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Recovery definitions: Do they change?

Lee Ann Kaskutas1, Jane Witbrodt2, Christine E Grella3

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Summary
This summary is machine-generated.

Definitions of recovery among individuals with substance use disorders remained stable over one to two years. This research validates a 39-item recovery definition for guiding services in Recovery-Oriented Systems of Care.

Keywords:
Natural recoveryRecoveredRecoveryReliabilityRemissionValidity

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Area of Science:

  • Addiction Research
  • Psychology
  • Public Health

Background:

  • The term "recovery" lacks empirical validation in substance abuse literature.
  • A 39-item recovery definition was developed from a nationwide survey of individuals in recovery.
  • This study assesses the stability of these recovery definitions over time.

Purpose of the Study:

  • To determine the stability of recovery definitions one to two years after initial assessment.
  • To validate the 39-item recovery definition for clinical and research use.
  • To inform the development of Recovery-Oriented Systems of Care.

Main Methods:

  • Follow-up interviews (n=1237) were conducted online and by telephone.
  • Descriptive analyses examined item endorsement rates at two time points.
  • T-tests and Cronbach's alpha assessed changes and reliability.

Main Results:

  • Over 90% of recovery elements were endorsed at both interviews.
  • Item endorsement showed similar rates of transition into and out of endorsement.
  • Reliability statistics were high (Cronbach's alpha: .782–.899), with modest changes in summary scores.

Conclusions:

  • Recovery definitions demonstrated significant stability over one to two years.
  • The 39-item definition is a stable measure of recovery.
  • These stable definitions can guide service provision in Recovery-Oriented Systems of Care.