Community-based, client-centered prevention homes to address the rural opioid epidemic

项目总结 针对NOT-DA-20-047，关于提供管理服务的特别关注通知(NOSI) 2019年新型冠状病毒研究的补充和紧急竞争性修订，我们的研究 研究小组建议增加我们对药物使用和共用注射器行为、过量服药、 通过开发一项基于电话的调查，了解无家可归者和残疾人在新冠肺炎期间面临的其他潜在障碍 在参加威斯康星州农村阿片倡议第一阶段的PWID中。这项调查将是 嵌入在我们提议的虚拟干预中，该提议改编自我们最初的提议。最后，我们将评估如何 SSP的限制操作改变了注射器服务的使用情况，并评估了使用 在家中通过电话进行艾滋病毒和病毒性肝炎检测和咨询 使用我们当地SSP的组织基础设施viventHealth，地理上分散的 在威斯康星州北部的农村社区注射毒品的人，我们正在建立当地的响应 促进为高风险客户提供循证预防服务的系统。理解 需要有关新冠肺炎可能如何改变风险的信息，以提供有效的预防和治疗 PWID。威斯康星州农村地区日益严重的阿片类药物注射问题非常重要，因为它体现了 在全国范围内观察到的趋势表明，艾滋病毒、丙型肝炎病毒和阿片类药物的流行日益恶化具有严重的脆弱性 循证预防服务严重不足的农村社区服药过量死亡 干预措施。 这一提议具有很高的创新性，因为它将使我们能够在一种独特的 在全球大流行期间接触客户的方式。此外，我们有能力评估大流行是如何 将对注射毒品的人产生长期影响，这将为未来的干预提供信息。它具有潜在的 影响力很大，因为我们的团队覆盖全州，广泛接触高危个人，并且强大 基础设施，对我们提议的模型进行严格的多站点评估。

PROJECT SUMMARY In response to NOT-DA-20-047, Notice of Special Interest (NOSI) regarding the Availability of Administrative Supplements and Urgent Competitive Revisions for Research on the 2019 Novel Coronavirus, our research team proposes increase our understanding of drug use and syringe sharing behaviors, overdose, impacts of homelessness, and other potential barriers PWID face during COVID-19 by developing a phone based survey among PWID who participated in the first phase of the Wisconsin Rural Opioid Initiative. The survey will be embedded in our proposed virtual intervention adapted from our original proposal. Last, we will evaluate how restricted operations at the SSP changed utilization of syringe services and assess the feasibility of the use of at-home HIV and viral hepatitis testing and counseling by phone Using the organizational infrastructure of our local SSP, Vivent Health, a geographically disperse population of people who inject drugs in rural communities across Northern Wisconsin, we are building locally responsive systems to facilitate uptake of evidence-based prevention services for high-risk clients. Understanding information on how COVID-19 may change risk is needed to provide effective prevention and treatment to PWID. The growing problem of opioid injection in rural Wisconsin is highly significant because it exemplifies trends observed nationally indicating severe vulnerability to worsening epidemics of HIV, HCV, and opioid overdose deaths in rural communities that are substantially underserved by evidence-based prevention interventions. This proposal is highly innovative because it will enable us to use an evidence-based intervention in a unique way to reach clients during a global pandemic. Additionally, we have the ability to assess how the pandemic will have long-term effects on people who inject drugs that will inform future interventions. It has potential for high impact because of our team's state-wide reach, broad access to at-risk individuals, and robust infrastructure for conducting a rigorous, multi-site evaluation of our proposed model.