A cross-sectional study of stigma towards opioid users among rural law enforcement and community members in tennessee DOI Creative Commons
Kahler W. Stone,

Gabrielle M. Chesak,

Angela S. Bowman

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

Promoting substance use stigma resistance through an automated text message intervention (project RESTART): Outcomes of a pilot feasibility trial DOI
Adams L Sibley, Kathryn E. Muessig, Seth M. Noar

et al.

Journal of Substance Use and Addiction Treatment, Journal Year: 2025, Volume and Issue: 172, P. 209671 - 209671

Published: March 6, 2025

Language: Английский

Citations

0

Mapping the Lived Experience of Substance Use Stigma: A Conceptual Framework of Salient Attitudes, Beliefs, and Behaviors in Rural-Dwelling People Who Use Drugs DOI
Adams L Sibley, Sophia M. Bartels, Seth M. Noar

et al.

Social Science & Medicine, Journal Year: 2025, Volume and Issue: 372, P. 117967 - 117967

Published: March 15, 2025

Language: Английский

Citations

0

Experiences of stigmatization among people who use drugs in the initial year of British Columbia's drug decriminalization policy: A qualitative study DOI Creative Commons
Farihah Ali, Cayley Russell, Savannah Torres-Salbach

et al.

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

Citations

0

‘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 DOI Creative Commons
Christopher J. Byrne, Fabio Sani,

Teresa Flynn

et al.

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

Citations

1

An Automated Text Message Intervention to Reduce Substance Use Self-Stigma (Project RESTART): Protocol for a Feasibility and Acceptability Pilot Study (Preprint) DOI Creative Commons
Adams L Sibley, Seth M. Noar, Kathryn E. Muessig

et al.

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

Citations

1

An Automated Text Message Intervention to Reduce Substance Use Self-Stigma: Feasibility and Acceptability Pilot Study (Preprint) DOI
Adams L Sibley, Seth M. Noar, Kathryn E. Muessig

et al.

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

Citations

0

A cross-sectional study of stigma towards opioid users among rural law enforcement and community members in tennessee DOI Creative Commons
Kahler W. Stone,

Gabrielle M. Chesak,

Angela S. Bowman

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

Citations

0