Developing a Timely Opioid Overdose Detection Tool through a Tribally Engaged Approach

通过部落参与的方法开发及时的阿片类药物过量检测工具

• 批准号: 10590167
• 负责人: Tommi Lynn Gaines
• 金额: $ 43.45万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN DIEGO
• 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 2024-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10590167
• 关键词: Adopted; Adoption; Affect; Age; Agreement; Alaska Native; American Indians; Area; California; Centers for Disease Control and Prevention (U.S.); Clinical; Cocaine; Communities; Computer Assisted; Computer software; Coordination and Collaboration; Country; County; Data; Data Analytics; Data Collection; Data Reporting; Detection; Development; Developmental Process; Disease Outbreaks; Emergency department visit; Emergency response; Ethnic group; Exposure to; Family; Fatality rate; Fire - disasters; Friends; Goals; Harm Reduction; Hospitalization; Human Resources; Indian reservation; Individual; Intervention; Interview; Knowledge; Leadership; Location; Measures; Medical Examiners; Medical emergency; Methamphetamine; Monitor; Morbidity - disease rate; Naloxone; Opioid; Opioid Antagonist; Overdose; Ownership; Patients; Pattern; Privatization; Process; Public Health; Recording of previous events; Records; Reporting; Research; Research Personnel; Resources; Safety; Secure; Services; Source; Stigmatization; Surveys; System; Technology; Time; Training; Translating; Tribes; United States Dept. of Health and Human Services; Visualization; Work; base; community based participatory research; dashboard; data quality; experience; health equity; improved; member; mortality; opioid epidemic; opioid mortality; opioid overdose; opioid use; opioid use disorder; outreach services; overdose death; overdose prevention; prescription opioid misuse; preservation; prevent; prevention service; racial and ethnic; real time monitoring; response; substance use; tool; treatment services; trend; tribal Nation; tribal community

Project Summary American Indian communities have been greatly affected by the opioid epidemic with many Tribes being overwhelmed by opioid use and overdose. Among all racial/ethnic groups in the U.S, American Indians and Alaska Natives have the highest rate of overdose fatalities from all opioids. Within Southern California, areas encompassing American Indian Tribes have experienced some of the highest age-adjusted rates of opioid overdose deaths, hospitalization, and emergency department visits. A key component to effectively responding to the opioid epidemic is timely surveillance with sufficient granularity to reveal subpopulations and locations in most need of resources. However, there is a significant lag in the amount of time it takes for opioid overdose data to be publicized, making it difficult to implement a prompt public health response to prevent additional morbidity/mortality. Although a substantial amount of work has gone into developing overdose surveillance across state and county agencies, such tools are lacking in Indian Country. Moreover, a history of profiling and stigmatizing American Indian Tribes with respect to substance use has hampered the development of Tribally specific data collection and reporting efforts. The current proposal will overcome this limitation by adopting technologies that upholds Tribal sovereignty in ownership, management, and oversight of how information is gathered and shared with non-Tribal members including overdose prevention stakeholders. The goal of this project is to adapt commercialized technologies to provide research-based solutions to the opioid crisis in Indian Country. Through a partnership with a Tribal Fire Department and a software company providing data analytics for public safety agencies, we are proposing to build a near real-time opioid overdose dashboard within Tribal boundaries. Our study is guided by the following Specific Aims: 1. Evaluate the pragmatic merit of developing a Tribally specific opioid overdose monitoring dashboard; and 2. Develop the technical process for adapting commercialized technology to leverage Tribal Fire emergency response calls and medical examiner data to build a Tribally specific opioid overdose dashboard. The public health significance of this study is to build Tribal capacity to access, manage, and use data from existing sources and to apply that data to facilitate real-time actionable responses towards circumventing the opioid epidemic. Knowledge gained from the formative process of developing an opioid overdose dashboard will provide a blueprint to support community- wide adoption by other Tribal Nations.

项目概要 美洲印第安人社区受到阿片类药物流行病的严重影响，许多部落都受到影响 因阿片类药物的使用和过量服用而不知所措。在美国的所有种族/族裔群体中，美洲印第安人和 阿拉斯加原住民因服用阿片类药物过量致死率最高。在南加州地区， 涵盖美洲印第安部落的阿片类药物的年龄调整率最高 过量死亡、住院和急诊就诊。有效应对的关键组成部分 对阿片类药物流行病的预防措施是及时进行足够粒度的监测，以揭示阿片类药物的亚群和地点 最需要资源。然而，阿片类药物过量所需的时间存在显着滞后 数据难以公开，导致难以采取迅速的公共卫生应对措施以防止更多 发病率/死亡率。尽管已经开展了大量工作来开发过量监测 印度各州和县的机构都缺乏此类工具。此外，分析和分析的历史 在药物使用方面对美洲印第安部落的污名化阻碍了 Tribally 的发展 具体的数据收集和报告工作。当前的提案将通过采用 维护部落在所有权、管理和信息传播方式监督方面的主权的技术 收集并与非部落成员（包括过量预防利益相关者）分享。此举的目标 该项目旨在采用商业化技术，为阿片类药物危机提供基于研究的解决方案 印度国家。通过与部落消防局和提供数据的软件公司合作 为了公共安全机构的分析，我们建议建立一个近乎实时的阿片类药物过量仪表板 在部落边界内。我们的研究以以下具体目标为指导： 1. 评估 开发特定部落的阿片类药物过量监测仪表板； 2. 制定技术流程 采用商业化技术以利用部落火灾紧急响应电话和体检人员 数据来构建特定部落的阿片类药物过量仪表板。这项研究的公共卫生意义在于 建立部落访问、管理和使用现有来源数据的能力，并应用该数据促进 规避阿片类药物流行的实时可行反应。从中获得的知识 开发阿片类药物过量仪表板的形成过程将为支持社区提供蓝图 被其他部落民族广泛采用。