Evidence map›Paper›PMID 38308262›Full record

ArticleHarm reduction journal2024

Understanding the barriers and facilitators to implementing and sustaining Mobile Overdose Response Services from the perspective of Canadian key interest groups: a qualitative study.

Boogyung Seo, Nathan Rider, William Rioux, Adrian Teare, Stephanie Jones, Pamela Taplay, S Monty Ghosh

Open access · goldAbstract read
In one paragraph

Article in Harm reduction journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
6.5field-weighted citation impact, top 3% 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

11 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Policy recommendations for overdose response hotlines and applications as a harm reduction tool: A commentary.Canadian journal of public health = Revue canadienne de sante publique · 2026
    Article
  4. Article
  5. Article
  6. Expanding supervised consumption services in rural Canada: Bridging gaps.Canadian journal of public health = Revue canadienne de sante publique · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
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.

Boogyung SeoDepartment of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.
Nathan RiderCumming School of Medicine, University of Calgary, Calgary, AB, Canada.
William RiouxDepartment of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.
Adrian TeareCollege of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.
Stephanie JonesThree Hive Consulting, Vancouver, BC, Canada.
Pamela TaplayGrenfell Ministries, Hamilton, ON, Canada.
S Monty GhoshDepartment of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada. ghosh@ualberta.ca.
University of Alberta · CAUniversity of Calgary · CAUniversity of Saskatchewan · CA

Funding

Canadian Institutes of Health Research (CIHR) Grant 181006Health Canada's Substance Use and Addictions Program (SUAP) Grant 2122-HQ-000021
6 · The paper itself

Abstract

introductionUnregulated supply of fentanyl and adulterants continues to drive the overdose crisis. Mobile Overdose Response Services (MORS) are novel technologies that offer virtual supervised consumption to minimize the risk of fatal overdose for those who are unable to access other forms of harm reduction. However, as newly implemented services, they are also faced with numerous limitations. The aim of this study was to examine the facilitators and barriers to the adoption of MORS in Canada.

methodsA total of 64 semi-structured interviews were conducted between November 2021 and April 2022. Participants consisted of people who use substances (PWUS), family members of PWUS, health care professionals, harm reduction workers, MORS operators, and members of the general public. Inductive thematic analysis was used to identify the major themes and subthemes.

resultsRespondents revealed that MORS facilitated a safe, anonymous, and nonjudgmental environment for PWUS to seek harm reduction and other necessary support. It also created a new sense of purpose for operators to positively contribute to the community. Further advertising and promotional efforts were deemed important to increase its awareness. However, barriers to MORS implementation included concerns regarding privacy/confidentiality, uncertainty of funding, and compassion fatigue among the operators.

conclusionAlthough MORS were generally viewed as a useful addition to the currently existing harm reduction services, it's important to monitor and tackle these barriers by engaging the perspectives of key interest groups.

Indexed as

Drug OverdosePublic OpinionCanadaFentanylHarm ReductionHumansQualitative ResearchFentanylAdulterantsFentanylMobile Overdose Response ServicesOverdose crisisSupervised consumption

Identifiers

PMID38308262
PMCPMC10837862
OpenAlexW4391470561

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.