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

项目总结/摘要 药物使用是美国大学生中的一个重要公共卫生问题。约60万大学生 学生报告正在从物质使用障碍（SUD）中恢复。支持学生寻求维持 或试图启动SUD复苏，越来越多的美国高等教育机构（至少138所） 建立了大学康复计划（CRPs）。从2013年到2020年，CRP增加了500%， 目前没有基于证据的标准来指导大学工作人员，管理人员和社区如何 建立一个最大限度的有益CRP。这至少在一定程度上是因为几乎没有经验证据存在的CRP的 设计、开发和实施。为了解决这一关键差距，我提出了一个混合方法研究， 调查CRP计划，并为各大学创建一个务实，上下文敏感的实施工具包 美方在目标1中，我将在四个完善的、地理上分散的CRP（得克萨斯州）进行民族志研究 技术大学、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CRP最佳做法的核心特点和相关障碍及促进因素。在目标2中，我将进行 在CRP项目负责人（n=50）和学生（n=500）中进行的一项全国性调查，以表征当前的CRP 随着时间的推移，CRP的编程和演变。调查结果将与 7年前完成的全国性调查。在目标3中，民族志（目标1）和国家 调查（目标2）将用于开发CRP执行工具包。该工具包将为大学提供 对最佳传播和实施循证干预措施和做法的战略的适当见解 对于正在考虑或在SUD恢复的学生。在获奖期间，我将在我的临床 作为SUD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SUD治疗中，开发人种学方面的新知识和技能，在新兴成人中进行SUD恢复， 调查设计和CRP最佳做法的实施。我提出的研究计划包括课程， 正式培训、实践经验、应用培训和专家指导（基思汉弗莱斯博士、马克 麦戈文，克莉丝汀蒂姆科，约翰凯利，艾莉森汉密尔顿，和基蒂哈里斯）在成瘾恢复，互助 组织，SUD治疗，定量和定性方法，以及实施科学。此指导 研究科学家发展奖（K 01）将帮助我实现我的长期职业目标， 独立调查员，具有既定的研究计划，专注于开发，测试和 实施SUD治疗和康复干预措施。总之，拟议的研究和 培训计划将导致及时，创新和有影响力的发现CRP，最终导致实质性的 研究结果，高质量的出版物，并改善美国的健康结果。

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.