描述在COVID-19期间在社区监督设置中实施基于邮件的过量剂量教育和纳洛分发计划的描述
Carrie B Oser1, Margaret McGladrey2, Douglas R Oyler3
1Department of Behavioral Science, Center for Health Equity Transformation, Center on Drug & Alcohol Research, University of Kentucky, 845 Angliana Avenue, Lexington, KY 40508, USA.
Journal of substance use and addiction treatment
|January 1, 2025
概括
基于邮件的过量剂量教育和纳洛分发 (OEND) 在COVID-19大流行期间有效地到达了社区监督中的个人. 虽然一些促销策略被证明是不可持续的,但基于邮件的OEND是分发拯救生命的药物的可行方法.
科学领域:
- 公共卫生 公共卫生
- 实施科学 实施科学
- 阿片类药物流行病研究研究
背景情况:
- 随着COVID-19大流行,需要采取创新方法来提供医疗保健,特别是针对弱势群体.
- 肯塔基州的HEALing社区研究 (HCS-KY) 旨在通过基于证据的实践,包括过量教育和纳洛分发 (OEND) 来减少过量死亡.
- 传统的面对面的OEND是不可行的,原因是社区监督互动的流行病相关限制.
研究的目的:
- 描述在HCS-KY试验期间在肯塔基州惩戒部门 (DOC) 实施的基于邮件的OEND程序的发展和影响力.
- 分析探索,准备,实施和维持 (EPIS) 模型对在疫情期间适应OEND交付的影响.
- 确定促进基于邮件的OEND的有效策略,并评估其可持续性.
主要方法:
- 在HCS-KY中对基于邮件的OEND程序进行回顾性分析,这是一个社区参与的集群随机试验.
- 利用EPIS框架来了解影响计划实施的上下文因素.
- 使用内部研究管理数据和网站访问指标跟踪实施范围.
主要成果:
- 基于邮件的OEND计划在所有16个HCS-KY县实施,通过纳洛运输到达1696个人.
- 与第2波相比,第1波和农村县的覆盖率更大.
- 参与者的人口统计数据表明,以前经历过或目睹过量服用的个体的患病率很高;五个促销策略中有三个是持续的.
结论:
- 基于邮件的OEND是一种有效的交付方法,可以为社区监督中的个人提供拯救生命的纳洛.
- 高力度或高成本的促销策略,如邮寄信件和短信,对于长期实施来说是不可持续的.
- 这些发现对OEND的最佳实践有意义,强调在社区惩戒机构中使用创新技术.
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