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  • [Solved] Case Study Analysis Two

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    The purpose of this article review is for you to learn to seek out information and to write an evaluative and critical review of a journal article. Your review must be submitted as a Word document. Use your name in the filename, along with the assignment name. For example: Smith,Fred.ArticleReview1….

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    The purpose of this article review is for you to learn to seek out information and to write an evaluative and critical review of a journal article. Your review must be submitted as a Word document. Use your name in the filename, along with the assignment name. For example: Smith,Fred.ArticleReview1.
    Your written review will be approximately 3-4 double-spaced narrative pages, plus a title page (with Running head), page numbers, and in keeping with APA guidelines. An abstract is NOT required for the article review.
    It is important for you to learn how to write about another author's work, which is different from regurgitating what the author wrote. Your review should not read as though you are the author of the article or material as opposed to reading form a critical perspective. The reader should clearly understand the difference between the author's contribution and your interpretation and evaluation of that contribution. Your review should show that you can recognize arguments and engage in critical thinking about the course content. Keep questions like these in mind as you read, make notes, and then write the review or critique. Critical thinking and application of course content is necessary for this assignment.
    \
    KnowingvsTellingPrivateInformationAboutaRival.pdf](https://www.sweetstudy.com/files/knowingvstellingprivateinformationaboutarival-pdf "KnowingvsTellingPrivateInformationAboutaRival.pdf")

  • [Solved] Topic: “Women Financial Leadership in Healthcare Facilities.”

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    You are to write a scholarly paper of 5-7 pages (plus cover page, abstract, and reference list) in length on some aspect of the research and/or theories of strategic or financial management that relate to the material in this course. You are free to critique a theorist or model, but you need to use …

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    You are to write a scholarly paper of 5-7 pages (plus cover page, abstract, and reference list) in length on some aspect of the research and/or theories of strategic or financial management that relate to the material in this course. You are free to critique a theorist or model, but you need to use scholarly sources. Your paper should be based on the literature and use appropriate citations using APA style. The topic of your scholarly paper must be specifically related to this course.
    The purpose of my paper is to show how financial leadership is managed by women within healthcare facilities.  How are different facilities run by women in financial leadership as opposed to men? Additionally, illustrate the correlation between finances and quality care when led by a woman, whether it is a hospital or a nursing home facility. I am passionate about understanding how a facility may be run by a woman, and to illustrate how more women should not be overlooked for such roles just because of their gender.
         Women Leaders in Hospitals
    – Finances for healthcare facilities
    – Finances and quality care in healthcare by women
    – Women CEO’s of healthcare organizations

  • [Solved] discussion

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  • [Solved] Rapid Critical Appraisal 2

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    include the following: • Purpose & research question • Study design • Sample/setting • Key findings

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    include the following: • Purpose & research question • Study design • Sample/setting • Key findings

  • [Solved] Week 7 Discussion Response- Account for Management Decision Making

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    Colleague 1 India Holmes The Usefulness of Break-Even Analysis in Decision Making Break-even analysis is an essential managerial accounting tool that helps organizations determine the point at which total revenues equal total costs, thereby revealing when profitability begins (Franklin et al., 2019a…

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    Colleague 1
    India Holmes
    The Usefulness of Break-Even Analysis in Decision Making
    Break-even analysis is an essential managerial accounting tool that helps organizations determine the point at which total revenues equal total costs, thereby revealing when profitability begins (Franklin et al., 2019a). This analysis provides decision-makers with an objective framework for understanding cost behavior, evaluating performance, and supporting strategic choices that balance efficiency with profitability. Within Bank of America’s Global Operations division, such analysis supports project justification, process automation, and vendor cost management decisions, all of which require precise financial insight to sustain compliance and operational excellence.
    Professional Example: Break-Even Analysis in a Global Operations Context
    As an Assistant Vice President/Senior Business Support Specialist in Bank of America’s Global Operations AML Refresh department, I often assess financial implications of new technologies or vendor process enhancements. For instance, when evaluating whether to implement Robotic Process Automation (RPA) for Know Your Customer (KYC) documentation reviews, a break-even analysis would determine how many manual labor hours must be replaced or repurposed to offset automation costs.
    Suppose the annual RPA license fee is $600,000, and the average hourly cost per analyst is $40. The break-even point occurs when the automation saves 15,000 hours of manual work ($40 × 15,000 = $600,000). Beyond that threshold, the project yields cost savings. This analytical insight, rooted in understanding contribution margin and cost-volume-profit relationships, allows leadership to make informed, evidence-based investment decisions (Franklin et al., 2019b; Franklin et al., 2019c).
    How Understanding the Break-Even Point Supports Decision Making
    Understanding the break-even point supports strategic judgment by transforming financial data into actionable intelligence. It allows leaders to assess how different scenarios such as changes in fixed costs, pricing structures, or transaction volumes affect profitability (Gallo, 2014). This clarity fosters more effective collaboration among Finance, Operations, and Technology teams, ensuring that business initiatives align with fiscal responsibility and organizational strategy.
    In financial institutions, where regulatory and operational risks coexist, judgment quality is critical. As Likierman (2020) explains, good judgment depends on analytical discipline and contextual awareness. Applying break-even analysis within Bank of America’s AML operations ensures that technology investments are not just operationally efficient but financially prudent and compliant with governance standards. Similarly, Walden University (2021) emphasizes that break-even analysis enables leaders to visualize the relationship between revenue, cost, and volume to identify the exact point at which decisions shift from loss to gain.
    Elements to Improve the Break-Even Point
    To improve the break-even point within this operational context, several elements can be managed strategically:
    1. Reducing Fixed Costs: Negotiating more favorable vendor pricing or sharing automation costs across business units lowers the fixed cost base, decreasing the break-even threshold (Gallo, 2014).
    2. Increasing Contribution Margin: Optimizing automated workflows increases efficiency, allowing more transactions per dollar of cost and raising the contribution margin (Franklin et al., 2019b).
    3. Enhancing Workforce Utilization: Reallocating staff from repetitive tasks to analytical functions maximizes output without additional cost, improving return on investment.
    4. Leveraging Data-Driven Judgment: Incorporating data visualization and scenario modeling enhances the quality of managerial judgment, supporting decisions that not only meet but surpass the break-even point (Likierman, 2020).
    Through these strategies, management can reduce the risk of underperformance while increasing overall operational value and compliance assurance.
    Break-even analysis serves as a quantitative foundation for managerial judgment, connecting cost data to operational performance. In Bank of America’s Global Operations, this approach informs critical decisions about automation, cost allocation, and vendor optimization. By integrating financial insight with strategic foresight, leaders can ensure that every investment contributes to both efficiency and profitability. As Franklin et al. (2019a) and Walden University (2021) note, the break-even point is not just a financial benchmark it is a decision-making tool that transforms accounting principles into actionable business intelligence.
    References
    Franklin, M., Graybeal, P., & Cooper, D. (2019a). Why it matters. In Principles of accounting, volume 2: Managerial accounting. OpenStax. https://openstax.org/books/principles-managerial-accounting/pages/3-why-it-matters
    Franklin, M., Graybeal, P., & Cooper, D. (2019b). 3.1 Explain contribution margin and calculate contribution margin per unit, contribution margin ratio, and total contribution margin. In Principles of accounting, volume 2: Managerial accounting.OpenStax. https://openstax.org/books/principles-managerial-accounting/pages/3-1-explain-contribution-margin-and-calculate-contribution-margin-per-unit-contribution-margin-ratio-and-total-contribution-margin
    Franklin, M., Graybeal, P., & Cooper, D. (2019c). 3.2 Calculate a break-even point in units and dollars. In Principles of accounting, volume 2: Managerial accounting. OpenStax. https://openstax.org/books/principles-managerial-accounting/pages/3-2-calculate-a-break-even-point-in-units-and-dollars
    Gallo, A. (2014, July 2). A quick guide to breakeven analysis. Harvard Business Review Digital Articles,2–5. http://hbr.org
    Likierman, A. (2020, January–February). The elements of good judgment. Harvard Business Review, 98(1), 102–111.
    Walden University, LLC. (2021). Break-even accounting [Video]. Walden University Canvas. https://waldenu.instructure.com
    Colleague 2
    Tameika Coats
    **Break-Even Point in Nursing Decision Making**
    I work as a nurse manager in a small hospital, and I envision a scenario where our unit begins offering a specialized wound care service. Initially, we estimate income based on the charges for each treatment session. But after doing it for several months, we saw that we were losing about 5% on each case because costs (supplies, staff time, overhead) are higher than expected. If I had used break-even analysis before starting the service, I would have studied how many wound care sessions we need to do to cover both fixed and variable costs. Fixed costs include staff salaries and equipment; variable costs include dressings, medications, and nurse time per session. Knowing the break-even point would help me set proper pricing or adjust how many cases to accept. It would also help me decide whether we need to reduce costs or increase volume.
    As a healthcare practitioner, understanding the break-even point helps in making informed decisions, as it clarifies the minimum number of wound care sessions required to avoid financial loss. If a nurse is aware of the number of care sessions required, they can plan the number of staff needed, place orders more precisely, and make decisions about whether to advertise or market the service more to achieve volume. Secondly, it would enable me to contrast various scenarios: what would happen if I decrease the cost of supplies, hire fewer additional employees or raise the price per session. The lower the variable cost per wound care case I decrease, the lower the break-even point (i.e., the number of cases required to break even). Conversely, if the fixed costs are high, the break-even point would be very large. It helps me consider the changes that are viable within my hospital's budget and market.
    To improve the break-even point in this example, I consider three main elements. One, I could negotiate lower prices for supplies or bulk-buy dressings; that lowers variable costs. Two, I could increase the number of wound care sessions by marketing the service, forging referrals, or expanding hours, which would raise the volume. Three, I could reduce fixed costs by using existing staff more efficiently and avoiding extra staffing or expensive equipment that is rarely used. Also, carefully monitoring indirect overhead (electricity, maintenance) might reveal cost reductions. I would also test different price points to see what patients are willing to pay without reducing demand drastically.
    In nursing and health care settings more broadly, break-even analysis is very useful. It supports planning and budgeting and helps justify decisions about starting or stopping services and the proper price to be charged (Engelen & Cassimon, 2025). It forces managers to think clearly about costs (fixed and variable) and realistic revenues or fees. Peer-reviewed research shows that break-even analysis has been used in nurse-managed centers to evaluate proposals and guide financial sustainability (Chandawarkar & Nadkarni, 2024). Also, in hospital administration studies, break-even analysis helps predict how many services must be delivered for new offerings to avoid losses. By using break-even analysis, nurse leaders can make more informed choices, avoid financial loss, and ensure services are sustainable.
    **References**
    Chandawarkar, R., & Nadkarni, P. (2024). Balanced business decision-making for clinical practices: Fulfilling “mission” and “margin.” _Plastic and Reconstructive Surgery–Global Open, 12_(7), e5932. [https://doi.org/10.1097/GOX.0000000000005932Links to an external site.](https://doi.org/10.1097/GOX.0000000000005932)
    Engelen, P. J., & Cassimon, D. (2025). The role of the right valuation method in setting the firm’s break-even price for mpox (and other) vaccines. _BMJ Global Health, 10_(5). [https://doi.org/10.1136/bmjgh-2024-0183](https://doi.org/10.1136/bmjgh-2024-018390) 90

