Loading…
How Recovery Definitions Vary by Service Use Pathway: Findings From a National Survey of Adults
Objective: How people define recovery may affect their recovery goals, service use, and ultimately their outcomes. We examined recovery definitions among adults in recovery from an alcohol use disorder (AUD) who had different service use histories. Method: We analyzed online survey data from 1,492 a...
Saved in:
Published in: | Psychology of addictive behaviors 2024-12, Vol.38 (8), p.891-900 |
---|---|
Main Authors: | , , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Online Access: | Get full text |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
cited_by | |
---|---|
cites | |
container_end_page | 900 |
container_issue | 8 |
container_start_page | 891 |
container_title | Psychology of addictive behaviors |
container_volume | 38 |
creator | Gilbert, Paul A. Soweid, Loulwa Evans, Sydney Brown, Grant D. Skinstad, Anne Helene Zemore, Sarah E. |
description | Objective: How people define recovery may affect their recovery goals, service use, and ultimately their outcomes. We examined recovery definitions among adults in recovery from an alcohol use disorder (AUD) who had different service use histories. Method: We analyzed online survey data from 1,492 adults with resolved lifetime AUD in "treated recovery" (any use of specialty services, such as inpatient or outpatient rehabilitation; n = 375), "assisted recovery" (any use of lay services, such as mutual-help groups, and no use of specialty services; n = 174), or "independent recovery" (no use of specialty or lay services; n = 943). Surveys assessed recovery definitions using the 39-item What Is Recovery? (WIR) scale. We compared endorsement of WIR domains and individual recovery elements across groups using survey-weighted chi-square tests and logistic regression. Results: Endorsement of WIR scale domains was significantly lower among the independent than treated and assisted groups, but few differences emerged between the treated and assisted groups. Two recovery elements were endorsed by approximately equivalent majorities of all groups: "being honest with myself" (92.7%-94.8%) and "taking care of my physical health" (87.4%-90.9%). Five additional elements were similarly endorsed by large majorities (≥85%) in each group, albeit at lower levels in the independent group. Conclusions: People who have experienced AUD and have not obtained alcohol services may have a narrower definition of recovery compared to those accessing treatment or attending mutual-help groups. This suggests a need to broaden alcohol services to better match varied recovery definitions; however, some highly endorsed elements suggest commonalities across recovery pathways.
Public Health Significance Statement
How people with alcohol problems define recovery may affect their decisions and behaviors (e.g., substance use goals and help-seeking patterns) and related outcomes (e.g., substance use and well-being). The present study concluded that those in independent recovery from an alcohol problem may have a narrower definition of recovery than those who have accessed treatment or attended mutual-help groups. The different conceptions of recovery among those in independent recovery may contribute to their avoidance of alcohol services, suggesting that broadening such services to better serve those with varied recovery definitions could result in greater services uptake and ultimately better ou |
doi_str_mv | 10.1037/adb0001026 |
format | article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3092365267</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3092030212</sourcerecordid><originalsourceid>FETCH-LOGICAL-a276t-c061960ff62cf9c80b56cd132f3505d98db01a767c741292cd5d63b8dea837a53</originalsourceid><addsrcrecordid>eNpd0FtLwzAYBuAgipvTG3-ABLwRpZrDmjbeDXUqDBVPeBfSJNVI18yk3ei_N2NTQXIRCM_3ku8FYB-jU4xodiZ1gRDCiLAN0Mec8gSnCG-CPso5TTAbvvXATgifEVGUs23QoxxTyjDqA3HjFvDRKDc3voOXprS1bayrA3yV8aHo4JPxc6sMfAkGPsjmYyG7czi2tbb1e4Bj76ZQwju5HJIVfGr93HTQlXCk26oJu2CrlFUwe-t7AF7GV88XN8nk_vr2YjRJJMlYkyjEMGeoLBlRJVc5KlKmNKakpClKNc_jilhmLFPZEBNOlE41o0WujcxpJlM6AEer3Jl3X60JjZjaoExVydq4NgiKOKEsJSyL9PAf_XStj59fqdgRwSSq45VS3oXgTSlm3k5jJwIjsaxd_NUe8cE6si2mRv_Sn54jOFkBOZNiFjolfWNVZYJqvTd1swwTNBfxxJFvT_yLDg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3092030212</pqid></control><display><type>article</type><title>How Recovery Definitions Vary by Service Use Pathway: Findings From a National Survey of Adults</title><source>PsycARTICLES</source><creator>Gilbert, Paul A. ; Soweid, Loulwa ; Evans, Sydney ; Brown, Grant D. ; Skinstad, Anne Helene ; Zemore, Sarah E.</creator><contributor>Witkiewitz, Katie</contributor><creatorcontrib>Gilbert, Paul A. ; Soweid, Loulwa ; Evans, Sydney ; Brown, Grant D. ; Skinstad, Anne Helene ; Zemore, Sarah E. ; Witkiewitz, Katie</creatorcontrib><description>Objective: How people define recovery may affect their recovery goals, service use, and ultimately their outcomes. We examined recovery definitions among adults in recovery from an alcohol use disorder (AUD) who had different service use histories. Method: We analyzed online survey data from 1,492 adults with resolved lifetime AUD in "treated recovery" (any use of specialty services, such as inpatient or outpatient rehabilitation; n = 375), "assisted recovery" (any use of lay services, such as mutual-help groups, and no use of specialty services; n = 174), or "independent recovery" (no use of specialty or lay services; n = 943). Surveys assessed recovery