Promoting substance use stigma resistance through an automated text message intervention (project RESTART): Outcomes of a pilot feasibility trial
Journal of Substance Use and Addiction Treatment,
Journal Year:
2025,
Volume and Issue:
172, P. 209671 - 209671
Published: March 6, 2025
Language: Английский
Mapping the Lived Experience of Substance Use Stigma: A Conceptual Framework of Salient Attitudes, Beliefs, and Behaviors in Rural-Dwelling People Who Use Drugs
Social Science & Medicine,
Journal Year:
2025,
Volume and Issue:
372, P. 117967 - 117967
Published: March 15, 2025
Language: Английский
Experiences of stigmatization among people who use drugs in the initial year of British Columbia's drug decriminalization policy: A qualitative study
International Journal of Drug Policy,
Journal Year:
2025,
Volume and Issue:
139, P. 104791 - 104791
Published: April 7, 2025
On
January
31,
2023,
Health
Canada
approved
a
three-year
pilot
decriminalization
initiative
allowing
adults
in
British
Columbia
(BC),
Canada,
to
legally
possess
cumulative
2.5
g
of
opioids,
cocaine,
methamphetamine,
or
MDMA.
The
policy
aims
reduce
the
harms
associated
with
drug
use,
including
stigma,
which
contributes
barriers
for
people
who
use
drugs
accessing
harm
reduction
and
treatment
services.
Addressing
stigma
is
considered
crucial
step
mitigating
BC's
overdose
crisis,
by
encouraging
feel
more
comfortable
access
utilize
services
without
fear
judgment.
This
study
examined
impacts
on
among
within
first
year
implementation.
From
October
2023
February
2024,
100
semi-structured
telephone
interviews
brief
socio-demographic
surveys
from
across
BC
were
conducted
explore
their
experiences
stigmatization
post-decriminalization.
A
qualitative
thematic
analysis
was
used
synthesize
data.
Findings
revealed
that
societal,
structural
self-stigma
remain
pervasive
While
most
participants
reported
little
change
since
policy's
implementation,
some
an
increase,
while
others
observed
decrease
all
forms
stigma.
Increased
attributed
perceived
heightened
visibility
public
amplified
societal
Conversely,
decreased
linked
shifting
perceptions
as
health
issue
humanized
interactions
police.
Despite
mixed
experiences,
remained
optimistic
could
contribute
long-term
offered
recommendations
support
this
goal.
has
potential
increase
comfort
critical
substance
drugs,
achieving
these
outcomes
requires
additional
efforts.
Public
awareness
campaigns,
targeted
anti-stigma
education,
broader
systemic
changes
suggested
essential
address
BC.
Strengthening
areas
enhance
utilization
services,
ultimately
supporting
goals
decriminalization.
Language: Английский
‘It was like coming back from the clouds’: a qualitative analysis of the lived experience of overdose consequent to drug use among a cohort of people who use drugs in Scotland
Harm Reduction Journal,
Journal Year:
2024,
Volume and Issue:
21(1)
Published: June 7, 2024
Globally,
non-fatal
overdose
(NFOD)
rates
consequent
to
drug
use,
typically
opioids,
continue
increasing
at
a
startling
rate.
Existing
quantitative
research
has
revealed
myriad
factors
and
characteristics
linked
experiencing
NFOD,
but
it
is
critically
important
explore
the
lived
context
underlying
these
associations.
In
this
qualitative
study,
we
sought
understand
experiences
of
NFOD
among
people
who
use
drugs
in
Scottish
region
order
to:
enhance
public
policy
responses;
inform
potential
intervention
development
mitigate
risk;
contribute
literature
documenting
experience
NFOD.
Language: Английский
An Automated Text Message Intervention to Reduce Substance Use Self-Stigma (Project RESTART): Protocol for a Feasibility and Acceptability Pilot Study (Preprint)
JMIR Research Protocols,
Journal Year:
2024,
Volume and Issue:
13, P. e59224 - e59224
Published: Aug. 9, 2024
Background
Stigma
is
a
barrier
to
treatment
and
harm
reduction
seeking
in
people
who
use
drugs.
Most
stigma
interventions
offer
psychotherapy
or
psychoeducation
group-based
clinical
settings,
failing
reach
are
not
treatment.
SMS
text
messaging
an
effective
acceptable
modality
for
delivering
health
information
drugs
may
be
suitable
conduit
providing
advice
understand
cope
with
stigma.
Objective
This
paper
presents
the
protocol
study
that
aims
determine
feasibility,
acceptability,
preliminary
effectiveness
of
4-week
automated
message
intervention
increase
resistance
reduce
self-stigma
Methods
We
designed
novel
address
four
personal-level
constructs
resistance:
(1)
believing
catching
challenging
stigmatizing
thoughts,
(2)
empowering
oneself
through
learning
about
substance
one’s
recovery,
(3)
maintaining
recovery
proving
wrong,
(4)
developing
meaningful
identity
purpose
apart
from
use.
Theory-based
messages
were
developed
pilot-tested
qualitative
elicitation
interviews
22
drugs,
resulting
library
56
messages.
In
single-group,
within-subjects,
community-based
pilot
trial,
we
will
enroll
30
participants
Resisting
Revaluating
Your
Thoughts
(RESTART)
intervention.
