Evidence map›Paper›PMID 41084349›Full record

ArticleDrug and alcohol review2025

Urgent Need for Pairing Training and Education With Fentanyl Test Strip Distribution.

Megan K Reed, Tracy Esteves Camacho, Kristin L Rising, Rose Laurano, Danielle Albaciete, Stephen E Lankenau

Abstract read
In one paragraph

Article in Drug and alcohol review, 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. 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

6 authors.

Megan K ReedDepartment of Emergency Medicine, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.ORCID 0000-0002-4367-7076
Tracy Esteves CamachoCenter for Connected Care, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Kristin L RisingDepartment of Emergency Medicine, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.ORCID 0000-0003-3882-4956
Rose LauranoCenter for Connected Care, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Danielle AlbacieteCenter for Connected Care, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Stephen E LankenauDepartment of Community Health and Prevention, Drexel University, Philadelphia, Pennsylvania, USA.ORCID 0000-0002-6928-0085

Funding

Assessing fentanyl test strip use accuracy and fentanyl presence in the non-heroin drug supplyR21DA056790 · NIDA · THOMAS JEFFERSON UNIVERSITY · PI REED, MEGAN · 2023 to 2024
$442k
NIDA NIH HHS R21 DA056790NIDA NIH HHS R21DA056790
6 · The paper itself

Abstract

introductionFentanyl test strips (FTS) are increasingly recommended for non-heroin drugs to detect potential fentanyl adulteration. The aim of this study was to better understand how people are using FTS.

methodsIn simulation exercises between September and October 2023, 40 people who used drugs participated in a mock use of FTS on a simulated drug, interpreted FTS results and completed interviews about their FTS use. Data were analysed in NVivo.

resultsPrior to study enrolment, 80% of participants reported receiving training on using FTS, some had instructed others on their use, and 71% reported a positive result at the last use of a FTS on a non-heroin drug. During the simulation exercise, none of the participants used FTS as recommended: most under-diluted the sample or used the FTS in another manner not indicated. During the interpretation of FTS strip results, 45% correctly interpreted a positive test; 55% a negative test with clear lines; and 30% a negative test with a faint second line. DISCUSSION AND

conclusionsObserved errors in FTS simulations would likely lead to false positive results. Findings highlight the lack of appropriate training people have received and the need to develop educational approaches to ensure people use FTS properly to optimise their impact.

Indexed as

FentanylReagent StripsSimulation TrainingSubstance Abuse DetectionAdultFemaleHumansMaleMiddle AgedYoung AdultFentanylReagent Stripsdrug testingFTSharm reductionimmunoassay

Identifiers

PMID41084349
PMCPMC12581928

What OpenQuestion holds

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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.