Mobile health strategies to support longitudinal engagement in harm reduction services

支持纵向参与减少伤害服务的移动健康战略

• 批准号: 10590481
• 负责人: David W Seal
• 金额: $ 210.09万
• 依托单位: UNIVERSITY OF WISCONSIN-MADISON
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-30 至 2025-09-29
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10590481
• 关键词: Address; Area; Behavioral; Car Phone; Cellular Phone; Cities; Client; Communicable Diseases; Communities; Data; Data Set; Databases; Detection; Development; Drug usage; Drug user; Enrollment; Ensure; Equipment; Evidence based practice; Face; Fentanyl; Foundations; Frequencies; Geography; Goals; Government Agencies; Harm Reduction; Health; Health Services; Health Services Accessibility; Healthcare; Helping to End Addiction Long-term; Home; Hotlines; Housing; Human immunodeficiency virus test; Improve Access; Infection; Injecting drug user; Injections; Institution; Interdisciplinary Study; Internet; Intervention; Intervention Trial; Knowledge; Leadership; Link; Mail Order; Measures; Mediation; Medicaid; Methods; Modeling; Monitor; Naloxone; Needle-Exchange Programs; Outcome; Outpatients; Overdose; Overdose reduction; Personal Satisfaction; Persons; Pharmaceutical Preparations; Policies; Prevention strategy; Prospective Studies; Prospective cohort study; Psychosocial Factor; Public Health; Research; Research Design; Research Personnel; Research Project Grants; Retrospective cohort study; Risk; Risk Behaviors; Role; Rural; Safety; Service delivery model; Services; Smoking; Social Work; Social support; Source; State Government; Stigmatization; Stimulant; Structural Models; Substance Use Disorder; Surveys; Syringes; Testing; Time; Trauma; Trust; Visit; Voice; Wisconsin; Work; acceptability and feasibility; addiction; arm; base; behavioral outcome; community engaged research; community engagement; data sharing; design; disease transmission; drug use behavior; empowered; experience; feasibility trial; illicit drug use; improved; innovation; mHealth; mobile application; mortality; novel; opioid user; overdose prevention; overdose risk; peer; peer networks; pilot test; preference; programs; psychologic; psychosocial; public health relevance; recruit; response; satisfaction; service engagement; service organization; social; social stigma; social structure; study population; test strip; tool; treatment services; web site

PROJECT SUMMARY / ABSTRACT In response to RFA-DA-22-046, HEAL Initiative: Harm Reduction Policies, Practices, and Modes of Delivery for Persons with Substance Use Disorders, we will conduct a 5-year, community-engaged research project that aims to extend and enhance the delivery of harm reduction services to hard-to-reach people who use opioids and/or stimulants, to reduce their risk of fatal and nonfatal overdose. The main objective of this research is to design, and pilot test a mobile health (mHealth) intervention comprised of a bundle of internet and mobile phone-based tools for reducing overdose risk. We will build upon a productive research partnership with an established, comprehensive syringe services program operating in 10 cities in Wisconsin to pursue 3 specific aims. First, using a prospective cohort study design and several innovative methods for capturing harm- reduction service engagement, psychosocial variables, and behavioral outcomes, we will characterize the most important mechanisms through which harm reduction influences overdose risk behaviors. Second, we will study the role of harm reduction service engagement in linking clients to sources of health care and addiction treatment services, making novel use of linkages between administrative datasets in partnership with state government agencies. Third, we will convene a Community Leadership Team consisting of people who use opioids and/or stimulants, and collaboratively synthesize our research findings to inform the development and implementation of an innovative strategy for engaging clients who face barriers to accessing harm reduction services. The community engagement activities will culminate in a single-arm pilot intervention trial that evaluates the feasibility and acceptability of a suite of internet and smartphone-based tools designed to improve access to safer drug use behaviors and equipment, fill knowledge gaps, and deliver social support through connection to trusted peer networks. This research is guided by the central harm reduction principle of ensuring that people who use drugs have a real voice in the creation of programs designed to serve them. It will generate a robust understanding of the important mechanisms through which harm reduction services reduce overdose risk, and test promising strategies for extending their reach to under-served clients.

项目摘要 /摘要 为了响应RFA-DA-22-046，Heal Initiative：减少危害政策，实践和交付方式 患有药物使用障碍的人，我们将进行一个为期5年的社区参与研究项目， 旨在扩展和增强对使用阿片类药物的难以触及的人的减少危害服务的交付 和/或兴奋剂，以降低其致命和非致命过量的风险。这项研究的主要目的是 设计和试点测试移动健康（MHealth）干预措施，包括一堆互联网和移动 基于电话的工具来减少过量风险。我们将建立在一个富有成效的研究合作伙伴关系的基础上 在威斯康星州的10个城市运营的建立，全面的注射器服务计划追求3个特定的 目标。首先，使用前瞻性队列研究设计和几种创新方法来捕获伤害 减少服务参与，社会心理变量和行为结果，我们将表征最多 减少危害会影响过量风险行为的重要机制。第二，我们会的 研究减少危害服务参与度在将客户与医疗保健和成瘾源联系起来的作用 治疗服务，与国家合作，使行政数据集之间的联系新颖地使用 政府机构。第三，我们将召集一个社区领导团队，由使用的人组成 阿片类药物和/或兴奋剂，并协作综合我们的研究结果，以告知发展和 实施创新策略，以吸引面对减少伤害的障碍的客户 服务。社区参与活动将在一项单臂飞行员干预审判中达到顶峰， 评估一套互联网和基于智能手机的工具的可行性和可接受性 提高对更安全的吸毒行为和设备的访问，填补知识空白并提供社会支持 通过连接到受信任的同行网络。这项研究以中心危害减少原则为指导 确保使用毒品的人在创建旨在为其服务的程序的创建中具有真实的声音。它 将对减少损害服务的重要机制产生强烈的理解 减少过量风险，并测试有希望的策略，以将其覆盖范围扩展到服务不足的客户。