Community Advisory Board Members Speak Out: Insights From an Opioid Overdose Study
Deborah Chassler1, Ariel Hayes2, Craig McClay3
1Boston University School of Social Work, Boston, MA, USA.
Summary
Community Advisory Boards (CABs) provide valuable lived experience knowledge in substance use research, highlighting root causes of overdose fatalities and fostering trust. Their insights are crucial for equitable outcomes and advancing knowledge democracy in public health initiatives.
Area of Science:
- Public Health
- Community-Engaged Research
- Substance Use Studies
Background:
- Community Advisory Boards (CABs) offer a structured platform for community members to advise academic researchers.
- Integrating lived experience knowledge is vital for understanding drug use and achieving equitable research outcomes.
- Knowledge democracy emphasizes valuing diverse ways of knowing beyond traditional scientific perspectives.
Purpose of the Study:
- To identify and describe the knowledge shared by Massachusetts CAB members with researchers during an opioid overdose fatality reduction study.
- To center the contributions of community knowledge in substance use research.
Main Methods:
- Directed content analysis of 43 monthly CAB meeting minutes.
- Focus on member knowledge regarding opioid use and overdose.
- Centering the expertise of people with lived and living experience of drug use.
Main Results:
- CAB members actively shared their knowledge and expertise.
- Members identified and highlighted the root causes of opioid overdose fatalities.
- Discussions fostered solidarity and trust among CAB members and study staff.
Conclusions:
- A CAB, including individuals with lived/living experience of drug use, is a significant source of valuable knowledge in substance use research.
- Centering the voices of people with lived/living experience, frontline staff, and family members advances knowledge democracy.
- This case study underscores the critical role of CABs in informing equitable and effective public health research.
Related Concept Videos
Opioid Receptors: Overview
Opioid receptors, including the mu (μ, MOR), delta (δ, DOR), and kappa (κ, KOR) types, belong to the rhodopsin family of G protein-coupled receptors. These receptors are located throughout the central and peripheral nervous systems and in non-neuronal tissues such as macrophages and astrocytes. Opioid receptor ligands can be categorized into agonists or antagonists. Highly selective agonists include [d-Ala2, MePhe4, Gly(ol)5]-enkephalin or DAMGO for MOR, [D-Pen2, D-Pen5]-enkephalin or DPDPE for...
Investigation of Disease Outbreaks
Multistate foodborne outbreaks pose significant public health risks and require meticulous investigation to identify sources and implement control measures. The Centers for Disease Control and Prevention (CDC) utilizes a dynamic seven-step process for these investigations, integrating data from laboratories, interviews, and environmental assessments to protect public health.Outbreak Detection: The detection of multistate outbreaks typically begins with PulseNet, the CDC's national laboratory...
Opioid Analgesics: Morphine and Other Natural Cogeners
Opioids are a class of drugs that mimic endogenous opioid peptides and act on opioid receptors, and help in pain relief. These compounds are classified as natural, synthetic, or semi-synthetic. Natural opioids, like morphine, codeine, and thebaine, are derived from the opium poppy plant (Papaver somniferum or Papaver album) and are termed opiates. Synthetic opioids are artificial, while semi-synthetic opioids combine natural and synthetic compounds. Morphine, a prototypical opioid, possesses a...
Opioid Analgesics: Synthetic and Semisynthetic Opioids
Synthetic and semisynthetic opioids are pivotal in pain management and tackling opioid addiction. Semisynthetic opioids, including morphinans (morphine derivatives), oxycodone, oxymorphone, hydrocodone, and hydromorphone, have improved pharmacokinetic profiles compared to morphine. Additionally, heroin and 6-MAM (6-Monoacetylmorphine) show better CNS penetration than morphine due to heightened lipid solubility. Hydromorphone, a potent opioid, undergoes hepatic metabolism to form the active...
Drug Control Governance: Regulatory Bodies and Their Impact
Drug control governance involves the oversight and regulation of pharmaceuticals to ensure their safety and efficacy while preventing illegal drug use and trafficking. Regulatory bodies, including the US Food and Drug Administration (FDA) and the European Union's European Medicines Agency (EMA), play a central role in this process. These agencies evaluate the safety and efficacy of drugs before they can be marketed. They fund clinical trials and assess the benefits and risks associated with a...
Substance Use Disorders Affecting Sleep
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...

