Harm Reduction Journal最新文献

{"title":"Centering peers in design and training for a peer-delivered contingency management program for self-identified harm reduction and treatment goals.","authors":"Linda Peng, Erin Stack, Alexis Cooke, Bryan Hartzler, Ryan Cook, Gillian Leichtling, Christi Hildebran, Judith Leahy, Kelsey Smith Payne, Lynn Kunkel, Kim Hoffman, P Todd Korthuis","doi":"10.1186/s12954-025-01213-z","DOIUrl":"10.1186/s12954-025-01213-z","url":null,"abstract":"<p><strong>Background: </strong>Novel strategies are needed to engage people who use stimulants into the continuum of addiction care. Contingency management (CM) is the most effective intervention for stimulant use disorder and may engage non-treatment-seeking populations, especially when delivered by peer recovery support specialists (peers). We describe development and training for a novel peer-delivered CM program for stimulant use harm reduction and treatment engagement.</p><p><strong>Methods: </strong>We used a community based participatory research (CBPR) process to develop a CM program focused on self-identified goals for harm reduction and treatment engagement. A steering committee of peers guided study design, CM rewards, schedule, and incentivized goals. Peers completed coaching-to-criterion of six CM skills based on the CM Competence Scale (CMCS), then completed a one-on-one roleplay with a standardized patient. Coaches rated peer performance of each CMCS skill according to its Likert scale (1 = Very Poor to 7 = Excellent) and an a priori rating criterion of 4 ('adequate'). Roleplays included feedback and a 'replay' of skills, if necessary.</p><p><strong>Results: </strong>The steering committee devised two CM interventions: an enhanced standard-of-care incentivizing peer visits ($20 for weekly peer visits) and an intervention that additionally incentivized self-directed goals ($20 for weekly peer visits and $30 for completed goal-related activities). Self-identified goal-related activities were chosen through a collaborative process and organized into 6 domains: (1) overdose/overamping prevention (2) substance use supports/treatment (3) daily living/housing (4) education/employment (5) mental/physical/spiritual health (6) social relationships. Forty-seven peers across nine peer-led organizations (three rural and six urban organizations across Oregon) completed CM training. All 47 peers met the a priori criterion in their roleplay, with seventeen (36%) requiring a 'replay' of a skill. Mean CMSC summary scores were 28.51 (SD 4.73) on the first attempt and 29.62 (SD 4.01) on the second attempt.</p><p><strong>Conclusions: </strong>PEER-CM (Peers Expanding Engagement in Stimulant Harm Reduction with Contingency Management) is among the first trials to use peer-delivered CM for stimulant use, incentivizing peer engagement and self-identified goals for harm reduction and treatment engagement. A CBPR approach strengthened the study design by incorporating peer guidance. Peers in this large, multisite sample demonstrated adequate CM delivery skills with acceptable fidelity following training. Trial Registration This study is registered at ClinicalTrials.gov (NCT05700994). Registered 26 January, 2023.</p>","PeriodicalId":12922,"journal":{"name":"Harm Reduction Journal","volume":"22 Suppl 1","pages":"72"},"PeriodicalIF":4.0,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12057027/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Repeated point-prevalence of switching away from smoking after electronic nicotine delivery systems (ENDS) purchase.","authors":"Arielle Selya, Sooyong Kim, Saul Shiffman, Nicholas Goldenson","doi":"10.1186/s12954-025-01231-x","DOIUrl":"https://doi.org/10.1186/s12954-025-01231-x","url":null,"abstract":"<p><strong>Background: </strong>Adults who smoke cigarettes can benefit from switching completely to electronic nicotine delivery systems (ENDS). Research is needed to examine longer-term switching trajectories beyond one year of follow-up.</p><p><strong>Methods: </strong>This analysis of a previously-described longitudinal cohort study of adults who smoke and purchased JUUL focused on N = 11,153 who completed the 12-month (12 M) follow-up and ≥ 1 of 4 surveys in the second year (Y2; at 15, 18, 21, and 24 months). Outcomes were repeated point prevalence of product use over the past-30-days (P30D) at each Y2 follow-up: repeated point prevalence-switching (i.e., no P30D smoking at any available Y2 follow-ups), repeated point prevalence-smoking, or varying status. Associations between product use status at 12M (switched, exclusive smoking, or dual used) and Y2 product use patterns were examined.