权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

Advancing Recovery Pathways and Support Services for Alcohol Use Disorders among Black Men and Women

推进黑人男性和女性酒精使用障碍的康复途径和支持服务

基本信息

批准号：
10590650
负责人：
SHARON REIF
金额：
$ 64.56万
依托单位：
BRANDEIS UNIVERSITY
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：
2022-03-15 至 2026-12-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10590650
关键词：
Address Age Alcohol consumption Alcohols American Americas Asian population Birth Black American Black Populations Black race COVID-19 Capital Cellular Phone Cessation of life Characteristics Client Communities County DSM-V Diagnosis Disease Disease remission Employment Environment Ethnic Origin Evidence based practice Female Future General Population Goals Health Insurance Heavy Drinking Heterogeneity Imprisonment Individual Inequity Injury Intervention Knowledge Legal Life Expectancy Low income Maps Measures Methods Michigan Minority Groups Morbidity - disease rate National Institute on Alcohol Abuse and Alcoholism Pathway interactions Personal Satisfaction Persons Pharmaceutical Preparations Policy Maker Population Population Group Probability Process Provider Qualitative Methods Quality of life Race Randomized, Controlled Trials Recording of previous events Recovery Reporting Research Personnel Self Efficacy Services Social Problems Survival Rate Symptoms Telephone Work alcohol availability alcohol consequences alcohol services alcohol use disorder behavior change black men black women burden of illness community organizations digital effectiveness evaluation experience functional improvement health care availability health disparity high risk improved maladaptive behavior male racial disparity racial population racism recovery services service intervention social health determinants socioeconomic disparity stem treatment as usual urban setting

项目摘要

Black Americans demonstrably suffer from a range of health disparities rising from a long history of structural inequities and racism. Although Black Americans are slightly less likely to drink alcohol than the general population, the rate of Black drinkers with alcohol use disorders (AUD) is comparable, representing 1.5 million Black Americans with AUD. Blacks suffer more negative consequences due to alcohol use such as illnesses, injuries, criminal-legal involvement, and social problems. Recovery is a dynamic process of behavior change leading to stable improvements in functioning, purpose and well-being. NIAAA further highlights recovery as remission from AUD symptoms as well as cessation of heavy drinking. Recovery support services and recovery community organizations aim to build recovery capital. Yet, to date little effort has been made to consider recovery within population groups rather than across groups. A “centering in the margins” approach emphasizes the need to examine experiences of racialized and minoritized populations. This proposed study to advance recovery pathways and support services for Black men and women heeds that call. It is directly responsive to RFA-AA-21-001 in its emphasis on health disparities in AUD populations, intersecting with the RFA goals to advance culturally-informed measures and interventions, increase access to AUD services, make services more appealing, and evaluate evidence-based practices. We do this with a focus on Black men and women in AUD recovery. We thus aim to iteratively use quantitative and qualitative methods to capture and assess questions related to AUD recovery in a heterogenous Black population, in partnership with a Black- majority recovery community organization in Detroit. Specifically: (1) Use qualitative methods with a Black population to (a) define AUD recovery pathways; (b) assess and refine a measure of recovery domains (e.g., relationships, living environment); and (c) identify and map community indicators that may facilitate or interfere with AUD recovery. (2) Use quantitative methods to describe and assess the provision of AUD recovery support services provided by the recovery community organization in terms of matching to needs, stage of recovery and other client and community characteristics, by race/ethnicity. (3) Conduct a pragmatic randomized controlled trial that builds on Aims 1 and 2 with a Black AUD recovery population, compared to a treatment as usual group with in-person recovery support services, to determine the effectiveness of an added phone+digital recovery support service intervention (i.e., provision of smartphones and guidance/support for online recovery activities). The proposed study will enable a deep understanding of what recovery means to Black men and women, how it can be measured, and how we can advance recovery journeys of Black Americans with AUD. The results will be meaningful to Black individuals themselves, providers who treat Blacks who have AUD, and to researchers and policymakers who need to better understand the meaning and needs of a heterogenous US population.

显然，美国黑人在健康方面存在着一系列的不平等，这是由长期的