HELP-SEEKING AND RECOVERY PROCESSES IN PROBLEM DRINKERS

本提案是对ADAMHA研究科学家发展的请求 Jalie A.塔克博士，奥本大学的心理学教授 大学 候选人的研究旨在分解 对酒精问题求助的影响 恢复，无论是否得到干预措施的帮助。 这些数据至关重要 为了理解为什么大多数问题饮酒者不接受治疗， 制定干预措施，以达到这一服务不足的大多数， 更好地捕捉支持复苏的自然力量。 候选人是 NIAAA正在调查这些问题的5年R-01的PI： 研究#1是一项3 × 2回顾性设计，使用问题饮酒者， 不同的求助历史（无帮助，A.A.或治疗- 加A.A.）和当前饮酒状态（稳定戒酒或当前 饮酒问题）。 这项研究将区分受试者的生活 环境和酒精相关的问题作为他们的帮助的功能- 寻求与恢复状态，并将环境因素分开 研究#2是一项为期2年的研究， 对自然恢复的环境影响的前瞻性评估 使用未经治疗的问题饮酒者的过程， 节制或适度饮酒者。 这项研究将产生一个细粒度的 评估与下列方面有关的环境情况： 不同严重程度的恢复和复发。 在竞争性续约中， 在RSDA期间提交，研究1将退出，研究 #2将扩展至包括治疗受试者，A.A.与会者， 以及那些未经治疗的酗酒者，他们正试图恢复健康。 的 扩展版本将评估是否一个共同的磨牙环境 上下文支持使用或不使用 并将评估干预措施如何与问题相互作用 饮酒者的日常生活环境和社交网络。 计划 职业发展包括获得公共卫生方法的知识 行为干预和卫生服务利用， 与华盛顿大学的同事合作， 从公共卫生的角度研究类似的酒精研究问题 perspective. 收到RSDA将为塔克博士提供稳定的 资助更多地参与研究和学术活动 这将使她不再依赖短期机制 支持。

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.