</p><p><strong>Results: </strong>Most adults who smoked at baseline and were switched at 12 M reported repeated point prevalence-switching over Y2 (69.5%); repeated point prevalence-smoking was rare (6.2%). In contrast, > 50% of those who were smoking at 12 M (exclusively or with ENDS [JUUL or other brand]) persistently smoked over Y2. Supplementary analyses showed that among adults who exclusively used ENDS at 12 M, those who used ENDS daily were more likely to persistently switch over Y2; similarly, among adults who smoked at 12 M (either exclusively or dual-use with ENDS) those who smoked nondaily were more likely to persistently switch over Y2. Over half of adults who dual used at both 12 M and 24 M substantially reduced (i.e., by 50%+) their baseline cigarette consumption.</p><p><strong>Conclusions: </strong>For the majority of participants, product use status at 12 M was consistent with use patterns in the second year: most adults who smoked at baseline and were switched at 12 M reported repeated point prevalence-switching over Y2, while any smoking at 12 M- especially daily smoking- was usually followed by repeated point prevalence-smoking. These findings indicate that switching and smoking behavior is generally maintained and remains stable one year after purchasing ENDS.</p>","PeriodicalId":12922,"journal":{"name":"Harm Reduction Journal","volume":"22 1","pages":"71"},"PeriodicalIF":4.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12048984/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144019761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Conceptualizing 'cannabis harm reduction': lessons learned from cannabis compassion clubs and medical dispensaries in British Columbia (Canada).","authors":"Marilou Gagnon, Heather Hobbs","doi":"10.1186/s12954-025-01199-8","DOIUrl":"https://doi.org/10.1186/s12954-025-01199-8","url":null,"abstract":"<p><strong>Objectives: </strong>Drawing on a qualitative case study of cannabis compassion clubs and medical dispensaries in British Columbia (Canada), the main goal of this paper is to generate insights that have the potential to advance and broaden the conceptualization of 'cannabis harm reduction'.</p><p><strong>Methods: </strong>We undertook a qualitative case study by drawing on seven data sources: (1) online content, (2) news stories, (3) legal documents, (4) policy documents, (5) information about enforcement, (6) interviews with (i) key informants, (ii) participants with operational experience (i.e., people engaged in the active operations of compassion clubs/dispensaries in various roles), and (iii) participants with lived experience of medicating with cannabis, and finally (7) field notes. For this paper, we applied a harm reduction lens to the participant interview data.</p><p><strong>Results: </strong>Applying a harm reduction lens to the participant interview data allowed us to identify two main conceptual dimensions: structural and operational. The structural dimension focused on the work undertaken by cannabis compassion clubs and medical dispensaries to address a risk environment created by systems, laws, and policies. The main themes identified here were access, safety, and quality. The operational dimension focused on the characteristics of the services provided cannabis compassion clubs and medical dispensaries. The main themes identified here were low-threshold, compassion, and supports. Our findings suggest that these two dimensions worked together to generate conditions conducive to 'cannabis harm reduction'.</p><p><strong>Conclusions: </strong>Based on our findings, we identified research, policy, and advocacy implications. We argue that research should focus on loss of access, regulation, a broader conceptualization of cannabis substitution, and better integration between cannabis and harm reduction. We also highlight the need for a harm reduction analysis of the Cannabis Act, new community-oriented models to meet the needs of people who medicate with cannabis, and non-profit supply pathways. Finally, we suggest that structurally-oriented advocacy is needed to achieve community-oriented models of cannabis cultivation, distribution, and consumption and that this advocacy would benefit harm reduction more broadly.</p>","PeriodicalId":12922,"journal":{"name":"Harm Reduction Journal","volume":"22 1","pages":"70"},"PeriodicalIF":4.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12042633/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144019758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Moral foundations underpinning attitudes toward supervised consumption services across Canada's prairie provinces.","authors":"Em M Pijl, Michael Golding, Sai Krishna Gudi, Nichole Nayak, John Serieux, Christopher J Fries, Annie Billings, Souradet Shaw, Rasheda Rabbani, Francine Laurencelle, Corey Guest, Jonny Mexico","doi":"10.1186/s12954-025-01208-w","DOIUrl":"https://doi.org/10.1186/s12954-025-01208-w","url":null,"abstract":"<p><strong>Background: </strong>Although there is indisputable evidence that supervised consumption services (SCS) help to keep people safe and decrease significant harms associated with substance use, the Canadian public often holds divergent and polarized views towards SCS. Polarized perspectives can be resistant to evidence and can prevent productive discourse that might otherwise lead to better public health services and outcomes.