Participants
receive
2
daily
4
weeks.
Implementation
feasibility
assessed
recruitment,
enrollment,
retention,
delivery
statistics.
User
acceptability
at
follow-up
using
23
survey
items
informed
by
Theoretical
Framework
Acceptability.
Primary
outcomes
changes
(Substance
Abuse
Self-Stigma
Scale)
(Stigma
Resistance
baseline
measured
via
self-administered
survey.
Secondary
hope
(Adult
Dispositional
Hope
self-esteem
(Rosenberg
Self-Esteem
Scale).
Feasibility
descriptive
statistics;
paired
2-tailed
t
tests,
group
differences
explored
ANOVA.
Overall,
12
also
selected
complete
interviews.
Results
was
funded
National
Institute
on
Drug
April
2023
received
regulatory
approval
January
2024
University
North
Carolina-Chapel
Hill
Institutional
Review
Board.
Recruitment
enrollment
began
March
2024.
Follow-up
visits
expected
conclude
May
disseminated
relevant
peer-reviewed
journals.
Conclusions
To
best
our
knowledge,
this
first
self-help
program.
add
nascent
literature
interest
researchers
considering
psychosocial
needs
hard-to-reach
populations.
Trial
Registration
ClinicalTrials.gov
NCT06281548;
https://clinicaltrials.gov/ct2/show/NCT06281548
International
Registered
Report
Identifier
(IRRID)
DERR1-10.2196/59224
Language: Английский
An Automated Text Message Intervention to Reduce Substance Use Self-Stigma: Feasibility and Acceptability Pilot Study (Preprint)
Published: April 5, 2024
BACKGROUND
Stigma
is
a
barrier
to
treatment
and
harm
reduction
seeking
in
people
who
use
drugs.
Most
stigma
interventions
offer
psychotherapy
or
psychoeducation
group-based
clinical
settings,
failing
reach
are
not
treatment.
SMS
text
messaging
an
effective
acceptable
modality
for
delivering
health
information
drugs
may
be
suitable
conduit
providing
advice
understand
cope
with
stigma.
OBJECTIVE
This
paper
presents
the
protocol
study
that
aims
determine
feasibility,
acceptability,
preliminary
effectiveness
of
4-week
automated
message
intervention
increase
resistance
reduce
self-stigma
METHODS
We
designed
novel
address
four
personal-level
constructs
resistance:
(1)
believing
catching
challenging
stigmatizing
thoughts,
(2)
empowering
oneself
through
learning
about
substance
one’s
recovery,
(3)
maintaining
recovery
proving
wrong,
(4)
developing
meaningful
identity
purpose
apart
from
use.
Theory-based
messages
were
developed
pilot-tested
qualitative
elicitation
interviews
22
drugs,
resulting
library
56
messages.
In
single-group,
within-subjects,
community-based
pilot
trial,
we
will
enroll
30
participants
Resisting
Revaluating
Your
Thoughts
(RESTART)
intervention.
Participants
receive
2
daily
4
weeks.
Implementation
feasibility
assessed
recruitment,
enrollment,
retention,
delivery
statistics.
User
acceptability
at
follow-up
using
23
survey
items
informed
by
Theoretical
Framework
Acceptability.
Primary
outcomes
changes
(Substance
Abuse
Self-Stigma
Scale)
(Stigma
Resistance
baseline
measured
via
self-administered
survey.
Secondary
hope
(Adult
Dispositional
Hope
self-esteem
(Rosenberg
Self-Esteem
Scale).
Feasibility
descriptive
statistics;
paired
2-tailed
<i>t</i>
tests,
group
differences
explored
ANOVA.
Overall,
12
also
selected
complete
interviews.
RESULTS
was
funded
National
Institute
on
Drug
April
2023
received
regulatory
approval
January
2024
University
North
Carolina-Chapel
Hill
Institutional
Review
Board.
Recruitment
enrollment
began
March
2024.
Follow-up
visits
expected
conclude
May
Results
disseminated
relevant
peer-reviewed
journals.
CONCLUSIONS
To
best
our
knowledge,
this
first
self-help
program.
add
nascent
literature
interest
researchers
considering
psychosocial
needs
hard-to-reach
populations.
CLINICALTRIAL
ClinicalTrials.gov
NCT06281548;
https://clinicaltrials.gov/ct2/show/NCT06281548
INTERNATIONAL
REGISTERED
REPORT
DERR1-10.2196/59224
Language: Английский
A cross-sectional study of stigma towards opioid users among rural law enforcement and community members in tennessee
Kahler W. Stone,
No information about this author
Gabrielle M. Chesak,
No information about this author
Angela S. Bowman
No information about this author
et al.
Harm Reduction Journal,
Journal Year:
2024,
Volume and Issue:
21(1)
Published: Nov. 9, 2024
The
U.S.
opioid
crisis,
resulting
in
nearly
500,000
deaths
from
1999
to
2019,
has
been
exacerbated
by
persistent
stigma,
which
hinders
treatment
and
recovery
efforts.
This
whether
structural,
social,
or
self-imposed,
challenges
overdose
prevention
recovery.
Our
study
aimed
assess
compare
levels
of
stigma
towards
users
among
rural
law
enforcement
officers
(LEOs)
community
members
Tennessee,
highlighting
community-level
attitudes.
Language: Английский