  • [Solved] Week 7 Discussion Response- Marketing for Competitiveness

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    Colleagu 1 Femi Owoeye Hello everyone. In today's hyper-competitive consumer market, the quest for brand loyalty has intensified, pushing successful brands to realize that utility and price are often secondary to a profound emotional connection (Deikis, 2024). This emotional bond transcends mere tra…

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    Colleagu 1
    Femi Owoeye
    Hello everyone.
    In today's hyper-competitive consumer market, the quest for brand loyalty has intensified, pushing successful brands to realize that utility and price are often secondary to a profound emotional connection (Deikis, 2024). This emotional bond transcends mere transactional satisfaction; it transforms a brand into a reflection of the consumer's self-identity, values, and aspirations (Saeedi, 2025). This is the essence of emotional branding: crafting a story that allows the customer to feel that by choosing a product, they are aligning themselves with a greater movement, a shared belief, or a specific version of themselves they wish to project. The following three campaigns perfectly illustrate how brands manipulate these core human desires to influence consumer behavior and secure unwavering allegiance.
    My first example is Apple's multi-part series, "The Underdogs," which succeeds by transforming a product line into a narrative of Aspiration and Empowerment. The campaign features a quirky, diverse, and fast-paced team of office workers overcoming absurd, high-pressure deadlines using the integrated Apple ecosystem (Mac, iPad, iPhone, etc.) (DemandScience, 2025). Rather than listing specifications, the narrative centers on the universal struggle of the "underdog", the creative, scrappy individual or team fighting against the odds. This storytelling taps into deep emotional resonance through relatability and the desire for success. Viewers identify with the chaos and pressure, and Apple's technology is seamlessly positioned as the enabling force, the essential, invisible tool that empowers the "little guy" to succeed (Meet My Media, 2025). This connection allows Apple to command a premium; customers pay not just for the device, but for the feeling that they are buying competence and a creative edge.
    Another example is the Patagonia's infamous 2011 Black Friday advertisement, "Don't Buy This Jacket,". This is a masterclass in establishing emotional connection through Trust and Shared Values. The full-page ad, placed in _The New York Times_, featured one of their most popular products but urged consumers to reflect on the garment's environmental impact, advocating for repair, reuse, or buying used instead (The Brand Hopper, 2025). This radical, anti-consumption stance demonstrated an authenticity and commitment to environmental stewardship that transcended profit motives (Saeedi, 2025). By actively telling customers _not_ to buy, Patagonia created immense trust and elevated the brand from a clothing retailer to a moral thought leader. Environmentally conscious customers are emotionally drawn to Patagonia because purchasing their gear affirms their moral identity and joining a shared tribe committed to a greater cause, making their loyalty virtually unbreakable, even at higher price points.
    Lastly, Dove's long-running "Real Beauty" campaign successfully leveraged deep-seated Insecurity and the need for Validation to redefine its entire brand purpose. Launched in 2004, the campaign directly challenged the unrealistic beauty standards promulgated by the industry by featuring non-professional women of diverse ages, sizes, and ethnicities (Saeedi, 2025). Campaigns like "Real Beauty Sketches" powerfully highlighted the universal feeling of self-criticism, validating a widely held emotional pain point among women (Clement, 2025). Dove positioned itself as an ally and a voice for self-acceptance and positive self-esteem, shifting its brand identity from a functional soap manufacturer to a patron of female confidence. This emotional resonance allowed Dove to build community; choosing their product is an act of supporting their message, giving customers a sense of belonging and purpose with every purchase.
    I am strongly influenced by campaigns that appeal to shared ethical values, and I recognize the sophisticated manipulation of Aspiration and Trust in these examples.
    The Patagonia campaign is the most potent determinant of my purchasing behavior. Mydecision to buy their products (often at a premium) is less about the functional performance of the gear and entirely about the emotional satisfaction of moral alignment. I gain a sense of personal integrity by supporting a company that actively practices the values it preaches. This emotional reward ensures that I remain loyal, repeatedly choosing Patagonia over competitors that do not offer that same sense of shared purpose.
    The Apple and Dove campaigns impact my brand perception and consideration set. Apple's "Underdogs" reinforces my desire for professional efficacy. At the same time, the purchase is still rational (I need a computer), the emotional messaging adds a premium layer, the feeling that I am buying into a superior, more creative lifestyle, rather than just buying hardware. Similarly, Dove has earned my respect and empathy; its powerful message creates a positive emotional association, meaning that when faced with a choice between two similar products, the memory of the "Real Beauty" campaign is enough to emotionally tilt my decision toward Dove, positioning it as the more _responsible_ choice.
    In short, while I make rational choices, these campaigns demonstrate that my brand loyalty and ultimate purchasing decisions are consistently driven by a desire for emotional congruence, to buy brands that help me feel better about myself and my place in the world.
    **References**
    Clement, L. (2025, July 30). _From vision to viral: How Dove nailed their influencer marketing strategy plan (and how you can too)._ Influencity. [https://influencity.com/blog/en/from-vision-to-viral-how-dove-nailed-their-influencer-marketing-strategy-plan-and-how-you-can-tooLinks to an external site.](https://influencity.com/blog/en/from-vision-to-viral-how-dove-nailed-their-influencer-marketing-strategy-plan-and-how-you-can-too)