</p><p><strong>Objective: </strong>The main objective of the study was to determine the degree to which individuals' moral foundations predict attitudes toward SCS and whether attitudes are impacted by stigmatizing views of, and proximity to, people who use drugs.</p><p><strong>Methods: </strong>The study was based upon conceptual frameworks related to moral foundations theory (MFT), stigma, and personal experience with people who use drugs (PWUD), using associated instruments to determine alignment with public attitudes towards SCS. A series of hierarchical multiple linear regression analyses were employed to identify variables that significantly predict support for SCS.</p><p><strong>Results: </strong>The panel sample comprised 2116 participants from the three prairie provinces in Canada (Manitoba, n = 716; Saskatchewan, n = 700; and Alberta, n = 700). Higher scores on the Harm/Care and Fairness/Reciprocity subscales were associated with higher levels of support for SCS. Conversely, higher scores on the Authority/Respect and Purity/Sanctity subscales predicted lower levels of support for SCS. Greater support for SCS was found to be predicted by lower levels of stigma towards people who use drugs. Overall, participants from Alberta and Saskatchewan were less supportive of SCS than those from Manitoba, although Manitoba lacked an SCS at the time of the study.</p><p><strong>Conclusion: </strong>The results enhance our understanding of factors that predict support levels for SCS among the public in Canada's Prairie Provinces. These findings can inform researchers, policy and decision-makers in developing strategies for bringing the public on board to increase the acceptance of SCS in their communities by specifically addressing underlying concerns that may not be overtly articulated by those with opposing views.</p>","PeriodicalId":12922,"journal":{"name":"Harm Reduction Journal","volume":"22 1","pages":"69"},"PeriodicalIF":4.0,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12039001/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143983377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Place-based harms and hidden strengths: a qualitative study exploring facets of neighborhood disinvestment driving opioid overdose among black individuals.","authors":"Kaytryn D Campbell, Rachel P Winograd, Maria E Paschke, Alex Duello, Devin E Banks","doi":"10.1186/s12954-025-01224-w","DOIUrl":"https://doi.org/10.1186/s12954-025-01224-w","url":null,"abstract":"<p><strong>Background: </strong>Despite significant efforts to address the opioid overdose crisis, Black people who use drugs (PWUD) face unabating, disproportionate increases in opioid overdose death (OOD) rates. These inequities persist in treatment admissions, utilization of medication for opioid use disorder, and treatment retention. Research has linked neighborhood disinvestment - a process of urban decline driven by policy-related changes in neighborhood demand and desirability leading to decreased population, physical and economic erosion, and poorer quality of life for residents - to increased rates of OOD. However, given recent increases in OOD inequities, more research is needed to determine the specific aspects of neighborhood disinvestment that drive OOD risk among Black PWUD.</p><p><strong>Methods: </strong>The current qualitative study utilized a community-engaged research approach to conduct focus groups with stakeholders providing support to PWUD in Black neighborhoods in order to identify the facets of neighborhood disinvestment that contribute and mitigate increases of OOD among Black PWUD in St. Louis, Missouri.</p><p><strong>Results: </strong>The resulting thematic analysis identified four themes linking neighborhood disinvestment to increased rates of OOD among Black PWUD: (1) a lack of access to congruent treatment and services, (2) intergenerational and socioemotional lack of mobility, (3) lack of financial accountability and investment from local leadership and government, and (4) the loss of collective community responsibility and engagement. A fifth theme brought attention to a culturally-grounded strategy being used to reduce these rates: (5) building engagement and community cohesion through grassroots efforts and street outreach.