Willingness to use syringe service programs and safe consumption sites among methadone patients with histories of injection drug use in a small Midwest community

Pasman, Emily; Agius, Elizabeth; Victor, Grant; Broman, Michael J.; Ray, Bradley; Resko, Stella M.

doi:10.1080/16066359.2021.1961759

Cited by 4 publications

(2 citation statements)

References 49 publications

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“…There has been more research focused on increasing support towards SSPs among specific populations, such as law enforcement (Allen et al, 2022; CDC, 2022; Davis et al, 2014; Franco et al, 2021; National Governors Association, 2022). Strategies have also focused on reaching people who use SSPs, with messaging that is non-stigmatising and increases the use of SSPs (Lancaster et al, 2020; Pasman et al, 2022; World Health Organization et al, 2007). Given this, there is a clear need for more information on reaching the general public with digital content, outside the experience of an infectious disease outbreak.…”

Section: Discussionmentioning

confidence: 99%

A multi-site intervention using influencers to communicate about syringe service programmes

Bonnevie,

Dunn Silesky,

Goldbarg

et al. 2023

Health Education Journal

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Introduction: In the USA, syringe services programmes (SSPs) provide a range of harm reduction services and have numerous benefits for communities. However, stigma, misconceptions about SSPs and changing policies/legislation remain a challenge to effective implementation. This study reviews the implementation of two digital interventions, Appalachian Influence and Shared Influence, which used social media influencers and digital volunteers to communicate positive information about harm reduction and SSPs. Methods: The intervention was designed to deliver accurate and supportive messaging in locally relevant and meaningful ways. Messaging was informed by interviews with subject matter experts and community organisations, and was integrated into prompts used by local influencers (paid individuals with more than 1,000 followers) and digital volunteers (unpaid individuals with no following requirement, who joined the project independently). Results: In the first 6 months of implementation, Appalachian Influence and Shared Influence engaged a total of 9,014 individuals, 236 of whom were paid influencers and 8,778 of whom were digital volunteers. Paid influencer posts achieved a total of 868,943 impressions, 42,432 engagements and 1,567 comments. Comments on paid influencer posts were overwhelmingly positive, with 87.4% positive and 0.8% negative. Interviews showed the importance of understanding local realities, leading with compassion and emphasising the ‘human’ aspects of dependency and addiction in messaging. Conclusion: This study shows the potential to implement an influencer-led social media intervention to reach people with authentic and compassionate messaging about harm reduction and SSPs. Future research should examine intervention effectiveness and how this approach can be applied to other stigmatised topics.

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Section: Discussionmentioning

confidence: 99%

A multi-site intervention using influencers to communicate about syringe service programmes

Bonnevie,

Dunn Silesky,

Goldbarg

et al. 2023

Health Education Journal

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“…Data collection occurred over 3 weeks in December 2019 ( 23 ), with 267 patients enrolled in the parent study. In the weeks before data collection, OTP staff informed patients of the study and distributed recruitment materials.…”

Section: Methodsmentioning

confidence: 99%

Comorbid Affective and Substance Use Disorders of Medicaid/Medicare Beneficiaries at an Opioid Treatment Program Serving Small Urban and Rural Communities

et al. 2022

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ObjectivesIdentify rates and correlates of comorbid affective and substance use disorders among an understudied population, Medicaid/Medicare beneficiaries receiving care at an opioid treatment program serving patients from small urban and rural areas. Examine whether past-year non-medical opioid use status differentiates comorbidity status.MethodsA cross-sectional, venue-based design was used to recruit a convenience sample of patients treated with methadone for opioid use disorder. Measures were assessed across three domains: (1) demographic characteristics, (2) opioid use characteristics, and (3) comorbid disorders. Brief validated screeners categorized probable comorbid disorders. Bivariate analyses examined correlates of comorbid disorders and determined variable selection for multivariable analyses.ResultsIn this sample (N = 210; mean age = 38.5 years; female = 62.2%; Non-Hispanic White race/ethnicity = 86.1%), comorbid disorders were common. Rates were as follows: current anxiety (48.1%), depression (41.1%), and PTSD (33.7%), and past-year stimulant (27.6%), marijuana (19.0%), alcohol (14.9%), and sedative (7.6%). In bivariate analyses, past-year non-medical opioid use and a greater accumulation of opioid use consequences were associated with most disorders. When including demographic and opioid use characteristics in multivariable analyses, past-year non-medical opioid use was associated with anxiety, PTSD, stimulant use disorder, and sedative use disorder.ConclusionsFew studies have investigated comorbid disorders among this understudied population. This analysis highlights a high burden, especially for affective disorders. Our findings demonstrate that routine, ongoing assessment of non-medical opioid use may be a promising and feasible strategy to detect patients needing integrated care. Future research should investigate whether changes to assessment protocols at opioid treatment programs in small urban and rural settings facilitate care coordination.

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Support for Safe Consumption Sites Among Peer Recovery Coaches

Pasman

Brown

Agius

et al. 2023

J Behav Health Serv Res

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Willingness to use syringe service programs and safe consumption sites among methadone patients with histories of injection drug use in a small Midwest community

Cited by 4 publications

References 49 publications

A multi-site intervention using influencers to communicate about syringe service programmes

A multi-site intervention using influencers to communicate about syringe service programmes

Comorbid Affective and Substance Use Disorders of Medicaid/Medicare Beneficiaries at an Opioid Treatment Program Serving Small Urban and Rural Communities

Support for Safe Consumption Sites Among Peer Recovery Coaches

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