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

Brandeis University, Waltham MA

Investigators

Abstract

Black Americans demonstrably experience differences in health care access and outcomes across a range of conditions. 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. Black individuals 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. 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 outcomes in AUD populations, meeting NIAAA goals to advance 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 recovery community organization in Detroit serving this population. Specifically: (1) Use qualitative methods 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. (3) Conduct a prospective trial to determine the feasibility and acceptability of a phone+digital recovery support service intervention (i.e., provision of smartphones and guidance/support for online recovery activities), among a cohort of individuals already receiving in-person recovery support services, and assess selected outcomes over time. 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 their recovery journeys. The results will be meaningful to Black individuals themselves, providers who treat Black individuals who have AUD, and to researchers and policymakers who need to better understand the meaning and needs of a heterogenous US population.