Determining the Feasibility and Acceptability of a Novel Stigma Resistance Text Message Intervention for People who Use Drugs

确定针对吸毒者的新型耻辱抵抗短信干预的可行性和可接受性

• 批准号: 10679143
• 负责人: Adams Longstreet Sibley
• 金额: $ 4.01万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-04-24 至 2025-04-23
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10679143
• 关键词: Address; American; Anxiety; Attitude; Behavioral; Belief; COVID-19 pandemic; Characteristics; Classification; Cognitive; Communicable Diseases; Communication; Competence; Coping Skills; Data; Development; Drug usage; Drug user; Education; Effectiveness; Effectiveness of Interventions; Epidemic; Evidence based intervention; Feeling; Fright; Funding; Gender; Goals; HIV; HIV/AIDS; Harm Reduction; Health; Health Personnel; Health behavior; Health behavior change; Intervention; Intervention Studies; Intervention Trial; Interview; Knowledge; Learning; Life; Literature; Mental Depression; Mental disorders; Mentorship; Methods; Modality; Morbidity - disease rate; National Institute of Drug Abuse; Ohio; Opioid; Outcome; Overdose; Overdose reduction; Pharmaceutical Preparations; Population; Preventive; Productivity; Publications; Quality of life; Recovery; Recovery Support; Research; Research Personnel; Resistance; Risk Factors; Rural; Rural Population; Sampling; Self Efficacy; Site; Social isolation; Stereotyping; Stigmatization; Subgroup; Substance Use Disorder; Techniques; Text Messaging; Thinking; Time; Training; Work; acceptability and feasibility; behavioral health; career; cohort; coping; cost effective; design; empowerment; experience; follow-up; health communication; help-seeking behavior; improved; internalized stigma; mortality; novel; opioid epidemic; pilot trial; preference; prevent; promote resilience; psychologic; psychosocial; rural area; service intervention; skills; social contact; social stigma; sociodemographics; substance use; text messaging intervention; theories; uptake

Project Summary Nearly 850,000 Americans have died from overdose in the past two decades. Stigma remains an under- addressed central barrier to ending the drug epidemic. Substance use stigma reduces treatment and harm reduction utilization among people who use drugs (PWUD) and is associated with increased drug use, depression, social isolation, and numerous other psychosocial indicators of healthy functioning. Though interventions focused on education and social contact have proven successful in reducing stigmatizing attitudes in the public, much less is known about how to intervene on self-stigma, the negative feelings PWUD have about their drug use. Developing strategies for PWUD to cope with and resist stigma may promote quality of life and reduce overdose in this population. Stigma resistance is a promising approach that promotes resilience through self-empowerment and positive identity formation. In line with NIDA’s priorities of reducing stigma and developing recovery support strategies, the goal of this application is to develop and evaluate a stigma resistance text message intervention for PWUD. Nested within the NIDA-funded Ohio Opioid Project (UG3/UH3DA044822), the specific aims of the proposal are to: 1) Identify PWUD self-stigma subgroups and describe associated demographic, health, and drug use risk factors among rural PWUD in an eight-state multi- site cohort using latent class analysis; 2) identify stigma-related attitudes and beliefs and text message content and delivery preferences through iterative elicitation interviews with 20 rural Ohio PWUD; 3) develop a four- week automated daily text message stigma resistance intervention; and 4) evaluate the feasibility, acceptability, and preliminary effectiveness of the intervention in a sample of 30 rural Ohio PWUD in active use. An iterative convergent mixed-methods design informed by health communication and behavioral health theories will guide the development of interactive messages that are hypothesized to increase stigma resistance and reduce self-stigma. This proposal will lay the groundwork for a self-stigma intervention and provide further evidence for text messaging as a cost-effective, impactful modality for engaging this hard-to- reach population. Alongside the planned research, the applicant proposes training that will enhance his theoretical understanding of stigma, advance his quantitative analysis skills, strengthen his competence in health communication strategies, and build his communication record through scholarly presentations and publications. Under the expert mentorship of co-sponsor Drs. Vivian Go and William Miller and other collaborators, this research and training plan will contribute to the applicant’s career trajectory as an independent mixed-methods substance use and stigma researcher.

项目概要 过去 20 年来，近 850,000 名美国人死于服药过量。 解决了结束毒品流行的主要障碍。 吸毒者 (PWUD) 减少，并与吸毒增加有关， 抑郁、社会孤立和许多其他健康思想的社会心理指标。 事实证明，针对教育和社会接触的重点干预措施可以成功减少污名化 公众的态度，更不知道如何干预自我耻辱、负面情绪 PWUD 制定 PWUD 应对和抵制耻辱的策略可能会提高质量。 生命和减少该人群的过量用药是一种有前景的方法，可以促进这一人群的健康。 通过自我赋权和积极的身份形成来增强复原力 符合 NIDA 的减少优先事项。 耻辱和制定恢复支持策略，该应用程序的目标是开发和评估 针对 PWUD 的耻辱抵制短信干预 嵌套在 NIDA 资助的俄亥俄州阿片类药物项目中。 (UG3/UH3DA044822)，该提案的具体目标是： 1) 确定 PWUD 自我污名亚群体和 描述了八个州的农村残疾人人口、健康和吸毒风险因素 使用潜在类别分析进行现场群组分析；2) 识别与耻辱相关的态度和信仰以及短信内容 通过对 20 名俄亥俄州农村 PWUD 进行迭代启发式访谈，了解交付偏好 3) 制定一个四- 每周自动短信耻辱抵抗干预；以及 4) 评估可行性， 干预措施的可接受性和初步有效性，以俄亥俄州 30 名农村 PWUD 为样本，进行积极的干预 使用健康沟通和行为健康的迭代聚合混合方法设计。 理论将指导互动信息的发展，这些信息被重新捕获以增加耻辱感 抵制并减少自我污名化 该提案将为自我污名化干预和减少自我污名化奠定基础。 提供进一步的证据证明短信是一种具有成本效益、有影响力的方式来参与这一难以解决的问题 除了计划的研究之外，申请人还提出了旨在提高其能力的培训。 对耻辱的理论理解，提高他的定量分析技能，增强他的能力 健康沟通策略，并通过学术演讲和建立他的沟通记录 在共同发起人 Vivian Go 博士和 William Miller 等人的专家指导下。 合作者，这项研究和培训计划将有助于申请人作为一名 独立混合方法物质使用和耻辱研究员。