HELP-SEEKING AND RECOVERY PROCESSES IN PROBLEM DRINKERS

本提案是对ADAMHA研究科学家开发的请求 授予奥本大学心理学教授Jalie A.Tucker博士(RSDA) 大学。这位候选人的研究旨在解开 影响因素对酒精问题求助的影响 恢复，无论是否有干预措施的帮助。这些数据是至关重要的 了解为什么大多数问题饮酒者不接受治疗和 设计干预措施，惠及这一未得到充分服务的大多数人，并 更好地捕捉支持复苏的自然力量。候选人是 NIAAA正在调查以下问题的5年期R-01的PI： 研究1是一项3X2的回溯性设计，使用有问题的饮酒者 不同的求助历史(无援助，仅戒酒协会，或治疗- 加A。)和当前饮酒状态(稳定禁欲或目前 喝酒有问题)。这项研究将区分受试者的生活 在他们的帮助下，环境和与酒精有关的问题- 寻求与恢复地位，也将分离环境因素 这会促使那些维护它的人恢复元气。第二项研究为期两年 环境对自然恢复影响的前瞻性评估 使用未经治疗的问题饮酒者的过程，这些饮酒者最近成为 节制或适量饮酒的人。这项研究将产生细粒度的 对与以下各项有关的环境情况进行评估 不同严重程度的康复和复发。在竞争中更新到 在RSDA期间提交，研究#1将停用，研究 #2将扩大到包括治疗参与者，戒酒互助会参与者， 以及试图康复的未经治疗的问题饮酒者。这个 扩大版将评估常见磨牙是否环保 环境支持在有无情况下实现的长期恢复 干预措施，并将评估干预措施与问题的相互作用 饮酒者正在进行的生活环境和社交网络。计划 职业提升包括获得公共卫生方法的知识 行为干预和卫生服务利用情况，并继续 与华盛顿大学的同事合作，他们是 从公共卫生角度寻求类似的酒精研究问题 透视。收到RSDA将为Tucker博士提供稳定的 支持更多人参与研究和学术的资金 并将使她摆脱对短期机制的依赖 支持的力量。

This proposal is a request for an ADAMHA Research Scientist Development Award (RSDA) for Jalie A. Tucker, PhD., Professor of Psychology at Auburn University. The candidate's research is aimed at disaggregating influences on help-seeking for alcohol problems from influences on recovery, whether assisted by interventions or not. Such data are crucial for understanding why most problem drinkers do not enter treatment and for devising interventions that reach this underserved majority and that better capture the natural forces that support recovery. The candidate is the PI on a 5-year R-01 from NIAAA that is investigating these issues: Study #1 is a 3 X 2 retrospective design using problem drinkers with different help-seeking histories (no assistance, A.A. only, or treatment- plus-A.A.) and current drinking status (stable abstinence or current problem drinking). The study will differentiate subjects' life circumstances and alcohol-related problems as a function of their help- seeking vs. recovery status and also will separate environmental factors that motivate recovery from those that maintain it. Study #2 is a 2-year prospective assessment of environmental influences on the natural recovery process using untreated problem drinkers who have recently become abstinent or moderation drinkers. The study will yield a fine-grained assessment of the environmental circumstances that are associated with recovery and relapses of varying severity. In the competitive renewal to be submitted during the RSDA period, Study #1 will be retired, and Study #2 will be expanded to include treatment participants, A.A. participants, and untreated problem drinkers who are attempting to recover. The expanded version will evaluate whether a common molar environmental context supports long-term recoveries achieved with or without interventions and will evaluate how interventions interact with problem drinkers' ongoing life circumstances and social networks. Plans for career enhancement include acquiring knowledge of public health approaches to behavioral interventions and health services utilization and continued collaboration with colleagues at the University of Washington, who are pursuing similar alcohol research questions from a public health perspective. Receipt of an RSDA would provide Dr. Tucker with stable funding to support greater involvement in research and scholarly development and would relieve her from reliance on short-term mechanisms of support.