    Deikis, J. (2024, March 21). _Guide to emotional marketing: Unleashing the feels._ Noble Studios. [https://noblestudios.com/digital-marketing/guide-to-emotional-marketing/#:~:text=When%20emotional%20marketing%20works%2C%20you,connection%20between%20brand%20and%20consumerLinks to an external site.](https://noblestudios.com/digital-marketing/guide-to-emotional-marketing/#:~:text=When%20emotional%20marketing%20works%2C%20you,connection%20between%20brand%20and%20consumer)
    DemandScience. (2025, August 8). _The best video ads examples and what_ _you_ _can learn from them._ [https://demandscience.com/resources/blog/best-video-ads-examples/Links to an external site.](https://demandscience.com/resources/blog/best-video-ads-examples/)
    Meet My Media. (2025, March 28). _How Apple's content & ads keep customers hooked for life._ [https://meetmymedia.com/the-apple-strategy/Links to an external site.](https://meetmymedia.com/the-apple-strategy/)
    Saeedi, K. (2025, April). _Emotional branding: Using feelings as a catalyst for brand loyalty._ Paper presented at the 3rd International Conference on Recent Advances in Engineering, Innovation & Technology, Brussels, Belgium.
    The Brand Hopper. (2025, June 7). _A case study on_ _Patagonia's_ _"Don't buy this jacket"_ _campaign_
    _Colleague 2_
    _Angela Eaker_
    Kia has increasingly embraced emotional branding to differentiate itself in the competitive automotive market and foster deeper consumer loyalty. One standout example is the **“** Movement That Inspires **”** campaign, which repositions Kia not just as a car manufacturer but as a mobility brand that empowers people to pursue meaningful experiences. The campaign emphasizes movement as a source of inspiration and progress, aligning with consumers’ desires for freedom, creativity, and connection (Kia Global, n.d.). Another emotionally resonant campaign is Kia’s 2024 Super Bowl commercial **, “** Perfect 10 **.”** This ad tells the story of a young figure skater who performs a heartfelt routine for her ailing grandfather, powered by the Kia EV9’s onboard energy system. The ad highlight’s themes of family, love, and the power of small gestures, using cinematic storytelling and a moving soundtrack to evoke deep emotional responses (Kia Media, 2024; Not Your Dads TV Ads, 2024). A third example is Kia’s **“** Feel Something Again **”** campaign featuring Steven Tyler, which aired during the 2018 Super Bowl. This ad used nostalgia and the concept of reversing time to evoke feelings of youth, freedom, and rediscovery, connecting emotionally with viewers across generations (Super Bowl Commercials, 2018).
    These campaigns have positively influenced how I perceive Kia. The “Movement That Inspires” message makes the brand feel purpose-driven and human-centered, while “Perfect 10” reinforces Kia’s commitment to family values and innovation. These emotional narratives make me more likely to consider Kia when purchasing a vehicle, as I associate the brand with inspiration, care, and meaningful experiences—qualities that go beyond technical specifications and price.
    **References**
    Kia Global. (n.d.). _Our movement_. [https://www.kia.com/nmc/en/discover-kia/our-movement.htmlLinks to an external site.](https://www.kia.com/nmc/en/discover-kia/our-movement.html)
    Kia Media. (2024, February 8). _Kia America’s Super Bowl spot celebrates the hidden power within us all_. [https://www.kiamedia.com/us/en/media/pressreleases/21844/kia-americas-super-bowl-spot-celebrates-the-hidden-power-within-us-allLinks to an external site.](https://www.kiamedia.com/us/en/media/pressreleases/21844/kia-americas-super-bowl-spot-celebrates-the-hidden-power-within-us-all)
    Not Your Dads TV Ads. (2024, February 11). _Kia Super Bowl LVIII (58) 2024 Commercial_ [Video]. YouTube. [https://www.youtube.com/watch?v=ET9-rjSMvRkLinks to an external site.](https://www.youtube.com/watch?v=ET9-rjSMvRk)![](https://waldenu.instructure.com/images/play_overlay.png)
    Super Bowl Commercials. (2018, February 4). _KIA – Feel Something Again – Super Bowl 2018 Commercial feat Steven Tyler_ [Video]. YouTube. [https://www.youtube.com/watch?v=6oXY9ns4jeYLinks to an external site.](https://www.youtube.com/watch?v=6oXY9ns4jeY)![](https://waldenu.instructure.com/images/play_overlay.png)

  • [Solved] OL665 Milestone Three

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  • [Solved] HCM 700 Milestone 6

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  • [Solved] 7 slide PPT

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    DUE 10.8 5 PM EST – ## 16×9-Solid-Red.pptx – ## pptVideoDiscussionPresentYourResearchAssignmentInstructions.docx – ## VideoDiscussionPresentYourResearchAssignmentInstructions1.docx – ## BenchmarkResearchProposal1.docx **## 16×9-Solid-Red.pptx** ## image2.jpg ## image1.jpg **## pptVideoDiscussionPres…

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    DUE 10.8   5 PM EST

    – ## 16×9-Solid-Red.pptx

    – ## pptVideoDiscussionPresentYourResearchAssignmentInstructions.docx

    – ## VideoDiscussionPresentYourResearchAssignmentInstructions1.docx

    – ## BenchmarkResearchProposal1.docx

    **## 16×9-Solid-Red.pptx**

    ## image2.jpg

    ## image1.jpg

    **## pptVideoDiscussionPresentYourResearchAssignmentInstructions.docx**

    COUC 515

    **Video Discussion: Present Your Research Assignment Instructions**

    You will complete one Video Discussion in this course. For this Video Discussion, you will share your completed research proposal in the format of a PowerPoint presentation with your classmates. You will create a narrated PowerPoint that includes each major point of your presentation and use it as a presentation template. Refer to this week’s Read and Watch materials before you prepare your presentation. The proposal narrated PowerPoint presentation must use Liberty sponsored slides for the entire PPT and include the following major points:

    1) Overview literature review (this is where you will present your argument for the need to fill the gap)

    2) Research questions

    3) The study design chosen and why

    4) Integration

    **You must provide your abstract and presentation in the body of your first post.** Your presentation must be concise yet thorough with highlighting the four points above in a narrated PowerPoint in video format. Please do not use YouTube to record your presentations, as these are not compliant with privacy. You may follow the prompts in the Discussion Resources to use Kaltura or record directly into Canvas.

