The primary goal of this revised K01 application is to further develop a productive independent research career in substance abuse treatment. The major changes in this revised application include the addition of an ecological theoretical framework, supplementary didactic and experiential qualitative training, as well as improved recruitment and analytic strategies. Additional training will enhance Dr. Carrie Oser's experience in organizational-level models to encompass a multi-level perspective and broaden her research focus to rural areas. The proposed training goals will provide additional instruction in: (1) the cultural nuances of rural communities, (2) qualitative research methods, (3) advanced statistical training specific to multi-level modeling (e.g., HLM, SEM), and (4) the conduct of ethical research. Dr. Carrie Oser will be sponsored by Dr. Carl Leukefeld, who has experience in rural substance abuse research. The overall goal of this revised research plan is to better understand counselor contextual and organizational contributions to rural treatment outcomes in public treatment facilities.
The specific aims are: (1) to describe the characteristics of rural clients, as compared to urban clients;(2) to examine the characteristics and treatment practices of rural counselors, as compared to those employed in urban facilities;(3) to identify the organizational characteristics of state-funded treatment facilities in rural counties, as compared to urban, utilizing a PDA-based data collection methodology;(4) to develop two-level hierarchical linear models from an ecological perspective to predict rural treatment outcomes and urban treatment outcomes;(5) to separately examine the proportional contributions of client-level factors, counselor contextual factors, and organizational factors to rural treatment outcomes and urban treatment outcomes using an ecological theoretical framework. This project will significantly contribute to understanding community treatment and client outcomes in rural and urban counties. The focus on treatment outcomes within rural public treatment facilities is a logical transition from Dr. Oser's graduate work on the adoption of innovative pharmacological treatments within privately funded treatment organizations. This proposed project will allow for a practical application of the substantive knowledge and analytical skills acquired from the K01 training activities and will ultimately culminate in the development of future investigator initiated NIDA grant applications.

National Institute of Health (NIH)
National Institute on Drug Abuse (NIDA)
Research Scientist Development Award - Research & Training (K01)
Project #
Application #
Study Section
Human Development Research Subcommittee (NIDA)
Program Officer
Jones, Dionne
Project Start
Project End
Budget Start
Budget End
Support Year
Fiscal Year
Total Cost
Indirect Cost
University of Kentucky
Schools of Medicine
United States
Zip Code
Oser, Carrie B; Pullen, Erin; Stevens-Watkins, Danelle et al. (2017) African American women and sexually transmitted infections: The contextual influence of unbalanced sex ratios and individual risk behaviors. J Drug Issues 47:543-561
Oser, Carrie B; Harp, Kathi L H (2015) Treatment outcomes for prescription drug misusers: the negative effect of geographic discordance. J Subst Abuse Treat 48:77-84
Pullen, Erin; Oser, Carrie (2014) Barriers to substance abuse treatment in rural and urban communities: counselor perspectives. Subst Use Misuse 49:891-901
Perkins, Elizabeth B; Oser, Carrie B (2014) Job frustration in substance abuse counselors working with offenders in prisons versus community settings. Int J Offender Ther Comp Criminol 58:718-34
Pullen, Erin; Perry, Brea; Oser, Carrie (2014) African American women's preventative care usage: the role of social support and racial experiences and attitudes. Sociol Health Illn 36:1037-53
Stevens-Watkins, Danelle; Sharma, Sakshi; Knighton, Joi Sheree' et al. (2014) Examining Cultural Correlates of Active Coping Among African American Female Trauma Survivors. Psychol Trauma 6:328-336
Staton-Tindall, Michele; Duvall, Jamieson; Stevens-Watkins, Danelle et al. (2013) The roles of spirituality in the relationship between traumatic life events, mental health, and drug use among African American women from one southern state. Subst Use Misuse 48:1246-57
Perry, Brea L; Harp, Kathi L H; Oser, Carrie B (2013) Racial and Gender Discrimination in the Stress Process: Implications for African American Women's Health and Well-Being. Sociol Perspect 56:25-48
Oser, Carrie B; Biebel, Elizabeth P; Pullen, Erin et al. (2013) Causes, consequences, and prevention of burnout among substance abuse treatment counselors: a rural versus urban comparison. J Psychoactive Drugs 45:17-27
Duvall, Jamieson L; Oser, Carrie B; Mooney, Jenny et al. (2013) Feeling good in your own skin: the influence of complimentary sexual stereotypes on risky sexual attitudes and behaviors in a community sample of African American women. Women Health 53:1-19

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