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Increasing opportunities for community input in harm reduction program development using iterative engagement.

Nicole M Wagner1,2, Jordan A Carlson3, Meagan Bean4

  • 1Adult and Child Center for Outcomes Research and Delivery Science (ACCORDS), University of Colorado Anschutz Medical Campus, 1890 North Revere Court, Aurora, CO, 80045, USA. nicole.wagner@cuanschutz.edu.

Harm Reduction Journal
|October 22, 2025
PubMed
Summary
This summary is machine-generated.

Effective Adaptable and Sustainable in Your Community: Operationalizing Program Sustainability (EASY OPS) is a novel approach to engage people with lived experience in developing harm reduction programs. This method aims to improve access and use of services for diverse populations.

Keywords:
Community engagementEnvironmental evaluationsHarm reductionImplementation scienceIterative engagementSubstance use

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Area of Science:

  • Public Health
  • Community-Based Participatory Research
  • Substance Use Interventions

Background:

  • Community engagement is crucial for effective harm reduction programs, but challenges exist in recruiting and retaining diverse participants, especially those facing social and legal instability.
  • Novel strategies are needed to ensure the voices of people who use substances are integrated into research and program development.
  • The Effective Adaptable and Sustainable in Your Community: Operationalizing Program Sustainability (EASY OPS) approach was developed to address these challenges.

Purpose of the Study:

  • To describe the EASY OPS strategy for iterative community engagement in harm reduction research.
  • To inform the design and implementation of harm reduction vending machine and kiosk programs.
  • To enhance the reach and accessibility of substance use services for diverse populations.

Main Methods:

  • EASY OPS employs iterative engagement with people with lived/living substance use experience.
  • Walking interviews were used to identify environmental factors influencing service use.
  • Interviews, surveys, and focus groups informed program development based on community perspectives and feasibility challenges.

Main Results:

  • The EASY OPS strategy facilitates tailored program development through continuous community input.
  • Iterative engagement helped address challenges in collaboration and environmental factors affecting service access.
  • The approach aims to increase the use of harm reduction programs among those who would benefit most.

Conclusions:

  • EASY OPS is a novel strategy for community-engaged harm reduction research and program development.
  • This approach enhances the tailoring of implementation to meet the needs of diverse populations with lived experience.
  • The potential impact includes reducing health disparities by improving representative reach and access to substance use services.