definitions using the 39-item What Is Recovery? (WIR) scale. We compared endorsement of WIR domains and individual recovery elements across groups using survey-weighted chi-square tests and logistic regression. Results: Endorsement of WIR scale domains was significantly lower among the independent than treated and assisted groups, but few differences emerged between the treated and assisted groups. Two recovery elements were endorsed by approximately equivalent majorities of all groups: "being honest with myself" (92.7%-94.8%) and "taking care of my physical health" (87.4%-90.9%). Five additional elements were similarly endorsed by large majorities (≥85%) in each group, albeit at lower levels in the independent group. Conclusions: People who have experienced AUD and have not obtained alcohol services may have a narrower definition of recovery compared to those accessing treatment or attending mutual-help groups. This suggests a need to broaden alcohol services to better match varied recovery definitions; however, some highly endorsed elements suggest commonalities across recovery pathways.
Public Health Significance Statement
How people with alcohol problems define recovery may affect their decisions and behaviors (e.g., substance use goals and help-seeking patterns) and related outcomes (e.g., substance use and well-being). The present study concluded that those in independent recovery from an alcohol problem may have a narrower definition of recovery than those who have accessed treatment or attended mutual-help groups. The different conceptions of recovery among those in independent recovery may contribute to their avoidance of alcohol services, suggesting that broadening such services to better serve those with varied recovery definitions could result in greater services uptake and ultimately better outcomes.</description><identifier>ISSN: 0893-164X</identifier><identifier>ISSN: 1939-1501</identifier><identifier>EISSN: 1939-1501</identifier><identifier>DOI: 10.1037/adb0001026</identifier><identifier>PMID: 39133610</identifier><language>eng</language><publisher>United States: American Psychological Association</publisher><subject>Adult ; Alcohol Treatment ; Alcohol Use Disorder ; Alcoholism - rehabilitation ; Alcoholism - therapy ; Drug Abstinence ; Female ; Human ; Humans ; Male ; Middle Aged ; Recovery (Disorders) ; Self-Help Groups ; Surveys and Questionnaires ; United States ; Young Adult</subject><ispartof>Psychology of addictive behaviors, 2024-12, Vol.38 (8), p.891-900</ispartof><rights>2024 The Author(s)</rights><rights>2024, The Author(s). This work is licensed under a Creative Commons Attribution-Non Commercial-No Derivatives 4.0 International License (CC BY-NC-ND 4.0; https://creativecommons.org/licenses/by-nc-nd/4.0). This license permits copying and redistributing the work in any medium or format for noncommercial use provided the original authors and source are credited and a link to the license is included in attribution. No derivative works are permitted under this license.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><orcidid>0000-0002-0626-642X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39133610$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Witkiewitz, Katie</contributor><creatorcontrib>Gilbert, Paul A.</creatorcontrib><creatorcontrib>Soweid, Loulwa</creatorcontrib><creatorcontrib>Evans, Sydney</creatorcontrib><creatorcontrib>Brown, Grant D.</creatorcontrib><creatorcontrib>Skinstad, Anne Helene</creatorcontrib><creatorcontrib>Zemore, Sarah E.</creatorcontrib><title>How Recovery Definitions Vary by Service Use Pathway: Findings From a National Survey of Adults</title><title>Psychology of addictive behaviors</title><addtitle>Psychol Addict Behav</addtitle><description>Objective: How people define recovery may affect their recovery goals, service use, and ultimately their outcomes. We examined recovery definitions among adults in recovery from an alcohol use disorder (AUD) who had different service use histories. Method: We analyzed online survey data from 1,492 adults with resolved lifetime AUD in "treated recovery" (any use of specialty services, such as inpatient or outpatient rehabilitation; n = 375), "assisted recovery" (any use of lay services, such as mutual-help groups, and no use of specialty services; n = 174), or "independent recovery" (no use of specialty or lay services; n = 943). Surveys assessed recovery definitions using the 39-item What Is Recovery? (WIR) scale. We compared endorsement of WIR domains and individual recovery elements across groups using survey-weighted chi-square tests and logistic regression. Results: Endorsement of WIR scale domains was significantly lower among the independent than treated and assisted groups, but few differences emerged between the treated and assisted groups. Two recovery elements were endorsed by approximately equivalent majorities of all groups: "being honest with myself" (92.7%-94.8%) and "taking care of my physical health" (87.4%-90.9%). Five additional elements were similarly endorsed by large majorities (≥85%) in each group, albeit at lower levels in the independent group. Conclusions: People who have experienced AUD and have not obtained alcohol services may have a narrower definition of recovery compared to those accessing treatment or attending mutual-help groups. This suggests a need to broaden alcohol services to better match varied recovery definitions; however, some highly endorsed elements suggest commonalities across recovery pathways.
