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We investigated if treatment for OUD led to improvements in patients' recovery capital (RC) overtime, and whether there were associated changes in co\u2010occurring alcohol use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Participants (<jats:italic>n<\/jats:italic>\u2009=\u2009133) were patients with OUD seeking outpatient treatment, who completed the Assessment of Recovery Capital (ARC) and reported drinking days per 30\u2010day period thrice over the 6\u2010month study. No specific treatments targeting alcohol were used. Two different models were employed to assess changes in total ARC score and adjusted odds ratio (aOR) for past 30\u2010day abstinence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Baseline mean ARC scores were 36.6 and significantly increased to mean score of 41.2 at study end. Ninety\u2010one participants (68.4%) reported no alcohol use at baseline, and 97 (78.9%) reported no use in the previous 30 days at study endpoint. For each increase in ARC, there was an aOR 1.07 (confidence interval [CI]: 1.02\u20131.13) for past 30\u2010day abstinence. Considering ARC standard deviation of 10.33 over all measurements, this equates to an aOR of 2.10 (CI: 1.22\u20133.62) for past 30\u2010day abstinence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and Conclusions<\/jats:title><jats:p>We saw significantly increased aOR for past 30\u2010day abstinence as RC improved in an OUD treatment\u2010seeking population. This difference was not caused by differences in ARC between study completers and noncompleters.<\/jats:p><\/jats:sec><jats:sec><jats:title>Scientific Significance<\/jats:title><jats:p>Showcases how RC growth may be protective of past 30\u2010day alcohol use in an OUD cohort and adds specific aOR for abstinence per ARC increase.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajad.13431","type":"journal-article","created":{"date-parts":[[2023,5,3]],"date-time":"2023-05-03T06:16:50Z","timestamp":1683094610000},"page":"547-553","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Improvements in recovery capital are associated with decreased alcohol use in a primary opioid use disorder treatment\u2010seeking cohort"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8847-8727","authenticated-orcid":false,"given":"Nicholas L.","family":"Bormann","sequence":"first","affiliation":[{"name":"Department of Psychiatry Indiana University Indianapolis Indiana USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7124-776X","authenticated-orcid":false,"given":"Andrea N.","family":"Weber","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Iowa Iowa City Iowa USA"},{"name":"Department of Internal Medicine University of Iowa Iowa City Iowa USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephan","family":"Arndt","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Iowa Iowa City Iowa USA"},{"name":"Department of Biostatistics University of Iowa Iowa City Iowa USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alison","family":"Lynch","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Iowa Iowa City Iowa USA"},{"name":"Department of Family Medicine University of Iowa Iowa City Iowa USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,5,2]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"AhmadFB CisewskiJA RossenLM SuttonP.Provisional drug overdose death counts.National Center for Health Statistics;2022.https:\/\/www.cdc.gov\/nchs\/nvss\/vsrr\/drug-overdose-data.htm"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.15m10386"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269881113504017"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s002130050169"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2010.05.008"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2018.12.030"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2017.07.001"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2015.05.001"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2008.02134.x"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41380-020-0661-4"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2018.05162"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1300\/J160v01n01_07"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/10826080802289762"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2021.109142"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/acer.14765"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/10826080701681473"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13011-021-00342-5"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2019.106189"},{"key":"e_1_2_9_20_1","unstructured":"SAMHSA.CSAT\u2010GPRA Core Client Outcome Measures.Substance Abuse Mental Health Services Administration;2017."},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1465-3362.2012.00489.x"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.2147\/SAR.S138148"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_2_9_24_1","unstructured":"R Core Team.R: A Language and Environment for Statistical Computing. 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