R01AA029817

Advancing Recovery Pathways and Support Services for Alcohol Use Disorders Among Black Men and Women

Black Americans demonstrably suffer from a range of health disparities rising from a long history of structural inequities and racism. Although Black Americans are slightly less likely to drink alcohol than the general population, the rate of Black drinkers with Alcohol Use Disorders (AUD) is comparable, representing 1.5 million Black Americans with AUD. Blacks suffer more negative consequences due to alcohol use such as illnesses, injuries, criminal-legal involvement, and social problems.

Recovery is a dynamic process of behavior change leading to stable improvements in functioning, purpose, and well-being. NIAAA further highlights recovery as remission from AUD symptoms as well as cessation of heavy drinking. Recovery support services and recovery community organizations aim to build recovery capital. Yet, to date, little effort has been made to consider recovery within population groups rather than across groups. A "centering in the margins" approach emphasizes the need to examine experiences of racialized and minoritized populations. This proposed study to advance recovery pathways and support services for Black men and women heeds that call. It is directly responsive to RFA-AA-21-001 in its emphasis on health disparities in AUD populations, intersecting with the RFA goals to advance culturally-informed measures and interventions, increase access to AUD services, make services more appealing, and evaluate evidence-based practices. We do this with a focus on Black men and women in AUD recovery.

We thus aim to iteratively use quantitative and qualitative methods to capture and assess questions related to AUD recovery in a heterogenous Black population, in partnership with a Black-majority recovery community organization in Detroit. Specifically:

(1) Use qualitative methods with a Black population to:
(a) Define AUD recovery pathways;
(b) Assess and refine a measure of recovery domains (e.g., relationships, living environment); and
(c) Identify and map community indicators that may facilitate or interfere with AUD recovery.

(2) Use quantitative methods to describe and assess the provision of AUD recovery support services provided by the recovery community organization in terms of matching to needs, stage of recovery, and other client and community characteristics, by race/ethnicity.

(3) Conduct a pragmatic randomized controlled trial that builds on Aims 1 and 2 with a Black AUD recovery population, compared to a treatment as usual group with in-person recovery support services, to determine the effectiveness of an added phone+digital recovery support service intervention (i.e., provision of smartphones and guidance/support for online recovery activities).

The proposed study will enable a deep understanding of what recovery means to Black men and women, how it can be measured, and how we can advance recovery journeys of Black Americans with AUD. The results will be meaningful to Black individuals themselves, providers who treat Blacks who have AUD, and to researchers and policymakers who need to better understand the meaning and needs of a heterogenous US population.

Brandeis University

TO DEVELOP A SOUND FUNDAMENTAL KNOWLEDGE BASE WHICH CAN BE APPLIED TO THE DEVELOPMENT OF IMPROVED METHODS OF TREATMENT AND MORE EFFECTIVE STRATEGIES FOR PREVENTING ALCOHOLISM AND ALCOHOL-RELATED PROBLEMS. THE NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM (NIAAA) SUPPORTS RESEARCH IN A BROAD RANGE OF DISCIPLINES AND SUBJECT AREAS RELATED TO BIOMEDICAL AND GENETIC FACTORS, PSYCHOLOGICAL AND ENVIRONMENTAL FACTORS, ALCOHOL-RELATED PROBLEMS AND MEDICAL DISORDERS, HEALTH SERVICES RESEARCH, AND PREVENTION AND TREATMENT RESEARCH. SMALL BUSINESS INNOVATION RESEARCH (SBIR) PROGRAM: TO INCREASE PRIVATE SECTOR COMMERCIALIZATION OF INNOVATIONS DERIVED FROM FEDERAL RESEARCH AND DEVELOPMENT, TO INCREASE SMALL BUSINESS PARTICIPATION IN FEDERAL RESEARCH AND DEVELOPMENT, AND TO FOSTER AND ENCOURAGE PARTICIPATION OF SOCIALLY AND ECONOMICALLY DISADVANTAGED SMALL BUSINESS CONCERNS AND WOMEN-OWNED SMALL BUSINESS CONCERNS IN TECHNOLOGICAL INNOVATION. SMALL BUSINESS TECHNOLOGY TRANSFER (STTR) PROGRAM: TO STIMULATE AND FOSTER SCIENTIFIC AND TECHNOLOGICAL INNOVATION AND TECHNOLOGY TRANSFER THROUGH COOPERATIVE RESEARCH AND DEVELOPMENT CARRIED OUT BETWEEN SMALL BUSINESS CONCERNS AND RESEARCH INSTITUTIONS, TO INCREASE PRIVATE SECTOR COMMERCIALIZATION OF INNOVATIONS DERIVED FROM FEDERAL RESEARCH AND DEVELOPMENT, AND TO FOSTER AND ENCOURAGE PARTICIPATION OF SOCIALLY AND ECONOMICALLY DISADVANTAGED SMALL BUSINESS CONCERNS AND WOMEN-OWNED SMALL BUSINESS CONCERNS IN TECHNOLOGICAL INNOVATION.

93.273 - Alcohol Research Programs

National Institute on Alcohol Abuse and Alcoholism (NIAAA) [HHS - NIH]

Waltham, Massachusetts 024532728 United States

Single Zip Code

Improving Health Disparities in Alcohol Health Services (R01 Clinical Trial Optional) (RFA-AA-21-001)

Amendment Since initial award the total obligations have increased 383% from $659,452 to $3,186,534.