Public Health Significance Statement
How people with alcohol problems define recovery may affect their decisions and behaviors (e.g., substance use goals and help-seeking patterns) and related outcomes (e.g., substance use and well-being). The present study concluded that those in independent recovery from an alcohol problem may have a narrower definition of recovery than those who have accessed treatment or attended mutual-help groups. The different conceptions of recovery among those in independent recovery may contribute to their avoidance of alcohol services, suggesting that broadening such services to better serve those with varied recovery definitions could result in greater services uptake and ultimately better outcomes.</description><subject>Adult</subject><subject>Alcohol Treatment</subject><subject>Alcohol Use Disorder</subject><subject>Alcoholism - rehabilitation</subject><subject>Alcoholism - therapy</subject><subject>Drug Abstinence</subject><subject>Female</subject><subject>Human</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Recovery (Disorders)</subject><subject>Self-Help Groups</subject><subject>Surveys and Questionnaires</subject><subject>United States</subject><subject>Young Adult</subject><issn>0893-164X</issn><issn>1939-1501</issn><issn>1939-1501</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNpd0FtLwzAYBuAgipvTG3-ABLwRpZrDmjbeDXUqDBVPeBfSJNVI18yk3ei_N2NTQXIRCM_3ku8FYB-jU4xodiZ1gRDCiLAN0Mec8gSnCG-CPso5TTAbvvXATgifEVGUs23QoxxTyjDqA3HjFvDRKDc3voOXprS1bayrA3yV8aHo4JPxc6sMfAkGPsjmYyG7czi2tbb1e4Bj76ZQwju5HJIVfGr93HTQlXCk26oJu2CrlFUwe-t7AF7GV88XN8nk_vr2YjRJJMlYkyjEMGeoLBlRJVc5KlKmNKakpClKNc_jilhmLFPZEBNOlE41o0WujcxpJlM6AEer3Jl3X60JjZjaoExVydq4NgiKOKEsJSyL9PAf_XStj59fqdgRwSSq45VS3oXgTSlm3k5jJwIjsaxd_NUe8cE6si2mRv_Sn54jOFkBOZNiFjolfWNVZYJqvTd1swwTNBfxxJFvT_yLDg</recordid><startdate>202412</startdate><enddate>202412</enddate><creator>Gilbert, Paul A.</creator><creator>Soweid, Loulwa</creator><creator>Evans, Sydney</creator><creator>Brown, Grant D.</creator><creator>Skinstad, Anne Helene</creator><creator>Zemore, Sarah E.</creator><general>American Psychological Association</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7RZ</scope><scope>PSYQQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0626-642X</orcidid></search><sort><creationdate>202412</creationdate><title>How Recovery Definitions Vary by Service Use Pathway: Findings From a National Survey of Adults</title><author>Gilbert, Paul A. ; Soweid, Loulwa ; Evans, Sydney ; Brown, Grant D. ; Skinstad, Anne Helene ; Zemore, Sarah E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a276t-c061960ff62cf9c80b56cd132f3505d98db01a767c741292cd5d63b8dea837a53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Alcohol Treatment</topic><topic>Alcohol Use Disorder</topic><topic>Alcoholism - rehabilitation</topic><topic>Alcoholism - therapy</topic><topic>Drug Abstinence</topic><topic>Female</topic><topic>Human</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Recovery (Disorders)</topic><topic>Self-Help Groups</topic><topic>Surveys and Questionnaires</topic><topic>United States</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gilbert, Paul A.</creatorcontrib><creatorcontrib>Soweid, Loulwa</creatorcontrib><creatorcontrib>Evans, Sydney</creatorcontrib><creatorcontrib>Brown, Grant D.</creatorcontrib><creatorcontrib>Skinstad, Anne Helene</creatorcontrib><creatorcontrib>Zemore, Sarah E.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PsycARTICLES- ProQuest</collection><collection>ProQuest One Psychology</collection><collection>MEDLINE - Academic</collection><jtitle>Psychology of addictive behaviors</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gilbert, Paul A.</au><au>Soweid, Loulwa</au><au>Evans, Sydney</au><au>Brown, Grant D.</au><au>Skinstad, Anne Helene</au><au>Zemore, Sarah E.