实施和记录基于证据的实践策略的文化适应,以减少阿片类药物过量死亡:来自HEALing社区研究的例子和教训
Erin B Gibson1,2, LaShawn Glasgow3, Monica Nouvong2
1Tufts Medical Center, 35 Kneeland Street, 8 th floor, Boston, MA 02111 USA.
Discover public health
|May 28, 2025
概括
文化适应基于证据的实践 (EBP) 对于减少阿片类药物过量死亡至关重要,但不一致的实施和报告限制了理解. 未来的研究需要更好的文档和社区参与,以有效地接触到弱势群体.
科学领域:
- 公共卫生 公共卫生
- 药物使用障碍 药物使用障碍
- 医疗保健服务研究 医疗服务研究
背景情况:
- 阿片类药物过量危机需要基于证据的实践 (EBP) 的具体策略,以预防和治疗阿片类药物使用障碍 (OUD).
- 对于EBP的文化适应至关重要,以有效地接触到受OUD影响不成比例的多元化社区.
- 过量剂量教育和纳洛分发 (OEND) 和OUD药物 (MOUD) 是关键的EBP,需要量身定制的实施.
研究的目的:
- 评估HEALing社区研究的方法,以对受OUD影响的特殊群体的EBP进行文化适应.
- 识别不同国家对文化适应的解释和实施的差异.
- 在未来的研究中提供改善文化适应的开发,文档,实施和监测的策略.
主要方法:
- 在四个州的67个社区参与了联盟,以选择和实施文化适应的EBP策略.
- 从联盟行动计划中收集的定量和定性数据,详细介绍了EBP战略和文化适应.
- 在第一波干预 (2020年1月 - 2022年6月) 后的评估中使用了DATA (描述,分析,理论化和ACT) 模型.
主要成果:
- 联盟实施了各种文化定制的EBP战略,但对其性质和有效性的理解有限.
- 对文化适应和报告挑战的不一致解释阻碍了全面的评估.
- 成功的适应包括共同定位服务,支持无家可归的个人,并雇用双语工作人员来接触特殊人群.
结论:
- 需要改进对交叉身份的报告和衡量EBP覆盖范围.
- 未来的研究应该使用现实世界的证据和定性方法来将文化适应置于背景.
- 投资培训,技术援助,强有力的监测和社区参与对于有效的文化适应至关重要,以减少过量死亡.
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