This proposal is a request for an ADAMHA Research Scientist Development Award (RSDA) for Jalie A. Tucker, PhD., Professor of Psychology at Auburn University. The candidate's research is aimed at disaggregating influences on help-seeking for alcohol problems from influences on recovery, whether assisted by interventions or not. Such data are crucial for understanding why most problem drinkers do not enter treatment and for devising interventions that reach this underserved majority and that better capture the natural forces that support recovery. The candidate is the PI on a 5-year R-01 from NIAAA that is investigating these issues: Study #1 is a 3 X 2 retrospective design using problem drinkers with different help-seeking histories (no assistance, A.A. only, or treatment- plus-A.A.) and current drinking status (stable abstinence or current problem drinking). The study will differentiate subjects' life circumstances and alcohol-related problems as a function of their help- seeking vs. recovery status and also will separate environmental factors that motivate recovery from those that maintain it. Study #2 is a 2-year prospective assessment of environmental influences on the natural recovery process using untreated problem drinkers who have recently become abstinent or moderation drinkers. The study will yield a fine-grained assessment of the environmental circumstances that are associated with recovery and relapses of varying severity. In the competitive renewal to be submitted during the RSDA period, Study #1 will be retired, and Study #2 will be expanded to include treatment participants, A.A. participants, and untreated problem drinkers who are attempting to recover. The expanded version will evaluate whether a common molar environmental context supports long-term recoveries achieved with or without interventions and will evaluate how interventions interact with problem drinkers' ongoing life circumstances and social networks. Plans for career enhancement include acquiring knowledge of public health approaches to behavioral interventions and health services utilization and continued collaboration with colleagues at the University of Washington, who are pursuing similar alcohol research questions from a public health perspective. Receipt of an RSDA would provide Dr. Tucker with stable funding to support greater involvement in research and scholarly development and would relieve her from reliance on short-term mechanisms of support.

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Research Scientist Development Award - Research (K02)
Project #
5K02AA000209-06
Application #
6168456
Study Section
Clinical and Treatment Subcommittee (ALCP)
Project Start
1996-04-01
Project End
2001-03-31
Budget Start
2000-04-01
Budget End
2001-03-31
Support Year
6
Fiscal Year
2000
Total Cost
$99,711
Indirect Cost
Name
University of Alabama Birmingham
Department
Public Health & Prev Medicine
Type
Schools of Public Health
DUNS #
004514360
City
Birmingham
State
AL
Country
United States
Zip Code
35294
Tucker, Jalie A; Foushee, H Russell; Simpson, Cathy A (2009) Increasing the appeal and utilization of services for alcohol and drug problems: what consumers and their social networks prefer. Int J Drug Policy 20:76-84
Tucker, Jalie A; Roth, David L; Vignolo, Mary J et al. (2009) A behavioral economic reward index predicts drinking resolutions: moderation revisited and compared with other outcomes. J Consult Clin Psychol 77:219-28
Tucker, Jalie A; Foushee, H Russell; Simpson, Cathy A (2008) Public perceptions of substance abuse and how problems are resolved: implications for medical and public health services. South Med J 101:786-90
Tucker, Jalie A; Foushee, H Russell; Black, Bethany C (2008) Behavioral economic analysis of natural resolution of drinking problems using IVR self-monitoring. Exp Clin Psychopharmacol 16:332-40
Tucker, Jalie A; Foushee, H Russell; Black, Bethany C et al. (2007) Agreement between prospective interactive voice response self-monitoring and structured retrospective reports of drinking and contextual variables during natural resolution attempts. J Stud Alcohol Drugs 68:538-42
Tucker, Jalie A; Vuchinich, Rudy E; Black, Bethany C et al. (2006) Significance of a behavioral economic index of reward value in predicting drinking problem resolution. J Consult Clin Psychol 74:317-26
Tucker, Jalie A; Vuchinich, Rudy E; Rippens, Paula D (2004) A factor analytic study of influences on patterns of help-seeking among treated and untreated alcohol dependent persons. J Subst Abuse Treat 26:237-42
Tucker, Jalie A; Vuchinich, Rudy E; Rippens, Paula D (2004) Different variables are associated with help-seeking patterns and long-term outcomes among problem drinkers. Addict Behav 29:433-9
Tucker, Jalie A (2003) Natural resolution of alcohol-related problems. Recent Dev Alcohol 16:77-90
Simpson, Cathy A; Tucker, Jalie A (2002) Temporal sequencing of alcohol-related problems, problem recognition, and help-seeking episodes. Addict Behav 27:659-74

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