Evidence map›Paper›PMID 33243291›Full record

ArticleTrials2020

A randomized clinical trial of a theory-based fentanyl overdose education and fentanyl test strip distribution intervention to reduce rates of opioid overdose: study protocol for a randomized controlled trial.

Brendan P Jacka, Jacqueline E Goldman, Jesse L Yedinak, Edward Bernstein, Scott E Hadland, Jane A Buxton, Susan G Sherman, Katie B Biello, Brandon D L Marshall

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04372238 (The Rhode Island Prescription and Illicit Drug Study Responding to Fentanyl and Associated Harms), which is not on this map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
1.6field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04372238 nacompletednot on this map

The Rhode Island Prescription and Illicit Drug Study Responding to Fentanyl and Associated Harms

TypeinterventionalSponsorBrown UniversityRan2020 to 2024Enrolled509ConditionsOpioid Overdose, Drug OverdoseArmsRAPIDS Intervention, Standard OEND
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 22 citations in OpenAlex.

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  14. A Social History of Opioids' Crimedical Cycle.Addiction research & theory · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 2 countries.

Brendan P JackaDepartment of Epidemiology, Brown University School of Public Health, Providence, Rhode Island, USA.
Jacqueline E GoldmanDepartment of Epidemiology, Brown University School of Public Health, Providence, Rhode Island, USA.
Jesse L YedinakDepartment of Epidemiology, Brown University School of Public Health, Providence, Rhode Island, USA.
Edward BernsteinDepartment of Medicine, Boston University School of Medicine, Boston, Massachusetts, USA.
Scott E HadlandGrayken Center for Addiction, Boston Medical Center, Boston, Massachusetts, USA.
Jane A BuxtonSchool of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.
Susan G ShermanDepartment of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Katie B BielloDepartment of Epidemiology, Brown University School of Public Health, Providence, Rhode Island, USA.
Brandon D L MarshallDepartment of Epidemiology, Brown University School of Public Health, Providence, Rhode Island, USA. brandon_marshall@brown.edu.ORCID http://orcid.org/0000-0002-0134-7052
Brown University · USBoston University · USJohns Hopkins University · USUniversity of British Columbia · CA

Funding

The Rhode Island Young Adult Prescription and Illicit Drug Study (RAPIDS): Responding to Fentanyl and Associated HarmsR01DA047975 · NIDA · BROWN UNIVERSITY · PI MARSHALL, BRANDON DAVID LEWIS · 2019 to 2023
$3.8M
NIDA NIH HHS R01 DA047975NIDA NIH HHS R01DA047975
6 · The paper itself

Abstract

backgroundOpioid overdose deaths involving synthetic opioids, particularly illicitly manufactured fentanyl, remain a substantial public health concern in North America. Responses to overdose events (e.g., administration of naloxone and rescue breathing) are effective at reducing mortality; however, more interventions are needed to prevent overdoses involving illicitly manufactured fentanyl. This study protocol aims to evaluate the effectiveness of a behavior change intervention that incorporates individual counseling, practical training in fentanyl test strip use, and distribution of fentanyl test strips for take-home use among people who use drugs.

methodsResidents of Rhode Island aged 18-65 years who report recent substance use (including prescription pills obtained from the street; heroin, powder cocaine, crack cocaine, methamphetamine; or any drug by injection) (n = 500) will be recruited through advertisements and targeted street-based outreach into a two-arm randomized clinical trial with 12 months of post-randomization follow-up. Eligible participants will be randomized (1:1) to receive either the RAPIDS intervention (i.e., fentanyl-specific overdose education, behavior change motivational interviewing (MI) sessions focused on using fentanyl test strips to reduce overdose risk, fentanyl test strip training, and distribution of fentanyl test strips for personal use) or standard overdose education as control. Participants will attend MI booster sessions (intervention) or attention-matched control sessions at 1, 2, and 3 months post-randomization. All participants will be offered naloxone at enrolment. The primary outcome is a composite measure of self-reported overdose in the previous month at 6- and/or 12-month follow-up visit. Secondary outcome measures include administratively linked data regarding fatal (post-mortem investigation) and non-fatal (hospitalization or emergency medical service utilization) overdoses. DISCUSSION: If the RAPIDS intervention is found to be effective, its brief MI and fentanyl test strip training components could be easily incorporated into existing community-based overdose prevention programming to help reduce the rates of fentanyl-related opioid overdose.

trial registrationClinicalTrials.gov NCT04372238 . Registered on 01 May 2020.

Indexed as

FentanylOpiate OverdoseAdolescentAdultAgedAnalgesics, OpioidHumansMiddle AgedNorth AmericaRandomized Controlled Trials as TopicRhode IslandYoung AdultAnalgesics, OpioidFentanylBehavioral interventionFentanyl test stripIllicitly manufactured fentanylInformation-motivation-behavioral modelMotivational interviewingOpioid overdoseOverdose preventionRandomized controlled trial

Identifiers

PMID33243291
PMCPMC7690169
OpenAlexW3106657363

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.