Research Examining Factors Associated with the Opioid Crisis among Underserved African Americans (REFOCUS)

研究审查与服务不足的非裔美国人中阿片类药物危机相关的因素（REFOCUS）

基本信息

批准号：
10668987
负责人：
Danelle J Stevens-Watkins
金额：
$ 63.59万
依托单位：
UNIVERSITY OF KENTUCKY
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-09-30 至 2025-07-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10668987
关键词：
Address Adult African American African American population Age Area Attention Buprenorphine Cessation of life Characteristics Child Rearing Communities Complex Comprehension Criminal Justice Data Data Sources Dimensions Discrimination Disparity Dose Drug usage Employment Epidemic Ethnic Origin Evolution Female Future Gender Goals Healthcare Systems Heroin Imprisonment Intervention Interview Kentucky Libraries Link Longevity Mediating Mental Health Methadone Methods Morbidity - disease rate National Institute of Drug Abuse Outcome Overdose Pain Participant Patients Pattern Pharmacotherapy Policies Population Public Health Race Reporting Research Research Personnel Research Project Grants Risk Sampling Stress Structure Surveys Techniques Testing Treatment outcome Underrepresented Populations Underserved Population cohort design distrust drug testing evidence base experience health care availability health communication illicit drug use improved insight low socioeconomic status male marginalized population men misuse of prescription only drugs mortality risk older women opioid epidemic opioid overdose opioid use opioid user physical conditioning pill prescription opioid prescription opioid misuse racial population recruit response social synthetic opioid theories treatment services trend young woman

项目摘要

ABSTRACT Opioid-related overdose rates among African Americans have increased exponentially. Given African American opioid users have the lowest treatment completion rates when compared to other races/ethnicities there is increased risk for mortality and morbidity. As a result, there is a dire need to better understand this fatal epidemic among this historically underserved group. Using the theory of Subcultural Evolution and Drug Use which suggests cultural and generational influences are linked to drug use patterns and risks among African Americans, the Research Examining Factors Associated with the Opioid Crisis among Underserved African Americans (REFOCUS) project will employ a within-racial group, mixed-methods design among African American adults in the community. The overall objective is to better understand the complex structural, social, and cultural factors that differentially influence NMPOU, other nonmedical prescription drug use and treatment service use among African Americans. Ultimately, our goal is to gather data that will inform culturally-tailored interventions to reduce NMPOU and better facilitate initiation and completion of treatment. The REFOCUS project has three aims: 1) To understand cultural and generational characteristics associated with NMPOU, other NMPDU, illicit drug use and treatment service use. We will conduct in-depth interviews with approximately 40 African American nonmedical prescription opioid users stratified by gender and age to understand NMPOU across the lifespan within the context of lived experience. Using thematic analysis, data will be gathered to culturally-tailor the survey. 2) To assess structural, social and cultural patterns of NMPOU, other NMPDU, illicit drug use and treatment service use among 800 (400 = male and 400 = female) African American NMPO users. We will conduct cross-sectional face-to-face culturally-informed surveys (modified by information obtained in Aim 1) and drug testing using targeted recruitment and stratified sampling by age and gender. 3) To pretest messaging generated from initial findings that will inform targeted interventions specific to African American nonmedical prescription opioid users. We will conduct in-depth, semi-structured interviews and using health communication techniques, we will develop a library of cultural, gender, and generational specific messages related to decreasing NMPOU and increasing treatment engagement and retention. We will test these messages that will be constructed from Aim 1 and Aim 2 data with approximately 40 African American nonmedical prescription opioid users stratified by gender and age. This pretesting task will prepare us to conduct a fully powered RCT as the next step in our research. This underrepresented new investigator led project directly aligns with the PAR and NIDA’s priority focus area of “addressing real-world complexities”. As this high-impact project focuses on a marginalized group underrepresented in opioid use research and it has the potential to yield insights on ways to culturally-tailor future interventions for African Americans.

抽象的非裔美国人中与阿片类药物相关的过量率呈指数增长。给予非洲与其他种族/种族相比，美国阿片类药物的用户的治疗完成率最低死亡率和发病率的风险增加。结果，有一个可怕的需要更好地理解这一点在这一历史悠久的群体中，致命的流行病。使用亚文化进化和药物理论表明文化和世代影响的使用与吸毒模式和风险有关非裔美国人，研究与阿片类药物危机相关的研究因素非洲裔美国人（重新关注）项目将在非洲人中采用种族内部，混合方法设计社区中的美国成年人。总体目标是更好地了解复杂的结构，社会，以及差异影响NMPOU的文化因素，其他非医学处方药的使用和治疗非裔美国人的服务使用。最终，我们的目标是收集将为文化定制的数据减少NMPOU和更好准备的倡议和完成治疗的干预措施。重点项目具有三个目标：1）了解与 NMPOU，其他NMPDU，非法药物使用和治疗服务的使用。我们将与大约有40个非洲裔美国非医学处方OID用户按性别和年龄分层在现场体验的背景下了解整个生命周期的NMPOU。使用主题分析，数据将收集到调查的文化访问者。 2）评估结构，社会和文化模式 NMPOU，其他NMPDU，非法药物使用和治疗服务的使用（400 =男性和400 =）女性）非裔美国人NMPO使用者。我们将进行横截面面对面的文化信息调查（通过在AIM 1中获得的信息修改）和使用有针对性招募和分层的药物测试按年龄和性别取样。 3）从初始发现产生的预测消息传递，这些消息将告知针对非裔美国人非医学处方使用者的有针对性干预措施。我们将进行深入的半结构化访谈并使用健康沟通技术，我们将开发一个文化，性别和世代特定信息库，与减少NMPOU和增加有关治疗参与和保留。我们将测试将从AIM 1构建的这些消息并AIM 2个数据，大约有40个非洲裔美国非医学处方OID用户按性别分层和年龄。这项测试任务将使我们为进行全功率的RCT做好准备，这是我们研究的下一步。这个代表性不足的新调查员LED项目与PAR和NIDA的优先重点直接保持一致 “解决现实世界复杂性”的领域。由于这个高影响力的项目着重于边缘化的群体阿片类药物使用研究的代表性不足，它有可能对文化境地的方式产生见解非洲裔美国人的未来干预措施。

项目成果

期刊论文数量（2）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

"Can we get a Black rehabilitation center"? Factors impacting the treatment experiences of Black people who use opioids.

DOI：
10.1016/j.jsat.2022.108805
发表时间：
2022-11
期刊：
JOURNAL OF SUBSTANCE ABUSE TREATMENT
影响因子：
3.9
作者：
Hargons, Candice N.;Miller-Roenigk, Brittany D.;Malone, Natalie J.;Mizelle, Destin L.;Atkinson, Jovonna D.;Stevens-Watkins, Danelle J.
通讯作者：
Stevens-Watkins, Danelle J.