Evidence map›Paper›PMID 40506711›Full record

ArticleHarm reduction journal2025

Informed implementation practice - formative research of a mobile drug consumption room in Brno, Czech Republic.

Viktor Mravčík, Barbara Janíková, Danica Thanki, Daniela Nováková, Petr Matoušek, Simona Psárska, Martin Matušák, Žofie Buchalová, Lenka Dospiviová, Lucie Mašková and 1 more

Abstract read
In one paragraph

Article in Harm reduction journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

11 authors.

Viktor MravčíkSpolečnost Podané ruce, Brno, Czech Republic. mravcik@podaneruce.cz.
Barbara JaníkováSpolečnost Podané ruce, Brno, Czech Republic.
Danica ThankiSpolečnost Podané ruce, Brno, Czech Republic.
Daniela NovákováDepartment of Addictology, Charles University, First Faculty of Medicine and General University Hospital, Prague, Czech Republic.
Petr MatoušekDepartment of Addictology, Charles University, First Faculty of Medicine and General University Hospital, Prague, Czech Republic.
Simona PsárskaDepartment of Addictology, Charles University, First Faculty of Medicine and General University Hospital, Prague, Czech Republic.
Martin MatušákDepartment of Addictology, Charles University, First Faculty of Medicine and General University Hospital, Prague, Czech Republic.
Žofie BuchalováSpolečnost Podané ruce, Brno, Czech Republic.
Lenka DospiviováSpolečnost Podané ruce, Brno, Czech Republic.
Lucie MaškováSpolečnost Podané ruce, Brno, Czech Republic.
Petr BlažekSpolečnost Podané ruce, Brno, Czech Republic.

Funding

The Western-Eastern European Partnership Initiative on HIV, viral hepatitis and tuberculosis (WEEPI) 201
6 · The paper itself

Abstract

backgroundDrug consumption rooms (DCRs) are harm reduction facilities providing safer and hygienic setting for supervised administration of drugs aimed at decreasing negative health and social consequences of drug use. The first DCR in Czechia was opened in September 2023 in city of Brno in a mobile form operating in a socially excluded area (SEA). A research project informed the implementation of the DCR.

methodsA mixed methods design was applied in the following phases: desk review, research before and after the launch of the mobile DCR, and routine monitoring of programme performance. Two cross-sectional questionnaire surveys among PWUDs (n = 131 and 135), ethnographic observation, focus group (n = 19), interviews with PWUDs (n = 26 and 19), with personnel of addiction services and local officials (n = 16 and 12), and residents (n = 7 and 6) were performed prior to and after the launch of the DCR. Thematic analysis of qualitative data, descriptive and regression analyses of quantitative data were performed.

resultsThere was a need and high willingness to use the DCR among potential clients. The significant predictors were opioid use (adjusted odds ratio, AOR = 3.4 in survey 1 and 3.9 in survey 2), drug injection in the last 30 days (AOR 4.3 in survey 1), being in the probationary period during the previous 30 days (AOR 10.0 in survey 1), witnessing an overdose in the past 30 days (AOR 8.5 in survey 2), HCV positivity ever in life (AOR 2.9 in survey 2), living in SEA (AOR 2.7 in survey 2) and Roma ethnicity (AOR 2.8 in survey 2). The beginnings of the DCR were relatively slow with low initial number of clients and drug administrations. However, with time, and programme adjustments following research results, the attendance at the facility has grown.

conclusionsResearch was instrumental in shaping the DCR in Brno before and during its implementation. The DCR showed a potential to attract the most vulnerable PWUDs from SEA. Despite a slow start, the DCR has become an integral part of low-threshold services for PWUDs in Brno and has proven its feasibility in the Czech settings.

Indexed as

Drug UsersHarm ReductionMobile Health UnitsSubstance-Related DisordersAdultCross-Sectional StudiesCzech RepublicFemaleHumansMaleMiddle AgedSurveys and QuestionnairesYoung AdultDrug consumption roomFormative researchHarm reductionHigh-risk drug useInjectingSafer administration

Identifiers

PMID40506711
PMCPMC12164084

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.