Acceptability and perceived feasibility of restroom motion sensors for overdose detection and response in public bathrooms: A cross-sectional study of businesses and community organizations

IF 3.9 2区医学 Q1 PSYCHIATRY

Drug and alcohol dependence Pub Date : 2025-07-09 DOI:10.1016/j.drugalcdep.2025.112788

Joseph G. Rosen , Ryan Koch , Rehan Aslam , Gabrielle Riendeau , Maxwell S. Krieger , Michelle McKenzie , Susan E. Ramsey , Traci C. Green , Josiah D. Rich , Ju Nyeong Park

{"title":"Acceptability and perceived feasibility of restroom motion sensors for overdose detection and response in public bathrooms: A cross-sectional study of businesses and community organizations","authors":"Joseph G. Rosen , Ryan Koch , Rehan Aslam , Gabrielle Riendeau , Maxwell S. Krieger , Michelle McKenzie , Susan E. Ramsey , Traci C. Green , Josiah D. Rich , Ju Nyeong Park","doi":"10.1016/j.drugalcdep.2025.112788","DOIUrl":null,"url":null,"abstract":"<div><h3>Purpose</h3><div>Solitary drug use amplifies fatal overdose risk for people who use drugs. Restroom motion sensors (RMS) are emerging technologies to enhance detection and facilitate rapid response to overdoses in high-traffic public restrooms (where unmonitored drug use is likely to occur), but there has been limited study of employee and staff perspectives on the perceived value and appropriateness of RMS for their workplaces.</div></div><div><h3>Methods</h3><div>From November 2022 to April 2024, we identified business, health, and community organizations in opioid overdose hotspots across eight townships in Rhode Island (United States of America), surveying managers and shift supervisors about the acceptability and perceived feasibility of RMS. We analyzed data descriptively, identifying bivariate correlates of RMS acceptability and feasibility, respectively, using Fisher’s exact tests of association.</div></div><div><h3>Results</h3><div>Participants (median age: 35 years, 53 % cisgender women) across 100 workplaces exhibited low awareness (4 %) but high comfort with RMS being installed (73 %) and confidence (66 %) in implementing RMS in their workplaces in the future. Organizations without staff adequately trained in overdose response were more likely than organizations with trained staff (81 % vs. 64 %, <em>p</em> = 0.055) to endorse confidence in RMS implementation.</div></div><div><h3>Conclusions</h3><div>Management and shift supervisors in heterogenous occupational contexts endorsed RMS’ compatibility and utility in their workplaces, despite low prior awareness of the technology. Efforts to bolster staff competencies in overdose response and equipping workplaces with the necessary tools (i.e., onsite naloxone) to respond appropriately to onsite overdoses will be imperative to successful implementation of RMS in businesses and community organizations.</div></div>","PeriodicalId":11322,"journal":{"name":"Drug and alcohol dependence","volume":"274 ","pages":"Article 112788"},"PeriodicalIF":3.9000,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Drug and alcohol dependence","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0376871625002418","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHIATRY","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose

Solitary drug use amplifies fatal overdose risk for people who use drugs. Restroom motion sensors (RMS) are emerging technologies to enhance detection and facilitate rapid response to overdoses in high-traffic public restrooms (where unmonitored drug use is likely to occur), but there has been limited study of employee and staff perspectives on the perceived value and appropriateness of RMS for their workplaces.

Methods

From November 2022 to April 2024, we identified business, health, and community organizations in opioid overdose hotspots across eight townships in Rhode Island (United States of America), surveying managers and shift supervisors about the acceptability and perceived feasibility of RMS. We analyzed data descriptively, identifying bivariate correlates of RMS acceptability and feasibility, respectively, using Fisher’s exact tests of association.

Results

Participants (median age: 35 years, 53 % cisgender women) across 100 workplaces exhibited low awareness (4 %) but high comfort with RMS being installed (73 %) and confidence (66 %) in implementing RMS in their workplaces in the future. Organizations without staff adequately trained in overdose response were more likely than organizations with trained staff (81 % vs. 64 %, p = 0.055) to endorse confidence in RMS implementation.

Conclusions

Management and shift supervisors in heterogenous occupational contexts endorsed RMS’ compatibility and utility in their workplaces, despite low prior awareness of the technology. Efforts to bolster staff competencies in overdose response and equipping workplaces with the necessary tools (i.e., onsite naloxone) to respond appropriately to onsite overdoses will be imperative to successful implementation of RMS in businesses and community organizations.

查看原文本刊更多论文

洗手间运动传感器用于公共浴室过量检测和反应的可接受性和感知可行性：商业和社区组织的横断面研究

目的：单独使用药物会增加吸毒者过量服用药物的致命风险。洗手间运动传感器（RMS）是一种新兴技术，用于加强检测和促进对客流量大的公共厕所（可能发生不受监控的药物使用）过量的快速反应，但对员工和员工对RMS在其工作场所的感知价值和适当性的看法的研究有限。方法从2022年11月至2024年4月，我们在美国罗德岛州8个乡镇的阿片类药物过量热点地区的商业、卫生和社区组织中进行了调查，调查了管理人员和值班主管对RMS的可接受性和感知可行性的看法。我们对数据进行描述性分析，分别使用Fisher的关联精确检验确定RMS可接受性和可行性的双变量相关。结果100个工作场所的参与者（中位年龄：35岁，53%为顺性别女性）对安装RMS的意识较低（4%），但对安装RMS的舒适度较高（73%），对未来在工作场所实施RMS有信心（66%）。没有对员工进行过量反应充分培训的组织比有培训员工的组织更有可能支持对RMS实施的信心（81%对64%，p = 0.055）。结论：异质性职业背景下的管理人员和轮班主管认可RMS在其工作场所的兼容性和实用性，尽管他们对该技术的认知较低。努力加强工作人员应对过量用药的能力，并为工作场所配备必要的工具（即现场纳洛酮），以适当应对现场过量用药，对于在企业和社区组织中成功实施RMS至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Drug and alcohol dependence 医学-精神病学

CiteScore

7.40

自引率

7.10%

发文量

409

审稿时长

41 days

期刊介绍： Drug and Alcohol Dependence is an international journal devoted to publishing original research, scholarly reviews, commentaries, and policy analyses in the area of drug, alcohol and tobacco use and dependence. Articles range from studies of the chemistry of substances of abuse, their actions at molecular and cellular sites, in vitro and in vivo investigations of their biochemical, pharmacological and behavioural actions, laboratory-based and clinical research in humans, substance abuse treatment and prevention research, and studies employing methods from epidemiology, sociology, and economics.