Evidence map›Paper›PMID 38180403›Full record

ArticleAnnals of emergency medicine2024

Barriers and Facilitators to Harm Reduction for Opioid Use Disorder: A Qualitative Study of People With Lived Experience.

Lauren M Westafer, Samantha A Beck, Caty Simon, Benjamin Potee, William E Soares, Elizabeth M Schoenfeld

Open access · bronzeAbstract read
In one paragraph

Article in Annals of emergency medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
4.3field-weighted citation impact, top 6% 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

9 citing papers in PubMed, 8 citations in OpenAlex.

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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

6 authors at 1 institution in 1 country.

Lauren M WestaferDepartment of Emergency Medicine, University of Massachusetts Chan Medical School-Baystate, Springfield, MA; Department for Healthcare Delivery and Population Science, University of Massachusetts Chan Medical School-Baystate, Springfield, MA. Electronic address: Lauren.Westafer@baystatehealth.org.
Samantha A BeckUMass Chan Medical School, Worcester, MA.
Caty SimonNational Survivors Union, Greensboro, NC; Whose Corner Is It Anyway, Holyoke, MA.
Benjamin PoteeUMass Chan Medical School, Worcester, MA.
William E SoaresDepartment of Emergency Medicine, University of Massachusetts Chan Medical School-Baystate, Springfield, MA; Department for Healthcare Delivery and Population Science, University of Massachusetts Chan Medical School-Baystate, Springfield, MA.
Elizabeth M SchoenfeldDepartment of Emergency Medicine, University of Massachusetts Chan Medical School-Baystate, Springfield, MA; Department for Healthcare Delivery and Population Science, University of Massachusetts Chan Medical School-Baystate, Springfield, MA.
University of Massachusetts Chan Medical School · US

Funding

SPOiLER: towards Safer Prescribing of Legal Opioids from the Emergency RoomK08DA045933 · NIDA · BAYSTATE MEDICAL CENTER, INC. · PI SOARES, WILLIAM EDWARD · 2018 to 2022
$930k
De-Implementation of Low Value Imaging in Pulmonary Embolism (DELVE PE)K23HL155895 · NHLBI · BAYSTATE MEDICAL CENTER, INC. · PI WESTAFER, LAUREN · 2021 to 2025
$872k
Shared Decision-Making for the Promotion of Patient-Centered Imaging in the Emergency Department: Suspected Kidney StonesK08HS025701 · AHRQ · BAYSTATE MEDICAL CENTER, INC. · PI SCHOENFELD, ELIZABETH MAE · 2018 to 2022
$734k
AHRQ HHS K08 HS025701NHLBI NIH HHS K23 HL155895NIDA NIH HHS K08 DA045933
6 · The paper itself

Abstract

STUDY

objectiveAlthough an increasing number of emergency departments (ED) offer opioid agonist treatment, naloxone, and other harm reduction measures, little is known about patient perspectives on harm reduction practices delivered in the ED. The objective of this study was to identify patient-focused barriers and facilitators to harm reduction strategies in the ED.

methodsWe conducted semistructured interviews with a convenience sample of individuals in Massachusetts diagnosed with opioid use disorder. We developed an interview guide, and interviews were recorded, transcribed, and analyzed in an iterative process using reflexive thematic analysis. After initial interviews and coding, we triangulated the results among a focus group of 4 individuals with lived experience.

resultsWe interviewed 25 participants with opioid use disorder, 6 recruited from 1 ED and 19 recruited from opioid agonist treatment clinics. Key themes included accessibility of harm reduction supplies, lack of self-care resulting from withdrawal and hopelessness, the impact of stigma on the likelihood of using harm reduction practices, habit and knowledge, as well as the need for user-centered harm reduction interventions.

conclusionIn this study, people with lived experience discussed the characteristics and need for user-centered harm reduction strategies in the ED that centered on reducing stigma, treatment of withdrawal, and availability of harm reduction materials.

Indexed as

Harm ReductionOpioid-Related DisordersAnalgesics, OpioidHumansNaloxoneQualitative ResearchAnalgesics, OpioidNaloxone

Identifiers

PMID38180403
PMCPMC10960719
OpenAlexW4390546402

What OpenQuestion holds

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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.