"I Gotta Go With Modern Technology, So I'm Gonna Give 'em the Narcan": The Diffusion of Innovations and an Opioid Overdose Prevention Program
"I Gotta Go With Modern Technology, So I'm Gonna Give 'em the Narcan": The Diffusion of Innovations and an Opioid Overdose Prevention Program
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DOI：
10.1177/1049732318800289
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发表时间：
2019-02-01
影响因子：
3.2
通讯作者：
Lankenau, Stephen E.
中科院分区：
文献类型：
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作者：
Bowles, Jeanette M.;Lankenau, Stephen E.
致命的阿片类药物过量预防计划 (OOPP) 可以预防阿片类药物过量服用。本研究定性研究了阿片类药物饱和社区中 30 名注射吸毒者 (PWID) 中 OOPP 的扩散过程。根据对 OOPP 的熟悉程度，采用有目的抽样将参与者分为三组。调查结果显示，参与者通常会采用由当地减少危害组织提供的 OOPP，如果托管和实施该方案的工作人员首先接触到该方案。采用的障碍包括认为 OOPP 培训冗长或不必要、缺乏可感知的相对优势、不与主办组织接触以及对向其他吸毒者使用导致戒断的药物感到恐惧。传播 OOPP 的网络之外的参与者与其他注射吸毒者隔离。主办组织的工作人员在鼓励采用 OOPP 方面发挥了影响力，这突显了他们在减少致命过量用药方面的重要性。
Fatal opioid overdoses can be prevented by opioid overdose prevention programs (OOPPs). The present study qualitatively examined the diffusion process of an OOPP among 30 persons who inject drugs (PWIDs) in an opioid-saturated community. Purposive sampling was used to recruit participants into three groups based on familiarity with the OOPP. Findings revealed that participants often adopted the OOPP, which was offered by a local harm reduction organization, if first exposed by staff hosting and implementing it. Barriers to adoption included belief that OOPP training was lengthy or unnecessary, lack of perceived relative advantage, nonengagement with the host organization, and trepidation of administering withdrawal-causing medication to fellow PWIDs. Participants outside of networks diffusing the OOPP were isolated from other PWIDs. Staff from the host organization were influential in encouraging OOPP adoption, which underscores their importance in the effort to reduce fatal overdoses.