Identifying and Testing Post-Overdose Outreach Adaptations to Enhance Survivor Engagement During the COVID-19 Pandemic
确定和测试服药过量后的外展适应措施,以增强 COVID-19 大流行期间幸存者的参与
基本信息
- 批准号:10426376
- 负责人:
- 金额:$ 23.01万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2021
- 资助国家:美国
- 起止时间:2021-06-15 至 2024-05-31
- 项目状态:已结题
- 来源:
- 关键词:2019-nCoVAccidental InjuryAreaBostonCOVID-19COVID-19 pandemicCenters for Disease Control and Prevention (U.S.)Cessation of lifeCharacteristicsClientCommunitiesDataDeath RateDevelopmentDropsDrug abuseEconomicsElementsEpidemicEquipment and supply inventoriesEvaluationFeasibility StudiesFundingFutureGoalsHealthHealth SciencesHealth ServicesHealth Services AccessibilityHospitalizationIndividualInfrastructureInterventionInterviewMasksMassachusettsMedicalMedical centerMethodsNaloxoneOverdoseOverdose reductionPersonsPharmaceutical PreparationsPilot ProjectsPoliciesPreventionPromoting Action on Research Implementation in Health Services frameworkPublic HealthPublic Health SchoolsResearchResearch PersonnelRiskRisk BehaviorsRisk FactorsSARS-CoV-2 infectionSafetyServicesSocial DistanceSocial WorkSubstance AddictionSurveysSurvivorsSystemTelemedicineTelephoneTestingText MessagingTimeUniversitiesUpdatecare systemsfollow-uphealth care servicehigh riskimprovedinnovationinsightintervention programmortalityopioid overdoseopioid use disorderoutreachoutreach programoverdose deathoverdose educationoverdose riskpandemic diseasepilot testprogramsresponsesocialsocial science researchsuccess
项目摘要
PROJECT SUMMARY / ABSTRACT
As the leading cause of accidental injury death, overdose remains a critical public health challenge that has
worsened in the midst of the COVID-19 pandemic. Engaging overdose survivors in OEND and MOUD presents
a key opportunity to reduce subsequent fatal overdose. In response to the opioid overdose epidemic,
community post-overdose outreach programs, which typically include partner public health and public safety
professionals to follow-up with overdose survivors in-person, have emerged to engage overdose survivors in
OEND and MOUD. With the onset of the COVID-19 pandemic, most post-overdose programs suspended or
initially reduced their contact with overdose survivors and, then, adapted their outreach activities to continue
their engagement with high-risk overdose survivors. These innovations included telephone and texting contact,
distributing phones to those without, drop-off distribution of OEND kits and masks, and telemedicine
partnerships for low barrier MOUD initiation. Identifying, describing, and testing these innovations is crucial to
understand how to best engage overdose survivors in the midst of the COVID pandemic and beyond. In this
R21, we propose a two-year plan to identify and describe innovative post-overdose engagement strategies
developed during the COVID-19 pandemic, and to pilot test a toolkit of the most promising adaptations. The
specific aims are to identify innovative adaptions in response to the COVID-19 pandemic through a statewide
survey (Aim 1), describe mechanisms of action that promote or impede successful COVID-19 related
adaptations through 30 qualitative interviews of overdose survivors and post-overdose outreach staff (Aim 2),
and pilot test a toolkit of the most promising COVID-19 adaptive strategies within one post-overdose outreach
program to increase the number of overdose survivor contacts, naloxone rescue kits provided, and referrals to
MOUD (Aim 3). Guided by the PARiHS framework, our mixed-method approach will provide critical insight on
what has promoted or impeded success of COVID-19 related adaptations and enable successful and
sustained change during the COVID-19 pandemic and beyond. Our ultimate goal is to develop an effective,
community-level post-overdose outreach intervention toolkit that reduces opioid overdose fatalities via
engaging overdose survivors in OEND and MOUD that is resilient to the COVID-19 pandemic’s social and
economic challenges.
