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Table 5 Final items included in the Response to Addiction Recovery (R2AR), by Recovery Domain and Stage

From: Development of an addiction recovery patient-reported outcome measure: Response to Addiction Recovery (R2AR)

Itema

Recovery Domain

Recovery Stage

1. There are more important things to me in life than using alcohol or drugs

Meaning & Purpose

Early

2. I feel close to people – like friends, someone I met through recovery or recovery meetings

Community Connection

Early, Active, Long-term

3. I can handle stress, conflict, and unexpected things without alcohol or drugs

Coping

Early

4. I do things, even when I do not want to, because I know that I should

Meaning & Purpose

Active

5. I have activities and hobbies that keep me busy

Meaning & Purpose

Early, Long-term

6. I feel safe in my living environment (i.e., home, shelter, street)

Environment, Home, Safety

Early

7. I am taking care of my physical health

Health

Long-term

8. I feel like I am in control of what happens in my life

Recovery Experiences

Early, Active

9. I am trying to improve myself (by learning a trade or skill, going back to school, or any kind of self-help)

Meaning & Purpose

Active

10. I am taking care of my mental health

Health

Early, Active, Long-term

11. Most times, I do not worry about what other people think of me (because of my past drug use)

Psychological Well-being

Early, Long-term

12. Through the recovery process, I realized that I have good qualities (examples: I am a good person/parent/son/daughter/ husband/wife, friend, hard worker, help others)

Recovery Experiences

Early, Active

13. I am dealing with my legal problems (like custody, warrants, paying fines or child support)

Coping

Early

14. I try not to hurt other people with my actions

Recovery Experiences

Early, Long-term

15. There are people who care about me who I trust (like my therapist or clinician, a sponsor, friends, or family), who I can turn to for help during difficult times in my recovery

Social Support

Early, Active, Long-term

16. I have what I need to work on future goals (such as money, a way to get around, housing, food)

Environment, Home, Safety

Active

17. I feel less shame than I did before about my past

Recovery Experiences

Long-term

18. I feel like I am part of a larger community (such as people in my neighborhood, at work, or church)

Community Connection

Early

19. I am hopeful

Recovery Experience

Early, Active, Long-term

  1. R2AR instrument is available from the authors
  2. aEach item is scored on a 5-point Likert scale, within the structure of two parent questions. (1) In general, how much do you agree with the following statement [i.e., item]? (2) How important is this [item] to you to work on?