    You must post your initial thread with the uploaded narrated PowerPoint by 11:59 p.m. (ET) on Thursday of the assigned Module: Week. You must then post 2 video replies of 2 – 3 minutes by 11:59 p.m. (ET) on Sunday of the assigned Module: Week. For the first thread, you must support your assertions with at least 2 scholarly citations in APA format. Each reply must incorporate at least 1 scholarly citation in current APA format. Any sources cited must have been published within the last five years.

    **Please keep in mind that you will be graded on your presentation skills and presentation. Any specific feedback on the proposal’s design will be given on the
    **Benchmark Research Proposal Assignment.**

    **## VideoDiscussionPresentYourResearchAssignmentInstructions1.docx**

    COUC 515

    **Video Discussion: Present Your Research Assignment Instructions**

    You will complete one Video Discussion in this course. For this Video Discussion, you will share your completed research proposal in the format of a PowerPoint presentation with your classmates. You will create a narrated PowerPoint that includes each major point of your presentation and use it as a presentation template. Refer to this week’s Read and Watch materials before you prepare your presentation. The proposal narrated PowerPoint presentation must use Liberty sponsored slides for the entire PPT and include the following major points:

    1) Overview literature review (this is where you will present your argument for the need to fill the gap)

    2) Research questions

    3) The study design chosen and why

    4) Integration

    **You must provide your abstract and presentation in the body of your first post.** Your presentation must be concise yet thorough with highlighting the four points above in a narrated PowerPoint in video format. Please do not use YouTube to record your presentations, as these are not compliant with privacy. You may follow the prompts in the Discussion Resources to use Kaltura or record directly into Canvas.

    You must post your initial thread with the uploaded narrated PowerPoint by 11:59 p.m. (ET) on Thursday of the assigned Module: Week. You must then post 2 video replies of 2 – 3 minutes by 11:59 p.m. (ET) on Sunday of the assigned Module: Week. For the first thread, you must support your assertions with at least 2 scholarly citations in APA format. Each reply must incorporate at least 1 scholarly citation in current APA format. Any sources cited must have been published within the last five years.

    **Please keep in mind that you will be graded on your presentation skills and presentation. Any specific feedback on the proposal’s design will be given on the
    **Benchmark Research Proposal Assignment.**

    **## BenchmarkResearchProposal1.docx**

    2

    **Benchmark Research Proposal**

    **Department of Counselor Education and Family Studies,**

    **Author Note,**

    I have no known conflict of interest to disclose.

    Correspondence concerning this article should be addressed to

    Email to:

    **Literature Review**

    Addiction recovery is one of the greatest issues in counseling clients. Moreover, the issue is even more complicated when the client experiences an alcohol use disorder (AUD) and has a mental condition as well. Alcohol use disorder (AUD) patients, according to research have poorer recovery outcomes compared to others. This is where the individual is also affected by a mental disorder. This can be a depressive disorder, anxiety disorder, or post-traumatic stress disorder (PTSD) (Marel et al. 2019). Clients who have comorbidities will tend to relapse frequently. They also struggle to remain in treatment and stay abstinent in general. In this respect, the optimal manner of facilitating recovery among this population is an important clinical problem.

    Formal treatment should be supplemented with such support groups as Alcoholics Anonymous (AA) and SMART Recovery. These are groups that are classified as peer recovery support groups. Developed in the 1930s, Alcoholics Anonymous presents a 12-step model that has spiritual foundations, which involves surrender to a superior power, friendship and further peer support. Various researchers indicate that AA attendance results in the production of better abstinence results, enhanced psychosocial functions, and lower chances of relapse (Kelly et al., 2020). The spiritual orientation and low-structure approach will not suit everyone, particularly the secular, or those who seek evidence-based, cognitive-behavioral approaches.

    SMART Recovery is a newer method capable of addressing this issue although it’s not faith-based. It trains the clients on self-management skills to deal with cravings and avoid relapse. It is founded on CBT and motivational therapy. With self-empowerment, independence, and realistic plans, SMART empowers human beings to transform their lifestyle. Kelly et al. (2023) demonstrated that SMART Recovery members can be psychosocially more stable at the entry of the treatment compared to AA members. This may be an indication of self-selection. The differences between the two programs in terms of their philosophy, structure, and appeal are therefore likely to produce different outcomes in the clients with comorbid psychiatric disorders although the peer support provided is similar.

    There is a literature gap on this issue as the past literature has narrowed generalization due to the past findings. This is according to Kelly et al. (2023) who used a sample selected in Boston and San Diego. Consequently, there was doubt of whether the results can be extrapolated both nationally and internationally. Furthermore, the greater part of data collection was during the COVID-19 pandemic that might have affected the attendance, the access to meetings, and the psychological needs of participants. Additional longitudinal trials will allow scientists to find out whether the impact of AA and SMART Recovery is lasting in the long run and in various groups, in particular, deviated sub-groups.

    Simply, the literature determines the significance of peer recovery programs in treatment among AUD clients, but fails to explain how they compare among clients with mental disorders. This paper will fill this gap by investigating long-term abstinence rates of individuals who attended AA, SMART Recovery or both and those with comorbid diagnoses. The study recommendations will make their contribution to the counseling profession by enlightening the program units and formulating recovery approaches depending on the needs of the clients.

    **Method**

    How does peer recovery support treatment (e.g., SMART Recovery and Alcoholics Anonymous (AA)) of alcohol use disorder (AUD)-patients with co-morbidity mental disorders achieve long-term abstinence outcome? The significance of this question is that it directly talks about an underserved clinical group, and appraises commonly accessible interventions that counselors frequently prescribe. The study will adopt a type of quasi-experimental longitudinal design. The participants will be selected in diverse regions of the U.S., such as urban and rural areas. The kind of peer recovery support program will be varied (e.g., SMART Recovery, AA, both or none). Dependent variables will be:

    1. Rates of sustained abstinence over 12–24 months, measured by participant self-report and verified through periodic breathalyzer or toxicology screenings.

    2. Severity of relapse, which is measured in terms of the frequency and intensity of drinking, after initial abstinence.

    3. Quality of life measures, measured with validated measures, including WHO Quality of Life-BREF scale.

    Participants will include adults between 21 and 65 years who have an alcohol use disorder with at least one comorbid psychiatric diagnosis. Participants will be recruited through the use of treatment centers, community outreach and referrals through the program. The data will be gathered at the baseline and then 12 and 24 months. The quantitative and qualitative data collection will be carried out using structured interviews and clinical records. The instruments whose Cronbach alpha is greater than 80 will be chosen. Repeated measures ANOVA will be used in the study to compare groups in terms of abstinence and quality of life outcomes across time. Regression models will also be used to investigate how the moderating effects of types and severity of comorbidity influence outcomes. Qualitative data that will be collected in the form of interviews will be analyzed through thematic analysis.

    **Integration**

    This study has a significant impact on the counseling profession. It ensues counselors are better equipped to provide evidence-based recommendations to clients with comorbid disorders. On the contrary, when both programs are applicable, the clients could be given an option on which of the programs is better aligned to their values, culture, and treatment goals. Equally, knowledge of the obstacles to participation like socioeconomic factors, cultural factors, or stigmatization associated with certain program philosophies will assist the counselors in suggesting a client to a better alternative.

