NorthStar Node of the Clinical Trials Network: Facebook intervention for preventing opioid relapse among American Indian Women
NorthStar Node of the Clinical Trials Network: Facebook intervention for preventing opioid relapse among American Indian Women
批准号:
10391905
负责人:
GAVIN BART
金额:
$23.87万
依托单位国家:
美国
项目类别:
财政年份:
2021
资助国家:
美国
项目状态:
已结题
起止时间:
2021-04-15 至 2022-02-28
关键词:
AbstinenceAddressAdoptedAdoptionAdultAdvisory CommitteesAffectAlaska NativeAmerican IndiansBiologicalCOVID-19 pandemicClinical Trials NetworkCommunitiesDevelopmentEffectiveness of InterventionsFacebookFundingFutureGenderGenerationsHIVHepatitis CIndividualInterventionIntervention TrialInterviewLeadMinnesotaModelingMorbidity - disease rateOpioidOverdoseParticipantPharmacotherapyPhasePopulationPublic HealthRandomizedRecoveryRelapseResearchResourcesSamplingSocial NetworkSocial supportStressTechnologyTelephoneTestingTimeTraumaWomanWorkaddictionbasecare providerscontrol trialcopingcultural valuesdesigndigitaldisorder later incidence preventionevidence basehealthcare communityinnovationmedication-assisted treatmentmenmortalityopioid useopioid use disorderperceived stressprescription opioidpreventpreventive interventionprototyperecruitresiliencesocialsocial mediastress managementstress reactivitysubstance usevirtual
中文摘要
项目总结
英文摘要
PROJECT SUMMARY
In 2017, American Indian and Alaska Native (AIAN) adults in Minnesota (MN) were six times more likely to
die of an overdose involving opioids than whites, representing the greatest disparity observed between AIAN
and whites in the US. Medication for opioid use disorder (MOUD) is an evidence-based approach, and
strategies to promote continuation of pharmacotherapy and support OUD recovery are important. Gender-
specific factors affecting opioid use relapse and recovery that are more prevalent in women compared with
men include perceived stress, trauma, and social support for abstinence. AIAN gender-specific interventions
for OUD do not exist. Research has documented the positive impact of social networks and social support on
abstinence from substance use. However, understanding how best to leverage social support remains a key
challenge for the addiction’s treatment field. We propose to address these gaps by developing a social digital
(Facebook) intervention to promote stress management and social network support for opioid abstinence
among AIAN women. Virtual digital platforms have potential for greater reach and scale. Consistent with the
AIAN cultural value of interdependence, social media-formed groups to prevent opioid relapse could lead to
greater adoption and sustainability by encouraging collaborative efforts across generations of AIAN women
and leveraging community resilience for coping with stress. The overall objective of this one-year, Phase I, pilot
preparatory study is to develop and beta-test a Facebook intervention for reducing opioid relapse among AIAN
women. This project was designed with community partners at the MN Indian Women’s Resource Center
(MIWRC). A study-specific community advisory committee will guide all project activities. The Specific Aim is to
develop and beta-test the Facebook intervention content and prototype. In this formative work, we will conduct
individual qualitative interviews by phone/video with a purposefully recruited sample of AIAN women with OUD,
with at least one month of abstinence and receiving MOUD (n=12); as well as addiction care providers and
AIAN community stakeholders (n=12). Participants will provide input on the cultural relevance and perceived
effectiveness of intervention content. A Facebook intervention prototype will be developed, beta-tested, and
iteratively refined with AIAN women (n=10).
Results will inform development of a future pilot randomized control trial of the intervention. This project is
innovative for developing a gender-specific, socially based, opioid relapse prevention intervention using social
media technologies that are culturally relevant and already adopted. This proof-of-concept study is the first
step to an intervention that could ultimately be widely disseminated through addiction health care and
community-based settings as well as social media; and serve as a model for developing social digital
addictions treatment in other populations, enhancing overall reach and impact.
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依托单位:
海外基金