Developing and Testing a Multidimensional Measure of Recovery Capital: Toward Standardized Measurement to Understand andReduce Socioeconomic Disparities in Alcohol Recovery Outcomes

项目总结/摘要 这项研究的目的是通过发展酒精问题的科学， 回收资本的标准化调查措施。回收资本是一个理论概念， 包括物质，社会，人力和文化资源塑造一个人的可能性的方式， 从毒瘾中恢复过来最近的研究强调了恢复指标的重要性 除了饮酒/戒酒，例如健康和整体生活质量的提高。虽然研究 表明恢复资本在整体恢复结果中起着重要作用， 恢复资本可能会部分推动社会经济差距，在这种结果，该领域是有限的缺乏 一个心理测量学上合理的定量测量。目前，收回资本的主要措施是 50项恢复资本评估（ARC），最近作为一个简短的10项版本（BARC- 10）。ARC似乎与理论文献不一致;例如，它的清醒分量表意味着 基于禁欲的回收定义，这与回收资本理论不一致。从一个 初步研究表明，当与种族和民族一起使用时，ARC的心理测量弱点 多样化的低收入样本（N=273），在拟议的研究中，我们将开发一种新的恢复资本衡量标准， 《复苏资本多维清单》我们将采用最佳的测量方法 开发，以生成一个项目池，该项目池由回收资本的理论概念化提供信息， 以及不同个体在康复过程中的观点。初步项目将通过重点小组和 对从酒精问题中恢复的人进行认知访谈，按收入和种族/民族分层， 将包括在没有正规治疗系统帮助的情况下康复的个人。紧急措施 将使用Amazon MTurk（n=500）在全国样本中进行严格的试点测试，并将使用分级响应 模型作为项目反应理论的扩展，以评估和校准项目绩效。该研究还将 在全国代表性样本（n=500）中确定最终测量的心理测量特性。使用 一个顺序的混合方法的方法，我们的研究将解决以下具体目标：（1）开发一个新的 一个与理论一致的回收资本衡量标准，回收资本多维清单，使用 定性分析焦点小组和认知访谈数据，经济和种族包容性 从酒精问题中恢复的人的样本;（2）对多维恢复清单进行试点测试 资本在一个经济和种族多样化的样本的人在恢复酒精问题和评估 其可行性，可靠性和项目性能;（3）建立多维的最终版本 通过在全国范围内评估其信度、效度和因素结构， 从酒精问题中恢复过来的人的代表性样本。

Project Summary/Abstract The purpose of this study is to advance the science of recovery from alcohol problems through development of a standardized survey measure of recovery capital. Recovery capital is a theoretical construct that encompasses the ways in which physical, social, human, and cultural resources shape a person's likelihood of sustaining recovery from addiction. Recent studies have highlighted the importance of recovery indicators beyond alcohol consumption/abstinence, such as gains in health and overall quality of life. Although research indicates that recovery capital plays an important role in holistic recovery outcomes and that deficits in recovery capital may partially drive socioeconomic disparities in such outcomes, the field is limited by the lack of a psychometrically sound quantitative measure. Currently, the predominant measure of recovery capital is the 50-item Assessment of Recovery Capital (ARC), recently made available as a brief 10-item version (BARC- 10). The ARC appears misaligned with the theoretical literature; for example, its sobriety subscale implies an abstinence-based definition of recovery, which is inconsistent with recovery capital theory. Building from a preliminary study indicating psychometric weaknesses with the ARC when used with a racially and ethnically diverse low-income sample (N=273), in the proposed study we will develop a new measure of recovery capital, the Multidimensional Inventory of Recovery Capital. We will employ best practices in measurement development to generate an item pool that is informed by theoretical conceptualizations of recovery capital, as well as the perspectives of diverse individuals in recovery. Initial items will be refined through focus groups and cognitive interviews with people in recovery from alcohol problems, stratified by income and race/ethnicity, and will include individuals recovering without assistance from formal treatment systems. The emergent measure will be rigorously pilot-tested in a national sample using Amazon MTurk (n=500) and will use graded response models as an extension of item response theory to assess and calibrate item performance. The study will also establish the psychometric properties of the final measure in a nationally representative sample (n=500). Using a sequential mixed methods approach, our study will address the following specific aims: (1) Develop a new theory-aligned measure of recovery capital, the Multidimensional Inventory of Recovery Capital, using qualitative analysis of focus group and cognitive interviewing data with an economically and racially inclusive sample of people in recovery from alcohol problems; (2) Pilot test the Multidimensional Inventory of Recovery Capital in an economically and racially diverse sample of people in recovery from alcohol problems and assess its feasibility, reliability, and item performance; and (3) Establish a final version of the Multidimensional Inventory of Recovery Capital through assessment of its reliability, validity, and factor structure in a nationally representative sample of people in recovery from alcohol problems.