    The theological ideas of restoration, healing and community support are the basis of this research proposal. The Bible repeatedly emphasizes the need to assist one another, and bear burdens of others. An example of this can be found in Galatians 6:2 that states: by bearing one another burdens, in this manner shall ye fulfil the law of Christ. This principle is implemented by the provision of peer-based recovery programs, such as spiritually based programs, such as Alcoholics Anonymous, and secular-based programs, such as SMART Recovery, where collective accountability and learning collectively are used. Such places help people to gather together and exchange experiences of hardships and support one another. The ultimate aim of the two programs is to ensure sobriety, which is assisting members in the process of their recovery.

    This research will help in developing a comprehensive model of care including biological, psychological, social and spiritual factors of the counseling profession by increasing their knowledge of effective interventions of alcohol use disorder (AUD) and their comorbidities. The findings can be utilized to illuminate the biblical worth of the care and inclusion whereby recovery support is provided to all regardless of cultural, belief, or socioeconomic orientation.

    **References**

    Kelly, J. F., Fallah-Sohy, N., Cristello, J., Stout, R. L., Jason, L. A., Hoeppner, B. B., Bergman, B. G. & White, W. L. (2023). Who affiliates with SMART Recovery? Involves comparing people who go to SMART Recovery, Alcoholics Anonymous, both, or neither. Alcohol: Clinical and Experimental Research, 47(10), 1939.
    [https://doi.org/10.1111/acer.15164](https://doi.org/10.1111/acer.15164).

    Keith, J. F., Humphries, K., and Perry, M. (2020). Programs like Alcoholics Anonymous help people who drink too much. Cochrane Database of Systematic Reviews, 3(3), CD012880.
    [https://doi.org/10.1002/14651858.CD012880.pub2](https://doi.org/10.1002/14651858.CD012880.pub2).

    Marel, C., Mills, K. L., Teesson, M., et al. (2019). Relapse to alcohol use disorder: a systematic review and meta-analysis of conditional probabilities. Addiction, 114(12), 2070–2082.
    [https://doi.org/10.1111/add.14727](https://doi.org/10.1111/add.14727).

    **## BenchmarkResearchProposal1.docx**

    2

    **Benchmark Research Proposal**

    **Department of Counselor Education and Family Studies,**

    **Author Note,**

    I have no known conflict of interest to disclose.

    Correspondence concerning this article should be addressed to

    Email to:

    **Literature Review**

    Addiction recovery is one of the greatest issues in counseling clients. Moreover, the issue is even more complicated when the client experiences an alcohol use disorder (AUD) and has a mental condition as well. Alcohol use disorder (AUD) patients, according to research have poorer recovery outcomes compared to others. This is where the individual is also affected by a mental disorder. This can be a depressive disorder, anxiety disorder, or post-traumatic stress disorder (PTSD) (Marel et al. 2019). Clients who have comorbidities will tend to relapse frequently. They also struggle to remain in treatment and stay abstinent in general. In this respect, the optimal manner of facilitating recovery among this population is an important clinical problem.

    Formal treatment should be supplemented with such support groups as Alcoholics Anonymous (AA) and SMART Recovery. These are groups that are classified as peer recovery support groups. Developed in the 1930s, Alcoholics Anonymous presents a 12-step model that has spiritual foundations, which involves surrender to a superior power, friendship and further peer support. Various researchers indicate that AA attendance results in the production of better abstinence results, enhanced psychosocial functions, and lower chances of relapse (Kelly et al., 2020). The spiritual orientation and low-structure approach will not suit everyone, particularly the secular, or those who seek evidence-based, cognitive-behavioral approaches.

    SMART Recovery is a newer method capable of addressing this issue although it’s not faith-based. It trains the clients on self-management skills to deal with cravings and avoid relapse. It is founded on CBT and motivational therapy. With self-empowerment, independence, and realistic plans, SMART empowers human beings to transform their lifestyle. Kelly et al. (2023) demonstrated that SMART Recovery members can be psychosocially more stable at the entry of the treatment compared to AA members. This may be an indication of self-selection. The differences between the two programs in terms of their philosophy, structure, and appeal are therefore likely to produce different outcomes in the clients with comorbid psychiatric disorders although the peer support provided is similar.

    There is a literature gap on this issue as the past literature has narrowed generalization due to the past findings. This is according to Kelly et al. (2023) who used a sample selected in Boston and San Diego. Consequently, there was doubt of whether the results can be extrapolated both nationally and internationally. Furthermore, the greater part of data collection was during the COVID-19 pandemic that might have affected the attendance, the access to meetings, and the psychological needs of participants. Additional longitudinal trials will allow scientists to find out whether the impact of AA and SMART Recovery is lasting in the long run and in various groups, in particular, deviated sub-groups.

    Simply, the literature determines the significance of peer recovery programs in treatment among AUD clients, but fails to explain how they compare among clients with mental disorders. This paper will fill this gap by investigating long-term abstinence rates of individuals who attended AA, SMART Recovery or both and those with comorbid diagnoses. The study recommendations will make their contribution to the counseling profession by enlightening the program units and formulating recovery approaches depending on the needs of the clients.

    **Method**

    How does peer recovery support treatment (e.g., SMART Recovery and Alcoholics Anonymous (AA)) of alcohol use disorder (AUD)-patients with co-morbidity mental disorders achieve long-term abstinence outcome? The significance of this question is that it directly talks about an underserved clinical group, and appraises commonly accessible interventions that counselors frequently prescribe. The study will adopt a type of quasi-experimental longitudinal design. The participants will be selected in diverse regions of the U.S., such as urban and rural areas. The kind of peer recovery support program will be varied (e.g., SMART Recovery, AA, both or none). Dependent variables will be:

    1. Rates of sustained abstinence over 12–24 months, measured by participant self-report and verified through periodic breathalyzer or toxicology screenings.

    2. Severity of relapse, which is measured in terms of the frequency and intensity of drinking, after initial abstinence.

    3. Quality of life measures, measured with validated measures, including WHO Quality of Life-BREF scale.

    Participants will include adults between 21 and 65 years who have an alcohol use disorder with at least one comorbid psychiatric diagnosis. Participants will be recruited through the use of treatment centers, community outreach and referrals through the program. The data will be gathered at the baseline and then 12 and 24 months. The quantitative and qualitative data collection will be carried out using structured interviews and clinical records. The instruments whose Cronbach alpha is greater than 80 will be chosen. Repeated measures ANOVA will be used in the study to compare groups in terms of abstinence and quality of life outcomes across time. Regression models will also be used to investigate how the moderating effects of types and severity of comorbidity influence outcomes. Qualitative data that will be collected in the form of interviews will be analyzed through thematic analysis.

    **Integration**

    This study has a significant impact on the counseling profession. It ensues counselors are better equipped to provide evidence-based recommendations to clients with comorbid disorders. On the contrary, when both programs are applicable, the clients could be given an option on which of the programs is better aligned to their values, culture, and treatment goals. Equally, knowledge of the obstacles to participation like socioeconomic factors, cultural factors, or stigmatization associated with certain program philosophies will assist the counselors in suggesting a client to a better alternative.

    The theological ideas of restoration, healing and community support are the basis of this research proposal. The Bible repeatedly emphasizes the need to assist one another, and bear burdens of others. An example of this can be found in Galatians 6:2 that states: by bearing one another burdens, in this manner shall ye fulfil the law of Christ. This principle is implemented by the provision of peer-based recovery programs, such as spiritually based programs, such as Alcoholics Anonymous, and secular-based programs, such as SMART Recovery, where collective accountability and learning collectively are used. Such places help people to gather together and exchange experiences of hardships and support one another. The ultimate aim of the two programs is to ensure sobriety, which is assisting members in the process of their recovery.

