Evidence map›Paper›PMID 37660029›Full record

ArticleHarm reduction journal2023

Availability of telehealth-based services at syringe services programs under the COVID-19 Public Health Emergency.

Tyler S Bartholomew, Hansel E Tookes, Teresa A Chueng, Ricky N Bluthenthal, Lynn D Wenger, Alex H Kral, Barrot H Lambdin

Open access · goldAbstract read
In one paragraph

Article in Harm reduction journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
4.5field-weighted citation impact, top 4% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 21 citations in OpenAlex.

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  10. Illicit Fentanyl Use and Hepatitis C Virus Seroconversion Among People Who Inject Drugs in Tijuana and San Diego: Results From a Binational Cohort Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 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

7 authors at 3 institutions in 1 country.

Tyler S BartholomewUniversity of Miami, 1120 NW 14th St #860, Miami, FL, 33136, USA.
Hansel E TookesUniversity of Miami, 1120 NW 14th St #860, Miami, FL, 33136, USA. hetookes@miami.edu.
Teresa A ChuengUniversity of Miami, 1120 NW 14th St #860, Miami, FL, 33136, USA.
Ricky N BluthenthalUniversity of Southern California, Los Angeles, CA, USA.
Lynn D WengerRTI International, Berkeley, CA, USA.
Alex H KralRTI International, Berkeley, CA, USA.
Barrot H LambdinRTI International, Berkeley, CA, USA.
RTI International · USUniversity of Miami · USUniversity of Southern California · US

Funding

In pursuit of a one-stop shop: a hybrid type 1 effectiveness-implementation trial of comprehensive tele-health concierge for people who inject drugsR01DA058352 · NIDA · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI Joshua Adam Barocas, Tyler Scott Bartholomew · 2023 to 2026
$2.7M
Tele-Harm Reduction for Rapid Initiation of Antiretrovirals in People who Inject Drugs: a Randomized Controlled TrialDP2DA053720 · NIDA · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI TOOKES, HANSEL EMORY · 2021 to 2024
$2.6M
Preventing Opioid Overdose Mortality in the United StatesR01DA046867 · NIDA · RESEARCH TRIANGLE INSTITUTE · PI LAMBDIN, BARROT HOPKINS · 2018 to 2020
$1.4M
NIDA NIH HHS DP2 DA053720NIDA NIH HHS R01 DA046867NIDA NIH HHS R01 DA058352
6 · The paper itself

Abstract

introductionThe expanded capacity of syringe services programs (SSPs) in the USA to integrate telehealth services was largely related to flexibility of buprenorphine prescription in response to the COVID-19 pandemic. SSPs demonstrated the potential of using telehealth to reach participants with both medical and non-medical services. The present study examines the implementation of medical and non-medical telehealth-based health services in 2020 at SSPs in the USA and organizational characteristics associated with adopting specific telehealth services.

methodsWe administered a cross-sectional survey among all known SSPs operating in the USA as of 2021. The two primary study outcomes were (1) implementation of medical telehealth and (2) implementation of non-medical telehealth in 2020. Medical services included HIV counseling/care, hepatitis C virus (HCV) counseling/care, and buprenorphine. Non-medical services included wellbeing/check-ins, overdose prevention training, health navigation, harm reduction and psychological counseling. Bivariate and multivariable mixed effects logistic regression models were used to directly estimate the odds ratio associated with organizational characteristics on the implementation of telehealth-based health services.

resultsThirty percent of programs (n = 290) reported implementing telehealth-based health services. In multivariable logistic regression models, community-based organization SSPs had higher odds of implementing medical (aOR = 4.69, 95% CI [1.96, 11.19]) and non-medical (aOR = 2.18, 95% CI [1.10, 4.31]) health services compared to public health department SSPs. SSPs that received governmental funding had higher odds of implementing medical services via telehealth (aOR = 2.45, 95% CI [1.35, 4.47]) compared to programs without governmental funding.

conclusionCommunity-based organization SSPs and those with government funding had the highest odds of telehealth implementation in response to the COVID-19 Public Health Emergency. Federal, state, and local governments must increase funding for low-barrier venues like SSPs to support telehealth implementation to serve the needs of people who use drugs.

Indexed as

BuprenorphineCOVID-19TelemedicineCross-Sectional StudiesHumansPandemicsPublic HealthBuprenorphineCOVIDHarm reductionPeople who inject drugsSyringe services programsTelehealth

Identifiers

PMID37660029
PMCPMC10475193
OpenAlexW4386388020

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.