The aim of this article is to report lessons learned from feasibility challenges faced in a mixed-methods study designed to test the feasibility of measuring recovery in participants of an Alternative Peer Group (APG). The APG integrates pro-recovery peers and social activities into clinical practice to engage adolescents in recovery. Though well established, APGs have never been tested. This study was one phase in a line of research that aims to develop an APG evidence base. The study used a mixed-methods design and naturalistic sampling of participants of one APG program. Repeated measures analysis with linear mixed models was planned to test the hypothesis that spending time in the APG builds recovery capital, resulting in progress in the processes of recovery, and improved symptoms. Semistructured interviews were conducted and framework analysis was used to explore feasibility challenges. Recruitment and retention challenges precluded meaningful measurement of change over time in recovery. Lessons learned from qualitative findings informed multiple strategies for revisions to strengthen future study protocols. Recruitment and retention of adolescents are common challenges that can threaten a study’s validity. Researchers seeking to recruit and retain adolescents with SUD in longitudinal studies may benefit from strategies derived from this study.

中文翻译：

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测试衡量其他同龄人的青少年恢复程度的可行性：经验教训和后续步骤

本文的目的是报告从混合方法研究中面临的可行性挑战中汲取的经验教训，该研究旨在测试替代对等小组（APG）参与者衡量恢复的可行性。APG将支持康复的同龄人和社会活动纳入临床实践，以使青少年参与康复。尽管已建立良好，但APG从未经过测试。这项研究是旨在建立APG证据基础的一系列研究的一个阶段。该研究采用了一种混合方法设计，并对一个APG计划的参与者进行了自然主义的抽样。计划使用线性混合模型进行重复测量分析，以检验以下假设：在APG中花费时间会建立恢复资本，从而导致恢复过程取得进展并改善症状。进行了半结构化访谈，并使用框架分析来探讨可行性挑战。招聘和保留方面的挑战妨碍了对恢复中随时间变化的有意义的衡量。从定性研究结果中学到的经验教训为加强未来研究方案提供了多种修订策略。青少年的招募和保留是可能威胁研究有效性的常见挑战。在纵向研究中寻求招募和保留SUD青少年的研究人员可能会受益于这项研究得出的策略。青少年的招募和保留是可能威胁研究有效性的常见挑战。在纵向研究中寻求招募和保留SUD青少年的研究人员可能会受益于这项研究得出的策略。青少年的招募和保留是可能威胁研究有效性的常见挑战。在纵向研究中寻求招募和保留SUD青少年的研究人员可能会受益于这项研究得出的策略。