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| http://dx.doi.org/10.1503/cmaj.220579 | DOI Listing |
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Perceptions of overdose response hotlines and applications among rural and remote individuals who use drugs in Canada: a qualitative study.
Health Promot Chronic Dis Prev Can
November 2024
Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Introduction: The overdose epidemic continues to be one of the largest public health crises in Canada. Various harm reduction supports have been implemented to curb this epidemic; however, they remain concentrated within urban settings. To address this limitation, overdose response hotlines and applications (ORHA) are novel, technologybased harm reduction services that may reduce drug-related mortality for people who use substances (PWUS) living in rural communities through virtual supervised consumption.
View Article and Find Full Text PDFAre virtual harm reduction interventions right for everyone?: A qualitative study of the appropriateness of overdose response hotlines and applications for different subgroups of people who use substances.
J Subst Use Addict Treat
January 2025
Department of Medicine, Faculty of Medicine & Dentistry, University of Alberta, 2J2.00 Walter C Mackenzie Health Sciences Centre, 8440 112 St. NW, Edmonton, AB T6G 2R7, Canada; Department of Internal Medicine, Faculty of Medicine & Dentistry, University of Alberta, 2J2.00 Walter C Mackenzie Health Sciences Centre, 8440 112 St. NW, Edmonton, AB T6G 2R7, Canada. Electronic address:
Introduction: Overdose response hotlines and apps are novel virtual harm reduction technologies that allow remote monitoring of individuals while they use substances (especially if they use alone) through electronic means. The authors explored partner perspectives to determine which groups of people who use substances (PWUS) these services would be most appropriate for, with the aim of better informing service providers on how to target their use to maximize benefit for clients.
Methods: The study conducted 64 semi-structured interviews with participants from a variety of backgrounds (individuals with lived or living experience of substance use, lay persons, health care providers, harm reduction workers, and operational experts).
Study protocol for a sequential multiple assignment randomized trial to decrease alcohol use before and after surgery.
Contemp Clin Trials
December 2024
Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA. Electronic address:
Background: High-risk alcohol consumption in the weeks before and after surgery poses significant risks for postoperative recovery. Despite this, elective surgical patients are rarely offered alcohol-focused education, interventions, or treatment. This paper describes the protocol of a research study designed to evaluate the effectiveness of brief, non-pharmacological, therapeutic approaches to reduce alcohol use before and after surgery.
View Article and Find Full Text PDFVirtual/Mobile Overdose Response in Canada: A Social Return on Investment Analysis.
Value Health
October 2024
Department of Medicine, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, AB, Canada; Department of Internal Medicine, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, AB, Canada. Electronic address:
Objectives: The overdose epidemic continues to be one of the leading causes of death in North America and continues to contribute to high healthcare costs. Although harm reduction initiatives have significantly reduced the aforementioned costs, there is a dearth of evidence regarding overdose response hotlines and applications. We aim to evaluate the social return on investment from a payer perspective of one such overdose response hotline, Canada's National Overdose Response Service, and its implications for service users, service operators, the Canadian healthcare system, and program funders.
View Article and Find Full Text PDFVirtual Reality as a Pain Control Adjunct in Orthopedics: A Narrative Review.
Cureus
August 2024
Orthopedics, Everett Clinic, Edmonds, USA.
Orthopedic surgeons typically prescribe opioids for postoperative pain management as they are effective in managing pain. However, opioid use can lead to issues such as overdose, prescription excess, inadequate pain management, and addiction. Virtual reality (VR) therapy is an alternative route for postoperative pain management that has grown in popularity over the years.
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