Feasibility and acceptability of inserts promoting virtual overdose monitoring services (VOMS) in naloxone kits: a qualitative study

Harm Reduction Journal

Research

Nathan Rider¹  William Rioux²  Fahad Safi²  S. Monty Ghosh³  Barbara Fornssler⁴  Stephanie Jones⁵ 

[1] Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada;Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada;Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada;Department of Internal Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada;School of Public Health, University of Saskatchewan, Saskatoon, Canada;Three Hive Consulting, Vancouver, BC, Canada;

关键词: Opioid;    Overdose;    Naloxone;    Public health;    Virtual overdose monitoring services;    Harm reduction;    Naloxone kit inserts;   

DOI  :  10.1186/s12954-023-00792-z

 received in 2023-02-24, accepted in 2023-05-03,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundIn response to the ongoing opioid epidemic, there have been efforts to develop novel harm reduction strategies alongside scaling of currently implemented programs. Virtual overdose monitoring services (VOMS) are a novel intervention which aims to reduce substance-related mortality through technology for those who are out of reach of current supervised consumption sites. Scaling of naloxone programs presents a unique opportunity to promote VOMS to people at risk of substance-related mortality. This study aims to explore the feasibility and acceptability of naloxone kit inserts in promoting awareness of VOMS.MethodWe used purposive and snowball sampling to recruit 52 key informants, including people who use drugs (PWUD) with experience using VOMS (n = 16), PWUD with no prior experience using VOMS (n = 9), family members of PWUD (n = 5), healthcare and emergency services professionals (n = 10), community-based harm reduction organizations (n = 6), and VOMS administrators/peer support workers (n = 6). Two evaluators completed semi-structured interviews. Interview transcripts were analyzed using thematic analysis informed to identify key themes.ResultsFour key interrelated themes emerged, including the acceptability of naloxone kit inserts to promote VOMS, best practices for implementation, key messaging to include within promotional materials and facilitators to dissemination of harm reduction material. Participants highlighted that messaging should be promoted both inside and outside the kits, should be concise, provide basic information about VOMS and can be facilitated through current distribution streams. Messaging could further be used to draw attention to local harm reduction services and could be promoted on other supplies, including lighters and safer consumption supplies.ConclusionFindings demonstrate that it is acceptable to promote VOMS within naloxone kits and highlight interviewees preferred ways to do so. Key themes that emerged from interviewees can be used to inform the dissemination of harm reduction information, including VOMS and bolster current strategies for reducing illicit drug overdose.

【 授权许可】

CC BY   
© Crown 2023

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