    This research will help in developing a comprehensive model of care including biological, psychological, social and spiritual factors of the counseling profession by increasing their knowledge of effective interventions of alcohol use disorder (AUD) and their comorbidities. The findings can be utilized to illuminate the biblical worth of the care and inclusion whereby recovery support is provided to all regardless of cultural, belief, or socioeconomic orientation.

    **References**

    Kelly, J. F., Fallah-Sohy, N., Cristello, J., Stout, R. L., Jason, L. A., Hoeppner, B. B., Bergman, B. G. & White, W. L. (2023). Who affiliates with SMART Recovery? Involves comparing people who go to SMART Recovery, Alcoholics Anonymous, both, or neither. Alcohol: Clinical and Experimental Research, 47(10), 1939.
    [https://doi.org/10.1111/acer.15164](https://doi.org/10.1111/acer.15164).

    Keith, J. F., Humphries, K., and Perry, M. (2020). Programs like Alcoholics Anonymous help people who drink too much. Cochrane Database of Systematic Reviews, 3(3), CD012880.
    [https://doi.org/10.1002/14651858.CD012880.pub2](https://doi.org/10.1002/14651858.CD012880.pub2).

    Marel, C., Mills, K. L., Teesson, M., et al. (2019). Relapse to alcohol use disorder: a systematic review and meta-analysis of conditional probabilities. Addiction, 114(12), 2070–2082.
    [https://doi.org/10.1111/add.14727](https://doi.org/10.1111/add.14727).

    **## 16×9-Solid-Red.pptx**

    ## image2.jpg

    ## image1.jpg

    **## pptVideoDiscussionPresentYourResearchAssignmentInstructions.docx**

    COUC 515

    **Video Discussion: Present Your Research Assignment Instructions**

    You will complete one Video Discussion in this course. For this Video Discussion, you will share your completed research proposal in the format of a PowerPoint presentation with your classmates. You will create a narrated PowerPoint that includes each major point of your presentation and use it as a presentation template. Refer to this week’s Read and Watch materials before you prepare your presentation. The proposal narrated PowerPoint presentation must use Liberty sponsored slides for the entire PPT and include the following major points:

    1) Overview literature review (this is where you will present your argument for the need to fill the gap)

    2) Research questions

    3) The study design chosen and why

    4) Integration

    **You must provide your abstract and presentation in the body of your first post.** Your presentation must be concise yet thorough with highlighting the four points above in a narrated PowerPoint in video format. Please do not use YouTube to record your presentations, as these are not compliant with privacy. You may follow the prompts in the Discussion Resources to use Kaltura or record directly into Canvas.

    You must post your initial thread with the uploaded narrated PowerPoint by 11:59 p.m. (ET) on Thursday of the assigned Module: Week. You must then post 2 video replies of 2 – 3 minutes by 11:59 p.m. (ET) on Sunday of the assigned Module: Week. For the first thread, you must support your assertions with at least 2 scholarly citations in APA format. Each reply must incorporate at least 1 scholarly citation in current APA format. Any sources cited must have been published within the last five years.

    **Please keep in mind that you will be graded on your presentation skills and presentation. Any specific feedback on the proposal’s design will be given on the
    **Benchmark Research Proposal Assignment.**

    **## VideoDiscussionPresentYourResearchAssignmentInstructions1.docx**

    COUC 515

    **Video Discussion: Present Your Research Assignment Instructions**

    You will complete one Video Discussion in this course. For this Video Discussion, you will share your completed research proposal in the format of a PowerPoint presentation with your classmates. You will create a narrated PowerPoint that includes each major point of your presentation and use it as a presentation template. Refer to this week’s Read and Watch materials before you prepare your presentation. The proposal narrated PowerPoint presentation must use Liberty sponsored slides for the entire PPT and include the following major points:

    1) Overview literature review (this is where you will present your argument for the need to fill the gap)

    2) Research questions

    3) The study design chosen and why

    4) Integration

    **You must provide your abstract and presentation in the body of your first post.** Your presentation must be concise yet thorough with highlighting the four points above in a narrated PowerPoint in video format. Please do not use YouTube to record your presentations, as these are not compliant with privacy. You may follow the prompts in the Discussion Resources to use Kaltura or record directly into Canvas.

    You must post your initial thread with the uploaded narrated PowerPoint by 11:59 p.m. (ET) on Thursday of the assigned Module: Week. You must then post 2 video replies of 2 – 3 minutes by 11:59 p.m. (ET) on Sunday of the assigned Module: Week. For the first thread, you must support your assertions with at least 2 scholarly citations in APA format. Each reply must incorporate at least 1 scholarly citation in current APA format. Any sources cited must have been published within the last five years.

    **Please keep in mind that you will be graded on your presentation skills and presentation. Any specific feedback on the proposal’s design will be given on the
    **Benchmark Research Proposal Assignment.**

    **## BenchmarkResearchProposal1.docx**

    2

    **Benchmark Research Proposal**

    **Department of Counselor Education and Family Studies,**

    **Author Note,**

    I have no known conflict of interest to disclose.

    Correspondence concerning this article should be addressed to

    Email to:

    **Literature Review**

    Addiction recovery is one of the greatest issues in counseling clients. Moreover, the issue is even more complicated when the client experiences an alcohol use disorder (AUD) and has a mental condition as well. Alcohol use disorder (AUD) patients, according to research have poorer recovery outcomes compared to others. This is where the individual is also affected by a mental disorder. This can be a depressive disorder, anxiety disorder, or post-traumatic stress disorder (PTSD) (Marel et al. 2019). Clients who have comorbidities will tend to relapse frequently. They also struggle to remain in treatment and stay abstinent in general. In this respect, the optimal manner of facilitating recovery among this population is an important clinical problem.

    Formal treatment should be supplemented with such support groups as Alcoholics Anonymous (AA) and SMART Recovery. These are groups that are classified as peer recovery support groups. Developed in the 1930s, Alcoholics Anonymous presents a 12-step model that has spiritual foundations, which involves surrender to a superior power, friendship and further peer support. Various researchers indicate that AA attendance results in the production of better abstinence results, enhanced psychosocial functions, and lower chances of relapse (Kelly et al., 2020). The spiritual orientation and low-structure approach will not suit everyone, particularly the secular, or those who seek evidence-based, cognitive-behavioral approaches.

    SMART Recovery is a newer method capable of addressing this issue although it’s not faith-based. It trains the clients on self-management skills to deal with cravings and avoid relapse. It is founded on CBT and motivational therapy. With self-empowerment, independence, and realistic plans, SMART empowers human beings to transform their lifestyle. Kelly et al. (2023) demonstrated that SMART Recovery members can be psychosocially more stable at the entry of the treatment compared to AA members. This may be an indication of self-selection. The differences between the two programs in terms of their philosophy, structure, and appeal are therefore likely to produce different outcomes in the clients with comorbid psychiatric disorders although the peer support provided is similar.

    There is a literature gap on this issue as the past literature has narrowed generalization due to the past findings. This is according to Kelly et al. (2023) who used a sample selected in Boston and San Diego. Consequently, there was doubt of whether the results can be extrapolated both nationally and internationally. Furthermore, the greater part of data collection was during the COVID-19 pandemic that might have affected the attendance, the access to meetings, and the psychological needs of participants. Additional longitudinal trials will allow scientists to find out whether the impact of AA and SMART Recovery is lasting in the long run and in various groups, in particular, deviated sub-groups.

