Evidence map›Paper›PMID 38991914›Full record

ArticleVaccine2024

Need for strategic communications and stakeholder engagement to advance acceptability of an overdose preventing vaccine targeting fentanyl.

Elissa R Weitzman, Sydney E Pierce, Laura M Blakemore, Andrew Murdock, Asimenia Angelidou, David J Dowling, Ofer Levy, Sharon Levy

Abstract read
In one paragraph

Article in Vaccine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Review
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

8 authors.

Elissa R WeitzmanDivision of Addiction Medicine, Boston Children's Hospital, 300 Longwood Ave, Boston, MA 02115, United States; Department of Pediatrics, Harvard Medical School, 25 Shattuck St, Boston, MA 02115, United States. Electronic address: Elissa.weitzman@childrens.harvard.edu.
Sydney E PierceDivision of Addiction Medicine, Boston Children's Hospital, 300 Longwood Ave, Boston, MA 02115, United States. Electronic address: Sydney.pierce@childrens.harvard.edu.
Laura M BlakemoreDivision of Addiction Medicine, Boston Children's Hospital, 300 Longwood Ave, Boston, MA 02115, United States. Electronic address: Lblakemore@mghihp.edu.
Andrew MurdockDivision of Addiction Medicine, Boston Children's Hospital, 300 Longwood Ave, Boston, MA 02115, United States. Electronic address: Asm476@drexel.edu.
Asimenia AngelidouDepartment of Pediatrics, Harvard Medical School, 25 Shattuck St, Boston, MA 02115, United States; Precision Vaccines Program, Department of Pediatrics, Boston Children's Hospital, 300 Longwood Ave, Boston, MA 02115, United States; Department of Neonatology, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA 02215, United States. Electronic address: Asimenia.angelidou@childrens.harvard.edu.
David J DowlingDepartment of Pediatrics, Harvard Medical School, 25 Shattuck St, Boston, MA 02115, United States; Precision Vaccines Program, Department of Pediatrics, Boston Children's Hospital, 300 Longwood Ave, Boston, MA 02115, United States. Electronic address: David.dowling@childrens.harvard.edu.
Ofer LevyDepartment of Pediatrics, Harvard Medical School, 25 Shattuck St, Boston, MA 02115, United States; Precision Vaccines Program, Department of Pediatrics, Boston Children's Hospital, 300 Longwood Ave, Boston, MA 02115, United States; Broad Institute of MIT & Harvard, 415 Main St, Cambridge, MA 02142, United States. Electronic address: Ofer.levy@childrens.harvard.edu.
Sharon LevyDivision of Addiction Medicine, Boston Children's Hospital, 300 Longwood Ave, Boston, MA 02115, United States; Department of Pediatrics, Harvard Medical School, 25 Shattuck St, Boston, MA 02115, United States. Electronic address: Sharon.levy@childrens.harvard.edu.

Funding

Immunometabolic signatures of BCG-induced neonatal trained immunityK08AI168487 · NIAID · BETH ISRAEL DEACONESS MEDICAL CENTER · PI Asimenia Angelidou · 2023 to 2026
$704k
NIAID NIH HHS 75N93020C00038NIAID NIH HHS K08 AI168487
6 · The paper itself

Abstract

backgroundFentanyl is a synthetic opioid, exposure to which has led to hundreds of thousands of overdose deaths. Novel vaccines are being developed that might protect against fentanyl overdose. Proactive attention to strategic communications and stakeholder engagement may smooth uptake of a novel vaccine given known challenges around vaccine hesitancy and concern for stigma related to substance use.

methodsQualitative interviews (N = 74) with a purposive sample of adolescents/young adults with opioid use disorder (OUD), family members of persons with OUD, experts in substance use treatment and harm reduction, and community members were conducted and thematically analyzed to discern attitudes toward a fentanyl vaccine, and directions for communications and engagement.

resultsMajor themes reflected personal concerns for biomedical risk and system-level concerns for alignment and integration of an overdose preventing vaccine with prevailing beliefs about addiction and associated frameworks and philosophies for treatment and response.

conclusionAcceptability and implementation of a novel fentanyl vaccine targeting overdose will need precision communications that address biomedical, moral/spiritual, and structural perspectives about the nature of addiction. Education about the purpose and limits of a fentanyl vaccine, partnerships with diverse stakeholders from throughout the opioid response ecosystem and interweaving of a vaccine strategy into comprehensive prevention and treatment are recommended.

Indexed as

Drug OverdoseFentanylOpioid-Related DisordersStakeholder ParticipationVaccinesAdolescentAdultCommunicationFemaleHumansMaleMiddle AgedPatient Acceptance of Health CareYoung AdultFentanylVaccinesMessagingOpioid OverdosePrecision vaccinesVaccine acceptabilityVaccine hesitancy

Identifiers

PMID38991914
PMCPMC11401752

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.