Recovery-Based Relapse Prevention: Acceptability and Feasibility

项目总结 将进行一项有60名参与者的单组试点研究，以评估一项新的 成瘾障碍的治疗方法，名为基于康复的复发预防(RBRP)。RBRP是一种开放格式 团体治疗，依靠被广泛引用的康复原则来解决其复发预防目标 会员。RBRP方法是创新的，因为它寻求解决限制许多人获得治疗的差异 低收入和农村个人。例如，RBRP不要求在重复的日程安排上出席(即 每周同一天和同一时间)，团体也不能由相同的提供者领导或有固定成员。此外， 治疗结构灵活，如果出席率低，可以与个人成员一起使用。此外，与某些团体不同的是 基于治疗的治疗只能由具有高水平教育和临床能力的提供者提供， 限制了可用的提供商池，RBRP适合由包括Peer在内的各种专业人员提供 支持和成瘾咨询师。最后，RBRP的结构包括可以提供的治疗组件 通过数字自助资源(例如，在线视频、讲义、智能手机应用程序)。这项单一的小组先导研究 将针对低收入个人和生活在农村地区的人进行招聘。RBRP组将在 为社区客户提供服务的大学心理健康诊所。有兴趣的人将被筛选出来 电话中的包含和排除标准。在提供知情同意后，有资格参加研究的人 门诊团体治疗将有机会每周参加最多三个RBRP小组。确实有 研究的三个主要目标：1)评估RBRP的可行性，以包括开放的小组形式和一个新的 开发了进度跟踪工具，2)衡量RBRP的可接受性，包括小组成员的经验和 使用评价表和定性访谈的相关节目组成部分，以及3)收集量化数据，包括 使用频率和症状严重程度，以获得用于规划未来研究的效果大小估计。如果这位飞行员和 未来的研究是成功的，RBRP有潜力成为一种有效和经济的方法来增加 为来自低收入和弱势环境的个人提供基于证据的复发预防服务。 这一目标与RCMI-CHDR的目标直接一致，即支持侧重于健康差距人群和 NIDAS的目标是开发新的和改进的药物使用障碍治疗方法。

PROJECT SUMMARY A single-group pilot study with 60 participants will be conducted to assess the acceptability and feasibility of a novel treatment approach for addictive disorders, titled Recovery-Based Relapse Prevention (RBRP). RBRP is an open-format group treatment which relies on widely cited principles of recovery to address the relapse prevention goals of its members. The RBRP approach is innovative because it seeks to address disparities that limit treatment access for many low-income and rural individuals. For example, RBRP does not require attendance on a repeating schedule (i.e., the same day and time each week), nor must groups be led by the same provider or with fixed members. Furthermore, the treatment structure is flexible and can be used with individual members if attendance is low. Also, unlike some group- based treatments that can only be delivered by providers with high levels of education and clinical competencies, which limits the pool of available providers, RBRP is suitable to be delivered by a wide range of professionals including peer supports and addictions counselors. Finally, RBRP's structure includes treatment components that can be offered through digital self-help resources (e.g., online videos, handouts, smartphone applications). This single group pilot study will target recruitment to low-income individuals and those living in rural areas. RBRP groups will be offered within a university mental health clinic that caters to clients from the community. Those that are interested will be screened for inclusion and exclusion criteria over the phone. After providing informed consent, those that are eligible for the study and outpatient group therapy will be offered the opportunity to engage in up to three RBRP groups per week. There are three main objectives of the research: 1) To assess the feasibility of RBRP to include the open group format and a newly developed progress tracking tool, 2) to measure acceptability of RBRP including members' experiences of the group and relevant program components using rating scales and qualitative interviews, and 3) to collect quantitative data including frequency of use and symptom severity to obtain effect-size estimates for planning future studies. If this pilot and future studies are successful, RBRP has the potential to become an efficient and cost-effective method of increasing access to evidence-based relapse prevention services for individuals from low-income and disadvantaged environments. This aim is directly in line with the RCMI-CHDRs goal of supporting research focusing on health disparity populations and NIDAs goal of developing new and improved treatments for substance use disorders.