    Simply, the literature determines the significance of peer recovery programs in treatment among AUD clients, but fails to explain how they compare among clients with mental disorders. This paper will fill this gap by investigating long-term abstinence rates of individuals who attended AA, SMART Recovery or both and those with comorbid diagnoses. The study recommendations will make their contribution to the counseling profession by enlightening the program units and formulating recovery approaches depending on the needs of the clients.

    **Method**

    How does peer recovery support treatment (e.g., SMART Recovery and Alcoholics Anonymous (AA)) of alcohol use disorder (AUD)-patients with co-morbidity mental disorders achieve long-term abstinence outcome? The significance of this question is that it directly talks about an underserved clinical group, and appraises commonly accessible interventions that counselors frequently prescribe. The study will adopt a type of quasi-experimental longitudinal design. The participants will be selected in diverse regions of the U.S., such as urban and rural areas. The kind of peer recovery support program will be varied (e.g., SMART Recovery, AA, both or none). Dependent variables will be:

    1. Rates of sustained abstinence over 12–24 months, measured by participant self-report and verified through periodic breathalyzer or toxicology screenings.

    2. Severity of relapse, which is measured in terms of the frequency and intensity of drinking, after initial abstinence.

    3. Quality of life measures, measured with validated measures, including WHO Quality of Life-BREF scale.

    Participants will include adults between 21 and 65 years who have an alcohol use disorder with at least one comorbid psychiatric diagnosis. Participants will be recruited through the use of treatment centers, community outreach and referrals through the program. The data will be gathered at the baseline and then 12 and 24 months. The quantitative and qualitative data collection will be carried out using structured interviews and clinical records. The instruments whose Cronbach alpha is greater than 80 will be chosen. Repeated measures ANOVA will be used in the study to compare groups in terms of abstinence and quality of life outcomes across time. Regression models will also be used to investigate how the moderating effects of types and severity of comorbidity influence outcomes. Qualitative data that will be collected in the form of interviews will be analyzed through thematic analysis.

    **Integration**

    This study has a significant impact on the counseling profession. It ensues counselors are better equipped to provide evidence-based recommendations to clients with comorbid disorders. On the contrary, when both programs are applicable, the clients could be given an option on which of the programs is better aligned to their values, culture, and treatment goals. Equally, knowledge of the obstacles to participation like socioeconomic factors, cultural factors, or stigmatization associated with certain program philosophies will assist the counselors in suggesting a client to a better alternative.

    The theological ideas of restoration, healing and community support are the basis of this research proposal. The Bible repeatedly emphasizes the need to assist one another, and bear burdens of others. An example of this can be found in Galatians 6:2 that states: by bearing one another burdens, in this manner shall ye fulfil the law of Christ. This principle is implemented by the provision of peer-based recovery programs, such as spiritually based programs, such as Alcoholics Anonymous, and secular-based programs, such as SMART Recovery, where collective accountability and learning collectively are used. Such places help people to gather together and exchange experiences of hardships and support one another. The ultimate aim of the two programs is to ensure sobriety, which is assisting members in the process of their recovery.

    This research will help in developing a comprehensive model of care including biological, psychological, social and spiritual factors of the counseling profession by increasing their knowledge of effective interventions of alcohol use disorder (AUD) and their comorbidities. The findings can be utilized to illuminate the biblical worth of the care and inclusion whereby recovery support is provided to all regardless of cultural, belief, or socioeconomic orientation.

    **References**

    Kelly, J. F., Fallah-Sohy, N., Cristello, J., Stout, R. L., Jason, L. A., Hoeppner, B. B., Bergman, B. G. & White, W. L. (2023). Who affiliates with SMART Recovery? Involves comparing people who go to SMART Recovery, Alcoholics Anonymous, both, or neither. Alcohol: Clinical and Experimental Research, 47(10), 1939.
    [https://doi.org/10.1111/acer.15164](https://doi.org/10.1111/acer.15164).

    Keith, J. F., Humphries, K., and Perry, M. (2020). Programs like Alcoholics Anonymous help people who drink too much. Cochrane Database of Systematic Reviews, 3(3), CD012880.
    [https://doi.org/10.1002/14651858.CD012880.pub2](https://doi.org/10.1002/14651858.CD012880.pub2).

    Marel, C., Mills, K. L., Teesson, M., et al. (2019). Relapse to alcohol use disorder: a systematic review and meta-analysis of conditional probabilities. Addiction, 114(12), 2070–2082.
    [https://doi.org/10.1111/add.14727](https://doi.org/10.1111/add.14727).

    **## 16×9-Solid-Red.pptx**

    ## image2.jpg

    ## image1.jpg

    **## pptVideoDiscussionPresentYourResearchAssignmentInstructions.docx**

    COUC 515

    **Video Discussion: Present Your Research Assignment Instructions**

    You will complete one Video Discussion in this course. For this Video Discussion, you will share your completed research proposal in the format of a PowerPoint presentation with your classmates. You will create a narrated PowerPoint that includes each major point of your presentation and use it as a presentation template. Refer to this week’s Read and Watch materials before you prepare your presentation. The proposal narrated PowerPoint presentation must use Liberty sponsored slides for the entire PPT and include the following major points:

    1) Overview literature review (this is where you will present your argument for the need to fill the gap)

    2) Research questions

    3) The study design chosen and why

    4) Integration

    **You must provide your abstract and presentation in the body of your first post.** Your presentation must be concise yet thorough with highlighting the four points above in a narrated PowerPoint in video format. Please do not use YouTube to record your presentations, as these are not compliant with privacy. You may follow the prompts in the Discussion Resources to use Kaltura or record directly into Canvas.

    You must post your initial thread with the uploaded narrated PowerPoint by 11:59 p.m. (ET) on Thursday of the assigned Module: Week. You must then post 2 video replies of 2 – 3 minutes by 11:59 p.m. (ET) on Sunday of the assigned Module: Week. For the first thread, you must support your assertions with at least 2 scholarly citations in APA format. Each reply must incorporate at least 1 scholarly citation in current APA format. Any sources cited must have been published within the last five years.

    **Please keep in mind that you will be graded on your presentation skills and presentation. Any specific feedback on the proposal’s design will be given on the
    **Benchmark Research Proposal Assignment.**

    **## VideoDiscussionPresentYourResearchAssignmentInstructions1.docx**

    COUC 515

    **Video Discussion: Present Your Research Assignment Instructions**

    You will complete one Video Discussion in this course. For this Video Discussion, you will share your completed research proposal in the format of a PowerPoint presentation with your classmates. You will create a narrated PowerPoint that includes each major point of your presentation and use it as a presentation template. Refer to this week’s Read and Watch materials before you prepare your presentation. The proposal narrated PowerPoint presentation must use Liberty sponsored slides for the entire PPT and include the following major points:

    1) Overview literature review (this is where you will present your argument for the need to fill the gap)

    2) Research questions

    3) The study design chosen and why

    4) Integration

    **You must provide your abstract and presentation in the body of your first post.** Your presentation must be concise yet thorough with highlighting the four points above in a narrated PowerPoint in video format. Please do not use YouTube to record your presentations, as these are not compliant with privacy. You may follow the prompts in the Discussion Resources to use Kaltura or record directly into Canvas.

