Evidence map›Paper›PMID 40859038›Full record

ArticleHealth & justice2025

Using narrative and informational messages to improve correctional professionals' attitudes toward medications for opioid use disorder.

Alyssa Harrell-Webber, Xiaoquan Zhao, Urszula A Horoszko, Amy Murphy, Lindsay Smith, Faye S Taxman

Abstract read
In one paragraph

Article in Health & justice, 2025. 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

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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.

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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.

Alyssa Harrell-WebberDepartment of Communication, George Mason University, Fairfax, USA.
Xiaoquan ZhaoDepartment of Communication, George Mason University, Fairfax, USA. xzhao3@gmu.edu.
Urszula A HoroszkoDepartment of Communication, George Mason University, Fairfax, USA.
Amy MurphySchar School of Public Policy, George Mason University, Fairfax, USA.
Lindsay SmithSchar School of Public Policy, George Mason University, Fairfax, USA.
Faye S TaxmanSchar School of Public Policy, George Mason University, Fairfax, USA.

Funding

Technical Assistance CoreU2CDA050097 · NIDA · GEORGE MASON UNIVERSITY · PI Todd David Molfenter, Jessica Hulsey Nickel · 2019 to 2026
$37.0M
NIDA NIH HHS U2C DA050097
6 · The paper itself

Abstract

backgroundCriminal legal involved (CLI) individuals face a heightened risk of opioid misuse and overdose, yet access to medications for opioid use disorder (MOUD) is limited, particularly in criminal legal settings. Negative attitudes and misinformation about MOUD are prevalent among legal system actors, creating a barrier to MOUD access. This study examines the effectiveness of informational and narrative messages in correcting misinformation and promoting positive attitudes toward MOUD among criminal legal system (CLS) professionals.

methodUsing state/federal websites, social media groups, and professional connections to correctional and behavioral health agencies nationwide, we recruited individuals who were currently working in corrections and behavioral health in criminal legal settings in the United States (N = 502). An online experiment was conducted with four message conditions: no message control, informational message, first-person narrative message, and dialogue message. The study assessed attitudes toward MOUD use and support for greater access in these settings, as well as information processing outcomes including narrative transportation (i.e., becoming immersed in a story), perceived realism, and counterarguing.

resultsCompared to no message control, both the first-person narrative message (p = .006) and the dialogue message (p = .026) produced more positive attitudes toward MOUD; the informational message marginally improved positive attitudes (p = .080). The dialogue message also increased support for MOUD access in jails/prisons compared to control (p = .003). Neither the narrative nor the informational messages significantly reduced negative attitudes. The first-person (p = .050) and dialogue (p = .030) messages both generated significantly greater transportation compared to the informational message.

conclusionBoth informational and narrative messages can improve attitudes toward MOUD use in criminal legal settings. Well-designed educational messages aimed at changing attitudes and reducing barriers to promoting MOUD use in criminal legal settings are warranted.

Indexed as

AttitudeCriminal legal involvement (CLI)Informational messageMedication for opioid use disorder (MOUD)MisinformationNarrative message

Identifiers

PMID40859038
PMCPMC12382214

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LicenceCC BY-NC-ND
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Registered trials

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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.