Leveraging community-based participatory research and infoveillance to advance the science on recovery community centers serving Black communities

项目摘要 康复社区中心（RCCs）正在成为面向康复的第三个重要组成部分。 直到最近，护理系统仅由专业治疗和互助组成 组织的这些中心位于社区中心，提供一系列以康复为导向的， 对等交付服务。尽管最近对它们的增长进行了迅速的大规模投资，但关于它们的经验数据表明， 运作和成果极为有限。发展基础设施，以支持 关于恢复支助服务的科学知识，特别是关于区域合作中心的科学知识，NIDA创建了RFA-DA-20 - 014 2019年我是全国范围内资助建设这一基础设施的5个R24赠款之一的M-PI，这是唯一一个 专注于RCCs这个K02的目标是为我提供受保护的时间来追求非凡 R24为我提供了合作、洞察力和研究的机会。我是一个最近 晋升为副教授，专门从事临床和转化研究，长期目标是 改善寻求停止使用问题药物的人获得护理的机会。K02可以让我 开展研究活动，深化和扩大R24的目标，特别是与RCC有关的目标 服务黑人社区。具体而言，我提出的K02研究计划包括（1）二级数据 分析两个全国性数据集，以审查在利用恢复支助服务方面的种族差异; (2)智能手机应用程序的内容分析，RCC可能会将其参与者与该地址联系起来， 声称支持从阿片类药物使用障碍（OUD）中恢复的应用程序的内容及其可发现性;（3） 信息生态学研究，以检查农村合作中心对减少耻辱感的社区层面影响;（4）两个社区- 基于参与式研究（CBPR）项目与两个不同的，低资源的RCC，和（5）研究 这些活动为两个大规模的R01奠定了基础，这些R01解决了有关 RCC在卫生保健系统中的作用（即，RCCs工作吗？RCCs能否有效实施移动医疗 合作伙伴？为了支持这些研究活动，我将通过以下两个方面的培训来扩展我的专业知识：（1） 社区参与的研究，使我能够建立尊重，信任，生产力，和协同 与为黑人社区服务的农村信用社建立伙伴关系，以及（2）信息生态学，以提供社区层面的见解 使用真实世界的实时数据。我的社区合作者是菲尔·卢瑟福先生， 恢复的声音和面孔的官员;非洲裔美国人恢复发展中心（CAARD）， 组织跨越几个RCC; Chainless Change，位于FL的RCC;和New Life II，RCC 位于CT。我的科学合作者是Monica Skewes博士和Kasisomayajula Viswanath博士（CBPR）， Patricia Cavazos-Pirag博士（信息学，OUD mHealth）。

Project Summary Recovery community centers (RCCs) are emerging as an important third component of recovery-oriented systems of care that, until recently, were comprised solely of professional treatment and mutual-help organizations. These centers exist in the heart of communities, and provide a range of recovery-oriented, peer-delivered services. Despite recent rapid largescale investment in their growth, empirical data on their functioning and outcomes are extremely limited. To develop infrastructure to support the advancement of scientific knowledge on recovery support services, including specifically RCCs, NIDA created RFA-DA-20-014 in 2019. I am the M-PI of one of 5 R24 grants funded nationwide to build this infrastructure, the only one focusing on RCCs. The goal of this K02 is to provide me with protected time to pursue the extraordinary opportunities for collaboration, insight, and research this R24 provides me with. I am a recently promoted Associate Professor, who specializes in clinical and translational research, with the long-term goal of improving access to care for persons seeking to stop problematic substance use. The K02 would allow me to engage in research activities that deepen and expand the aims of the R24, particularly with regards to RCCs serving Black communities. Specifically, my proposed K02 research plan includes (1) secondary data analyses of two nationwide datasets to examine racial disparities in the utilization of recovery support services; (2) content analyses of smartphone apps that RCCs may connect their participants with that address the content of apps purporting to support recovery from opioid use disorder (OUD), and their findability; (3) an infodemiology study to examine the community-level impact of RCCs on stigma reduction; (4) two community- based participatory research (CBPR) projects with two different, low-resourced RCCs, and (5) research activities that lay the foundation for two large-scale R01s that address fundamental questions regarding the role of RCCs in the healthcare system (i.e., do RCCs work? can RCCs be effective mHealth implementation partners?). To support these research activities, I will expand my expertise by training in two areas: (1) community-engaged research to enable me to build respectful, trusting, productive, and synergistic partnerships with RCCs serving Black communities, and (2) infodemiology to provide community-level insights using real-world, real-time data. My community collaborators are Mr. Phil Rutherford, the chief operating officer of Voices and Faces of Recovery; the Center for African American Recovery Development (CAARD), an organization spanning several RCCs; Chainless Change, an RCC located in FL; and New Life II, an RCC located in CT. My scientific collaborators are Drs. Monica Skewes and Kasisomayajula Viswanath (CBPR), and Dr. Patricia Cavazos-Rehg (infodemiology, OUD mHealth).