    You must post your initial thread with the uploaded narrated PowerPoint by 11:59 p.m. (ET) on Thursday of the assigned Module: Week. You must then post 2 video replies of 2 – 3 minutes by 11:59 p.m. (ET) on Sunday of the assigned Module: Week. For the first thread, you must support your assertions with at least 2 scholarly citations in APA format. Each reply must incorporate at least 1 scholarly citation in current APA format. Any sources cited must have been published within the last five years.

    **Please keep in mind that you will be graded on your presentation skills and presentation. Any specific feedback on the proposal’s design will be given on the
    **Benchmark Research Proposal Assignment.**

    **## BenchmarkResearchProposal1.docx**

    2

    **Benchmark Research Proposal**

    **Department of Counselor Education and Family Studies,**

    **Author Note,**

    I have no known conflict of interest to disclose.

    Correspondence concerning this article should be addressed to

    Email to:

    **Literature Review**

    Addiction recovery is one of the greatest issues in counseling clients. Moreover, the issue is even more complicated when the client experiences an alcohol use disorder (AUD) and has a mental condition as well. Alcohol use disorder (AUD) patients, according to research have poorer recovery outcomes compared to others. This is where the individual is also affected by a mental disorder. This can be a depressive disorder, anxiety disorder, or post-traumatic stress disorder (PTSD) (Marel et al. 2019). Clients who have comorbidities will tend to relapse frequently. They also struggle to remain in treatment and stay abstinent in general. In this respect, the optimal manner of facilitating recovery among this population is an important clinical problem.

    Formal treatment should be supplemented with such support groups as Alcoholics Anonymous (AA) and SMART Recovery. These are groups that are classified as peer recovery support groups. Developed in the 1930s, Alcoholics Anonymous presents a 12-step model that has spiritual foundations, which involves surrender to a superior power, friendship and further peer support. Various researchers indicate that AA attendance results in the production of better abstinence results, enhanced psychosocial functions, and lower chances of relapse (Kelly et al., 2020). The spiritual orientation and low-structure approach will not suit everyone, particularly the secular, or those who seek evidence-based, cognitive-behavioral approaches.

    SMART Recovery is a newer method capable of addressing this issue although it’s not faith-based. It trains the clients on self-management skills to deal with cravings and avoid relapse. It is founded on CBT and motivational therapy. With self-empowerment, independence, and realistic plans, SMART empowers human beings to transform their lifestyle. Kelly et al. (2023) demonstrated that SMART Recovery members can be psychosocially more stable at the entry of the treatment compared to AA members. This may be an indication of self-selection. The differences between the two programs in terms of their philosophy, structure, and appeal are therefore likely to produce different outcomes in the clients with comorbid psychiatric disorders although the peer support provided is similar.

    There is a literature gap on this issue as the past literature has narrowed generalization due to the past findings. This is according to Kelly et al. (2023) who used a sample selected in Boston and San Diego. Consequently, there was doubt of whether the results can be extrapolated both nationally and internationally. Furthermore, the greater part of data collection was during the COVID-19 pandemic that might have affected the attendance, the access to meetings, and the psychological needs of participants. Additional longitudinal trials will allow scientists to find out whether the impact of AA and SMART Recovery is lasting in the long run and in various groups, in particular, deviated sub-groups.

    Simply, the literature determines the significance of peer recovery programs in treatment among AUD clients, but fails to explain how they compare among clients with mental disorders. This paper will fill this gap by investigating long-term abstinence rates of individuals who attended AA, SMART Recovery or both and those with comorbid diagnoses. The study recommendations will make their contribution to the counseling profession by enlightening the program units and formulating recovery approaches depending on the needs of the clients.

    **Method**

    How does peer recovery support treatment (e.g., SMART Recovery and Alcoholics Anonymous (AA)) of alcohol use disorder (AUD)-patients with co-morbidity mental disorders achieve long-term abstinence outcome? The significance of this question is that it directly talks about an underserved clinical group, and appraises commonly accessible interventions that counselors frequently prescribe. The study will adopt a type of quasi-experimental longitudinal design. The participants will be selected in diverse regions of the U.S., such as urban and rural areas. The kind of peer recovery support program will be varied (e.g., SMART Recovery, AA, both or none). Dependent variables will be:

    1. Rates of sustained abstinence over 12–24 months, measured by participant self-report and verified through periodic breathalyzer or toxicology screenings.

    2. Severity of relapse, which is measured in terms of the frequency and intensity of drinking, after initial abstinence.

    3. Quality of life measures, measured with validated measures, including WHO Quality of Life-BREF scale.

    Participants will include adults between 21 and 65 years who have an alcohol use disorder with at least one comorbid psychiatric diagnosis. Participants will be recruited through the use of treatment centers, community outreach and referrals through the program. The data will be gathered at the baseline and then 12 and 24 months. The quantitative and qualitative data collection will be carried out using structured interviews and clinical records. The instruments whose Cronbach alpha is greater than 80 will be chosen. Repeated measures ANOVA will be used in the study to compare groups in terms of abstinence and quality of life outcomes across time. Regression models will also be used to investigate how the moderating effects of types and severity of comorbidity influence outcomes. Qualitative data that will be collected in the form of interviews will be analyzed through thematic analysis.

    **Integration**

    This study has a significant impact on the counseling profession. It ensues counselors are better equipped to provide evidence-based recommendations to clients with comorbid disorders. On the contrary, when both programs are applicable, the clients could be given an option on which of the programs is better aligned to their values, culture, and treatment goals. Equally, knowledge of the obstacles to participation like socioeconomic factors, cultural factors, or stigmatization associated with certain program philosophies will assist the counselors in suggesting a client to a better alternative.

    The theological ideas of restoration, healing and community support are the basis of this research proposal. The Bible repeatedly emphasizes the need to assist one another, and bear burdens of others. An example of this can be found in Galatians 6:2 that states: by bearing one another burdens, in this manner shall ye fulfil the law of Christ. This principle is implemented by the provision of peer-based recovery programs, such as spiritually based programs, such as Alcoholics Anonymous, and secular-based programs, such as SMART Recovery, where collective accountability and learning collectively are used. Such places help people to gather together and exchange experiences of hardships and support one another. The ultimate aim of the two programs is to ensure sobriety, which is assisting members in the process of their recovery.

    This research will help in developing a comprehensive model of care including biological, psychological, social and spiritual factors of the counseling profession by increasing their knowledge of effective interventions of alcohol use disorder (AUD) and their comorbidities. The findings can be utilized to illuminate the biblical worth of the care and inclusion whereby recovery support is provided to all regardless of cultural, belief, or socioeconomic orientation.

    **References**

    Kelly, J. F., Fallah-Sohy, N., Cristello, J., Stout, R. L., Jason, L. A., Hoeppner, B. B., Bergman, B. G. & White, W. L. (2023). Who affiliates with SMART Recovery? Involves comparing people who go to SMART Recovery, Alcoholics Anonymous, both, or neither. Alcohol: Clinical and Experimental Research, 47(10), 1939.
    [https://doi.org/10.1111/acer.15164](https://doi.org/10.1111/acer.15164).

    Keith, J. F., Humphries, K., and Perry, M. (2020). Programs like Alcoholics Anonymous help people who drink too much. Cochrane Database of Systematic Reviews, 3(3), CD012880.
    [https://doi.org/10.1002/14651858.CD012880.pub2](https://doi.org/10.1002/14651858.CD012880.pub2).

    Marel, C., Mills, K. L., Teesson, M., et al. (2019). Relapse to alcohol use disorder: a systematic review and meta-analysis of conditional probabilities. Addiction, 114(12), 2070–2082.
    [https://doi.org/10.1111/add.14727](https://doi.org/10.1111/add.14727).

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