Social-Ecological Resilience: Adapting a Measure for Individuals with Lived Experience of AUD and Homelessness.

项目摘要 虽然研究人员已经开始探索在管理和谈判不利环境中的弹性 与无家可归有关，迄今为止还没有研究探讨过这两种人的恢复力。 经历过无家可归，并积极使用酒精。理解并能够利用这些 个人的韧性作为AUD治疗和服务提供的优势， 这一弱势群体的结果。候选人的长期职业目标，Mx。陶尔米尼·芬特雷斯 （LICSW，MPA），是成为一个独立的酒精研究人员，在弹性和保护的专业知识 药物使用治疗和干预措施发展的因素。本建议的主要目的 NIAAA研究补充，以促进健康相关研究的多样性是验证和测试， 建立了弹性测量（RRC-ARM），以表征研究参与者的弹性，并将其作为 与改善酒精和生活质量结果相关，也是假设治疗的潜在中介 方面的影响.这一目标将通过检查三个具体目标来实现：1）心理测量验证 RRC-ARM用于经历过无家可归和AUD的成年人; 2）测试自我报告的弹性 作为LEAP对酒精和QoL结果影响的中介; 3）定性分析和记录 使用半结构化访谈对这一人群的复原力进行定义、看法和体验， 传统的内容分析。为了实现这些目标，RRC-ARM将用于LEAP研究 基线、3个月、6个月和12个月时间点的参与者和定性访谈将在 12-月份时间点。定量分析将测试样本中RRC-ARM的心理测量特性 （N=500），然后将探索RRC-ARM作为假设的 在研究过程中改善酒精和QoL结果。拟议的补充规定 NIAAA的战略计划，并对公共卫生有重大影响，包括引入工具， 加强风险评估和为边缘化群体提供符合成本效益的治疗服务的潜力 有无家可归和澳元生活经历的社区成员。候选人将进行 在Seema Clifasefi博士和父母资助的Co-I团队的监督下进行的研究，以及 候选人的研究生院导师，博士迈克尔斯宾塞获得专业知识，在酒精研究，社区 基于参与性研究，定性研究方法，测量发展，赠款和 科学写作。培训活动包括指导会议、T32赠款写作课程、统计 咨询、定量研讨会、手稿和会议文件编写，以及 专业发展。这种多样性补充将使候选人能够将时间投入到 拟议开展的活动，旨在确立一条独立调查员的道路，从而提高 在酒精研究领域进行研究的研究人员人数不足。

Project Summary While researchers have begun to explore resilience in managing and negotiating adverse circumstances associated with homelessness, no research to date has explored the resilience of individuals who have both experienced homelessness and are actively using alcohol. Understanding and being able to leverage these individuals’ resilience as strengths in AUD treatment and service provision stands to improve treatment outcomes in this vulnerable population. The long-term career goal for the candidate, Mx. Taurmini Fentress (LICSW, MPA), is to become an independent alcohol researcher with expertise in resilience and protective factors in substance use treatment and intervention development. The primary objective of this proposed NIAAA Research Supplement to Promote Diversity in Health-Related Research is to validate and test an established measure of resilience (RRC-ARM) to characterize resilience in study participants and test it as a correlate of improved alcohol and QoL outcomes, as well as a potential mediator of the hypothesized treatment effects. This objective will be accomplished by examining three specific aims: 1) psychometrically validate the RRC-ARM for use with adults who have experienced homelessness and AUD; 2) test self-reported resilience as a mediator of the LEAP effect on alcohol and QoL outcomes; 3) qualitatively analyze and document definitions, perceptions and experiences of resilience in this population using semi-structured interviews and conventional content analysis. To fulfill these aims, the RRC-ARM will be administered to LEAP study participants at the baseline, 3, 6 and 12-month time points and qualitative interviews will be conducted at the 12-month time point. Quantitative analyses will test the psychometric properties of the RRC-ARM in the sample (N=500) and will then explore the RRC-ARM as a predictor and potential mediator of the hypothesized amelioration of alcohol and QoL outcomes over the course of the study. The proposed supplement fits within NIAAA’s strategic plan and has significant implications for public health, including introducing tools that have the potential to enhance risk assessment and tailoring of cost-effective treatment services for marginalized community members with lived experience of homelessness and AUD. The candidate will conduct the research under the supervision of Dr. Seema Clifasefi and the parent grant’s team of Co-I’s, as well as the candidate’s graduate school mentor, Dr. Michael Spencer to gain expertise in alcohol research, community based participatory research, qualitative research methodology, measurement development, and grant and scientific writing. Training activities include mentorship meetings, a T32 grant writing course, statistical consults, quantitative workshops, manuscript and conference paper preparation, and opportunities for professional development. This diversity supplement will allow the candidate to dedicate her time to the proposed activities aimed at establishing a path to independence as an investigator, thereby increasing the number of underrepresented researchers conducting research in the field of alcohol research.