Twelve-step recovery programs such as Alcoholics Anonymous and Narcotics Anonymous are central to supporting individuals in recovery from substance use disorders. When COVID-19 restrictions forced in-person meetings to close, online meetings quickly grew to fill the gap, AA meetings alone increased by 900% in just one month. This project examines how the shift to virtual meetings has affected recovery outcomes, mental health, and peer support. By following participants over time, the study will identify who benefits most from online recovery support and how it compares to face-to-face meetings, providing valuable insights for tailoring recovery services during crises and beyond.

Findings will guide clinicians, treatment providers, and policymakers in recommending effective recovery supports for diverse populations, including those unable to attend in-person meetings. Results will also inform best practices for integrating online recovery programs into long-term strategies, ensuring people in recovery have accessible, effective, and personalized support options.