项目总结/摘要
作为意外伤害死亡的主要原因,药物过量仍然是一个关键的公共卫生挑战,
于2019冠状病毒病大流行期间恶化。在OEND和MOUD中参与过量幸存者
这是减少随后致命过量的关键机会。为了应对阿片类药物过量的流行,
社区过量后外展计划,其中通常包括合作伙伴的公共卫生和公共安全
专业人士与过量幸存者亲自跟进,已经出现了参与过量幸存者,
Oend和MOUD。随着COVID-19大流行的爆发,大多数过量用药后计划暂停或
最初,他们减少了与吸毒过量幸存者的接触,然后调整了他们的外展活动,
他们与高风险的吸毒过量幸存者的接触这些创新包括电话和短信联系,
向那些没有手机的人分发手机,分发OEND套件和口罩,以及远程医疗
低障碍MOUD启动的伙伴关系。识别、描述和测试这些创新对于
了解如何在COVID大流行期间及以后最好地吸引过量幸存者。在这
R21,我们提出了一个为期两年的计划,以确定和描述创新的过量后参与战略
在COVID-19大流行期间开发,并对最有前途的适应工具包进行试点测试。的
具体目标是通过全州范围内的
调查(目标1),描述促进或阻碍与COVID-19相关的成功的行动机制
通过对过量用药幸存者和过量用药后外联工作人员进行30次定性访谈进行调整(目标2),
并在一次过量用药后的外联活动中对最有希望的COVID-19适应性策略工具包进行试点测试
计划增加过量幸存者接触的数量,提供纳洛酮急救包,并转介到
MOUD(目标3)。在PARiHS框架的指导下,我们的混合方法将为以下方面提供关键的见解:
什么促进或阻碍了COVID-19相关适应的成功,并使成功和
在COVID-19大流行期间及以后发生持续变化。我们的最终目标是建立一个有效的,
社区一级过量后外联干预工具包,通过以下方式减少阿片类药物过量死亡
让过量用药幸存者参与OEND和MOUD,以适应COVID-19大流行的社会和
经济挑战。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Alexander Yale Walley其他文献
Polypharmacy and non-fatal overdose in patients with HIV infection and substance dependence
- DOI:
10.1016/j.drugalcdep.2016.08.290 - 发表时间:
2017-02-01 - 期刊:
- 影响因子:
- 作者:
Theresa W. Kim;Alexander Yale Walley;Alicia S. Ventura;Gabriel Lerner;Greg Patts;Timothy Heeren;Richard Saitz - 通讯作者:
Richard Saitz
Help-seeking among community responders trained in overdose prevention and naloxone administration
- DOI:
10.1016/j.drugalcdep.2016.08.576 - 发表时间:
2017-02-01 - 期刊:
- 影响因子:
- 作者:
Alexander Yale Walley;Julia Sisti;Leah Forman;Sarah Ruiz;Ziming Xuan - 通讯作者:
Ziming Xuan
Urine drug testing for patients on buprenorphine: Informative beyond self-reported cocaine and opioid use?
- DOI:
10.1016/j.drugalcdep.2016.08.051 - 发表时间:
2017-02-01 - 期刊:
- 影响因子:
- 作者:
Sarah Mary Bagley;Debbie M. Cheng;Michael R. Winter;Dan Alford;Colleen Labelle;Alexander Yale Walley;Jeffrey H. Samet - 通讯作者:
Jeffrey H. Samet
Sexual risk and substance use behaviors among partnered and non-partnered HIV-infected adults with substance dependence
- DOI:
10.1016/j.drugalcdep.2016.08.060 - 发表时间:
2017-02-01 - 期刊:
- 影响因子:
- 作者:
Angela Robertson Bazzi;Meg Sullivan;Mari-Lynn Drainoni;Alicia S. Ventura;Gregory J. Patts;Alexander Yale Walley;Richard Saitz - 通讯作者:
Richard Saitz
LINC – A strengths-based case management intervention to LINK HIV-infected PWID in Russia to HIV care – RCT results
- DOI:
10.1016/j.drugalcdep.2016.08.497 - 发表时间:
2017-02-01 - 期刊:
- 影响因子:
- 作者:
Jeffrey H. Samet;Elena Blokhina;Debbie M. Cheng;Alexander Yale Walley;Dmitry Lioznov;Christine Chaisson;Carly Bridden;Emily Quinn;Natalia Gnatienko;Olga Toussova;Allen Gifford;Evgeny Krupitsky;Anita Raj - 通讯作者:
Anita Raj
Alexander Yale Walley的其他文献
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{{ truncateString('Alexander Yale Walley', 18)}}的其他基金
Identifying and Testing Post-Overdose Outreach Adaptations to Enhance Survivor Engagement During the COVID-19 Pandemic
确定和测试服药过量后的外展适应措施,以增强 COVID-19 大流行期间幸存者的参与
- 批准号:
10347656 - 财政年份:2021
- 资助金额:
$ 23.01万 - 项目类别:
Knock and Talk: Public Health-Public Safety Partnerships for Post-Overdose Outreach and Prevention
敲门说话:公共卫生与公共安全伙伴关系,促进服药过量后的外展和预防
- 批准号:
9894696 - 财政年份:2018
- 资助金额:
$ 23.01万 - 项目类别:
Impact of overdose prevention education and intranasal naloxone on fatal and non-
过量预防教育和鼻内纳洛酮对致命和非致命的影响
- 批准号:
7764847 - 财政年份:2009
- 资助金额:
$ 23.01万 - 项目类别:
Facilitated Access to Substance Abuse Treatment with Prevention and Treatment of
通过预防和治疗促进获得药物滥用治疗
- 批准号:
7468815 - 财政年份:2007
- 资助金额:
$ 23.01万 - 项目类别:
Facilitated Access to Substance Abuse Treatment with Prevention and Treatment of
通过预防和治疗促进获得药物滥用治疗
- 批准号:
7493524 - 财政年份:2007
- 资助金额:
$ 23.01万 - 项目类别:
Facilitated Access to Substance Abuse Treatment with Prevention and Treatment of
通过预防和治疗促进获得药物滥用治疗
- 批准号:
7659365 - 财政年份:2007
- 资助金额:
$ 23.01万 - 项目类别:
Facilitated Access to Substance Abuse Treatment with Prevention and Treatment of
通过预防和治疗促进获得药物滥用治疗
- 批准号:
8110456 - 财政年份:2007
- 资助金额:
$ 23.01万 - 项目类别:
Facilitated Access to Substance Abuse Treatment with Prevention and Treatment of
通过预防和治疗促进获得药物滥用治疗
- 批准号:
7884404 - 财政年份:2007
- 资助金额:
$ 23.01万 - 项目类别:
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