Collegiate recovery programming in the U.S.: An implementation science and mixed methods study

项目摘要/摘要 在美国，物质使用是一个严重的公共健康问题。大约60万所大学 学生们报告说，他们正在从药物使用障碍(SUD)中恢复。支持学生寻求维持 或试图启动SUD恢复，越来越多的美国高等教育机构(至少138所)已经 建立了大学恢复计划(CRPS)。从2013年到2020年，CRP增长了500%，但 目前没有基于证据的标准来指导大学教职员工、管理人员和社区如何 建立一个最大限度有益的C反应蛋白。这至少在一定程度上是因为CRPS上几乎没有经验证据。 设计、开发和实施。为了解决这一关键差距，我提议进行一项混合方法研究，以 调查CRP计划，并创建实用的、上下文敏感的实施工具包，适用于 美国。在目标1中，我将在四个久负盛名、地理上分散的CRP(德克萨斯州)进行人种学研究 理工大学、奥格斯堡大学、宾夕法尼亚州立大学和加州大学圣巴巴拉分校) 确定核心特征和相关障碍，并促进CRP最佳实践。在《目标2》中，我将指挥 对50名CRP项目主任和500名学生进行的一项全国性调查 计划编制和CRP随时间的演变。调查结果将与 7年前完成的规模较小的全国性调查。在目标3中，来自人种学(目标1)和国家的结果 将使用调查(AIM 2)来开发中央支助计划执行工具包。该工具包将为大学提供 对以最佳方式传播和实施循证干预措施和做法的战略的适当见解 为正在考虑或正在康复中的学生准备的。在获奖期间，我将在我的临床工作的基础上 作为一名辅导员的培训，实验心理学的博士培训，以及进行研究的经验 在发展新的人种学知识和技能的SUD治疗中，在新出现的成年人中恢复SUD， 调查设计，并实施CRP最佳实践。我提出的研究计划整合了课程作业， 正规培训、实践经验、应用培训和专家的指导(Keith Humphreys博士、Mark 麦戈文、克里斯汀·蒂姆科、约翰·凯利、艾莉森·汉密尔顿和基蒂·哈里斯)在成瘾康复、互助中 组织、SUD治疗、定量和定性方法以及实施科学。这位导师 研究科学家发展奖(K01)将帮助我实现成为一名 独立调查员，有既定的研究计划，专注于开发、测试和 实施SUD治疗和康复干预措施。总而言之，拟议的研究和 培训计划将在CRP方面产生及时、创新和有影响力的发现，最终导致 美国的研究结果、高质量的出版物和改善的健康结果。

PROJECT SUMMARY/ABSTRACT Substance use is a critical public health problem among college students in the US. Roughly 600,000 college students report being in recovery from a substance use disorder (SUD). To support students seeking to maintain or attempting to initiate SUD recovery, a growing number of US higher education institutions (at least 138) have established collegiate recovery programs (CRPs). CRPs have expanded by 500% from 2013 to 2020, but there are no current evidence-based standards to guide college staff, administrators, and communities on how to establish a maximally beneficial CRP. This is at least partly because little empirical evidence exists on CRPs’ design, development, and implementation. To address this critical gap, I propose a mixed-methods study to investigate CRP programs and create a pragmatic, context-sensitive, implementation toolkit for colleges across the US. In Aim 1, I will conduct an ethnography at four well-established, geographically dispersed CRPs (Texas Tech University, Augsburg University, Penn State University, and University of California at Santa Barbara) to identify core characteristics and related barriers to and facilitators of CRP best practices. In Aim 2, I will conduct a national survey among CRP program directors (n=50) and students (n=500) to characterize current CRP programming and the evolution of CRPs over time. The survey results will be compared and contrasted with a smaller national survey completed 7 years ago. In Aim 3, findings from the ethnography (Aim 1) and national surveys (Aim 2) will be used to develop a CRP implementation toolkit. The toolkit will provide colleges with appropriate insight on strategies to best disseminate and implement evidence-based interventions and practices for students who are contemplating or in SUD recovery. Through the award period, I will build upon my clinical training as a SUD counselor, doctoral training in experimental psychology, and experience conducting research in SUD treatment to develop new knowledge and skills in ethnography, SUD recovery among emerging adults, survey design, and implementation of CRP best practices. My proposed research plan integrates coursework, formal training, practical experience, applied training, and mentorship from experts (Drs. Keith Humphreys, Mark McGovern, Christine Timko, John Kelly, Alison Hamilton, and Kitty Harris) in addiction recovery, mutual-help organizations, SUD treatment, quantitative and qualitative methods, and implementation science. This Mentored Research Scientist Development Award (K01) will help me achieve my long-term career goal of being an independent investigator with an established program of research focused on the development, testing, and implementation of interventions for SUD treatment and recovery. In summary, the proposed research and training plan will result in timely, innovative, and impactful findings on CRPs, ultimately leading to substantial findings, high-quality publications, and improved health outcomes in the US.