to mid-adulthood, identifying whether recovery indicators function in the same way across groups and intercorrelate within persons. This contribution is significant because it informs development of measures that capture the multidimensional and dynamic nature of the AUD recovery process. This project is innovative because it uses a longer-term within-persons design, includes data from adolescence, conducts longitudinal measurement invariance analyses of recovery moderators, evaluates criterion validity via alcohol use within persons, and analyzes national data spanning adolescence to mid-adulthood. These results will have an important positive impact by facilitating efforts to determine how early trajectories might be altered to improve health across the lifespan, estimate recovery prevalence, adapt services to subgroups of alcohol users, and evaluate recovery-oriented systems of care.

项目摘要 越来越多的共识是，恢复超出了更广泛的生物心理社会的缓解 情绪健康和社区融合等领域的改善（Kelly＆Hoeppner，2014年； Richardson等人，2019年；怀特，2012年）。定性（例如，Borkman等，2016）和定量研究 彼得森之间的差异（Garner等，2014； Lusczakoski等，2014）似乎与更广泛的一致 恢复定义。但是，这些定义描述了一个过程，研究尚未解决 较广泛的恢复构建体在塞子层的有效性。这是至关重要的，因为证据表明 恢复定义中包含的域在Persons级别收敛，并不能保证 人的变化类似地是图案。而且，尚不清楚基于成人的恢复概念是否可以 应用于青年（Finch等，2020），或者如果恢复在种族/种族，性别，康复中的含义相同的含义 途径，无序与规范使用。我们的长期目标是促进改善恢复的努力 - 定向护理系统。该R21应用的总体目标是评估恢复的有效性 从青春期到阿杜德期的近25年，使用探索性，数据驱动的方法构建。 我们的核心假设是，恢复定义中包含的域在 - 之间适度相关 人的差异水平，在亚组之间表现出一些重要的经验意义差异，并且是 在人中显着相关。当前项目的理由是它通知运营定义 从青春期到中期的恢复，为将来的R01级努力提供了比较点 验证成年后期的恢复措施。本研究使用了国家的国家纵向研究的数据 青少年对年轻成人健康，纵向测量不变性分析和平行过程潜在 生长建模以实现以下特定目的：1）确定时间和亚组的重要性 会员资格调节恢复分数的含义。 2）确定恢复中是否包含域 定义在人中链接。我们期望这项研究将确定酒精的有效性 使用障碍（AUD）恢复构建体从青春期到亚装中期，确定是否恢复 指标以相同的方式运行，并在人员内部互相关。这个贡献是 意义重大，因为它为捕获多维和动态性质的措施的发展提供了信息 AUD恢复过程。该项目具有创新性，因为它使用了长期内部设计， 包括青春期的数据，进行纵向测量不变性分析 主持人，通过人员内的饮酒评估标准有效性，并分析国家数据跨度 青春期到中期。这些结果将通过促进努力来产生重要的积极影响 确定如何改变早期轨迹以改善整个寿命，估计恢复 患病率，适应酒精用户子组的服务，并评估面向恢复的护理系统。