Optimizing HEALing in Ohio Communities (OHiO)-Health Equity Supplement

优化俄亥俄州社区 (OHiO) 的治疗 - 健康公平补充

• 批准号: 10890393
• 负责人: Bridget J Freisthler
• 金额: $ 79.98万
• 依托单位: OHIO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-15 至 2024-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10890393
• 关键词: Achievement; Acute; Address; Adoption; Age; Attention; Awareness; Black Populations; COVID-19 pandemic; Collaborations; Communities; Community Health; Continuity of Patient Care; Data; Data Analyses; Data Sources; Death Rate; Decision Making; Disparity; Equity; Ethnic Origin; Frequencies; Gender; Geography; Goals; Grant; Health; Health Services Accessibility; Homelessness; Individual; Infrastructure; Infusion procedures; Intervention; Kentucky; Learning; Legal system; Manuscripts; Maps; Massachusetts; Measures; Methods; Modeling; Naloxone; National Institute of Drug Abuse; Nature; New York; Not Hispanic or Latino; Ohio; Outcome; Outcome Study; Overdose reduction; Parents; Participant; Persons; Pharmaceutical Preparations; Phase; Policies; Population; Prevention education; Prevention strategy; Process; Protocols documentation; Publications; Publishing; Race; Racial Equity; Randomized; Reach, Effectiveness, Adoption, Implementation, and Maintenance; Readiness; Reporting; Research Personnel; Resources; Respondent; Rural; Site; Special Population; Surveys; Time; Training; Underserved Population; United States Substance Abuse and Mental Health Services Administration; Waiting Lists; Work; arm; black men; comparison intervention; contextual factors; demographics; design; disparity reduction; ethnic disparity; ethnic diversity; ethnic minority; ethnic minority population; healing; health equity; implementation strategy; insight; medication for opioid use disorder; meetings; member; minority communities; novel; opioid mortality; opioid overdose; opioid use disorder; overdose death; overdose prevention; racial disparity; racial minority; racial minority population; response; satisfaction; sex; shared decision making; social health determinants; social stigma; sociodemographics; tool; treatment as usual; trend

Project Summary/Abstract This supplement aims to explore the impact of the infusion of health equity principles on overdose prevention strategies during implementation of the Communities That Heal (CTH) intervention as part of the HEALing Communities Study (HCS). The HCS is a multi-site, parallel arm, cluster randomized, wait-list controlled trial evaluating the impact of the CTH intervention compared with usual care in wait-list communities, on overdose deaths. The overall goal of the HCS is to reduce opioid overdose deaths by 40% in 67 HCS communities across four states. Communities form coalitions to make shared decisions about what overdose prevention strategies to implement and how best to implement them, particularly strategies that promote Overdose Prevention Education and Naloxone Distribution (OEND) and Medications for Opioid Use Disorder (MOUD). While it is known that minoritized communities (whether due to race, ethnicity, gender, or LGBTQIA+ status) have less and poorer access to treatment for Opioid Use Disorder (OUD) and associated disparities in outcomes, at its outset, HCS did not explicitly aim to reduce disparities or measure the effect of centering equity on overdose prevention. This approach changed in 2020 with acute awareness of the racial and ethnic disparities within the COVID epidemic and the racial awakening in response to the George Floyd killing. This supplement will leverage the existing infrastructure and study staff of its parent study to analyze survey and other qualitative data already collected. The primary data sources will include surveys of coalition members, completed at four time points during the study period; the Opioid-Overdose Reduction Continuum of Care Approach Tracker (ORCCAT), completed monthly by study staff, that includes overdose prevention information by strategy, sector, venue, population served, coalition approval date, implementation plan developed, date started, number of partners/practices associated with strategy, and mode of delivery; and REACH data, completed by study staff monthly once each strategy is implemented that includes information on number of persons reached and demographics of those reached (e.g., race, ethnicity, sex, age). Data analysis will include both quantitative analysis examining associations between survey answers regarding health equity topics and incorporation of equity into strategies, as well as qualitative analysis examining how coalitions discussed and prioritized equity topics. This study will be guided by the parent study’s PRISM/RE-AIM(S) conceptual framework with a novel health equity lens to examine how diversifying coalitions and infusing opioid overdose prevention strategies with health equity principles may help reach minoritized communities and how these contextual factors and processes may interact to promote or impede health equity. Results from this study may be used to inform policies, strategies, and practices for incorporating health equity principles when implementing overdose prevention strategies.

项目总结/文摘

项目成果

Community Coalitions' Perspectives on Engaging with Hospitals in Ohio to Address the Opioid Crisis.

社区联盟对与俄亥俄州医院合作解决阿片类药物危机的看法。

• DOI: 10.1089/pop.2022.0174
• 发表时间: 2022
• 期刊: Population health management
• 影响因子: 2.5
• 作者: Walker,DanielM;Shiu-Yee,Karen;Chen,Sadie;DePuccio,MatthewJ;Jackson,RebeccaD;McAlearney,AnnScheck
• 通讯作者: McAlearney,AnnScheck