</au><au>Witkiewitz, Katie</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>How Recovery Definitions Vary by Service Use Pathway: Findings From a National Survey of Adults</atitle><jtitle>Psychology of addictive behaviors</jtitle><addtitle>Psychol Addict Behav</addtitle><date>2024-12</date><risdate>2024</risdate><volume>38</volume><issue>8</issue><spage>891</spage><epage>900</epage><pages>891-900</pages><issn>0893-164X</issn><issn>1939-1501</issn><eissn>1939-1501</eissn><abstract>Objective: How people define recovery may affect their recovery goals, service use, and ultimately their outcomes. We examined recovery definitions among adults in recovery from an alcohol use disorder (AUD) who had different service use histories. Method: We analyzed online survey data from 1,492 adults with resolved lifetime AUD in "treated recovery" (any use of specialty services, such as inpatient or outpatient rehabilitation; n = 375), "assisted recovery" (any use of lay services, such as mutual-help groups, and no use of specialty services; n = 174), or "independent recovery" (no use of specialty or lay services; n = 943). Surveys assessed recovery definitions using the 39-item What Is Recovery? (WIR) scale. We compared endorsement of WIR domains and individual recovery elements across groups using survey-weighted chi-square tests and logistic regression. Results: Endorsement of WIR scale domains was significantly lower among the independent than treated and assisted groups, but few differences emerged between the treated and assisted groups. Two recovery elements were endorsed by approximately equivalent majorities of all groups: "being honest with myself" (92.7%-94.8%) and "taking care of my physical health" (87.4%-90.9%). Five additional elements were similarly endorsed by large majorities (≥85%) in each group, albeit at lower levels in the independent group. Conclusions: People who have experienced AUD and have not obtained alcohol services may have a narrower definition of recovery compared to those accessing treatment or attending mutual-help groups. This suggests a need to broaden alcohol services to better match varied recovery definitions; however, some highly endorsed elements suggest commonalities across recovery pathways.
Public Health Significance Statement
How people with alcohol problems define recovery may affect their decisions and behaviors (e.g., substance use goals and help-seeking patterns) and related outcomes (e.g., substance use and well-being). The present study concluded that those in independent recovery from an alcohol problem may have a narrower definition of recovery than those who have accessed treatment or attended mutual-help groups. The different conceptions of recovery among those in independent recovery may contribute to their avoidance of alcohol services, suggesting that broadening such services to better serve those with varied recovery definitions could result in greater services uptake and ultimately better outcomes.</abstract><cop>United States</cop><pub>American Psychological Association</pub><pmid>39133610</pmid><doi>10.1037/adb0001026</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-0626-642X</orcidid><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0893-164X |
ispartof | Psychology of addictive behaviors, 2024-12, Vol.38 (8), p.891-900 |
issn | 0893-164X 1939-1501 1939-1501 |
language | eng |
recordid | cdi_proquest_miscellaneous_3092365267 |
source | PsycARTICLES |
subjects | Adult Alcohol Treatment Alcohol Use Disorder Alcoholism - rehabilitation Alcoholism - therapy Drug Abstinence Female Human Humans Male Middle Aged Recovery (Disorders) Self-Help Groups Surveys and Questionnaires United States Young Adult |
title | How Recovery Definitions Vary by Service Use Pathway: Findings From a National Survey of Adults |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T12%3A26%3A01IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=How%20Recovery%20Definitions%20Vary%20by%20Service%20Use%20Pathway:%20Findings%20From%20a%20National%20Survey%20of%20Adults&rft.jtitle=Psychology%20of%20addictive%20behaviors&rft.au=Gilbert,%20Paul%20A.&rft.date=2024-12&rft.volume=38&rft.issue=8&rft.spage=891&rft.epage=900&rft.pages=891-900&rft.issn=0893-164X&rft.eissn=1939-1501&rft_id=info:doi/10.1037/adb0001026&rft_dat=%3Cproquest_cross%3E3092030212%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-a276t-c061960ff62cf9c80b56cd132f3505d98db01a767c741292cd5d63b8dea837a53%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=3092030212&rft_id=info:pmid/39133610&rfr_iscdi=true |