</p><p><strong>Conclusions: </strong>Findings provide key implications for policy and practice, including the importance of adopting a community-based research framework, offering financial management training for Black-led organizations, and harnessing community champions to implement culturally-tailored interventions aimed at reducing stigma and raising critical consciousness. Future work should aim to identify more effective community-driven solutions to address OOD in Black neighborhoods.</p>","PeriodicalId":12922,"journal":{"name":"Harm Reduction Journal","volume":"22 1","pages":"67"},"PeriodicalIF":4.0,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12039172/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143990342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers and facilitators to safer supply pilot program implementation in Canada: a qualitative assessment of service provider perspectives.","authors":"Frishta Nafeh, Lucas Martignetti, Carol Strike, Gillian Kolla, Matthew Bonn, Caroline Brunelle, Jade Boyd, Elaine Hyshka, Cassidy Morris, Jolene Eeuwes, Heather Hobbs, Elizabeth Haywood, Bernadette Pauly, Dan Werb, Mohammad Karamouzian","doi":"10.1186/s12954-025-01177-0","DOIUrl":"10.1186/s12954-025-01177-0","url":null,"abstract":"<p><strong>Background: </strong>In response to the ongoing drug toxicity crisis, driven by fentanyl and its analogues in the unregulated drug supply, Canada has funded several safer supply programs, which provide pharmaceutical-grade medications to reduce the reliance on toxic unregulated drug supply for people who use drugs. In this study, we examined barriers and facilitators that influenced the implementation of integrated safer supply pilot programs (ISSPP) across Canada.</p><p><strong>Methods: </strong>Between March 2022 and May 2023, we conducted a qualitative study using semi-structured interviews with key informants from ten ISSPP located in three provinces across Canada. Data analysis and interpretation of findings were guided by the Consolidated Framework for Implementation Research (CFIR). Thematic analysis was used to code transcripts and identify themes.</p><p><strong>Results: </strong>ISSPP varied greatly in the degree of ancillary and wraparound services provided. Additionally, differences existed across the ten programs in terms of eligibility criteria for enrolling clients and the availability of medication options. We found twelve constructs and three sub-constructs across four domains of CFIR that influenced the implementation of ISSPP. Implementation facilitators included low-barrier and client-centered delivery model, ongoing needs assessment through program monitoring and evaluation, integration of wraparound care, partnership with local services to coordinate client care, community buy-in, clinical protocols and standardized practices, and multidisciplinary care teams with motivated staff. Major barriers to ISSPP implementation were a volatile and toxic unregulated drug supply, complicated policy environments, unsustainable funding models, unsupportive regulatory environments, limited medication options, limited physical space, as well as staff shortage.</p><p><strong>Conclusions: </strong>Despite several internal implementation facilitators, ISSPP faced many external and policy-level implementation barriers. Future safer supply programs should be guided by evidence-based planning and implementation, drawing from successful experiences in harm reduction implementation. Implementation facilitators, in particular, evidence-based practice guidelines along with better monitoring of client outcomes can be leveraged to enhance quality of care, address client needs and preferences, and mitigate unintended harms.</p>","PeriodicalId":12922,"journal":{"name":"Harm Reduction Journal","volume":"22 1","pages":"68"},"PeriodicalIF":4.0,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12039088/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144007937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Key and evolving needs of service providers in women's harm reduction centers during the COVID-19 pandemic.","authors":"Azam Rahmani, Maryam Janatolmakan, Elham Rezaei, Malihe Tabarrai","doi":"10.1186/s12954-025-01228-6","DOIUrl":"https://doi.org/10.1186/s12954-025-01228-6","url":null,"abstract":"<p><strong>Background: </strong>Service providers at women's harm reduction centers maintained direct contact with their clients throughout the COVID-19 pandemic, providing valuable insights into their evolving needs. This study aimed to explore these emerging needs from the perspective of service providers.</p><p><strong>Methods: </strong>This qualitative study utilized conventional content analysis. Data were gathered through semi-structured face-to-face interviews conducted with ten service providers employed in women's harm reduction centers situated across three Iranian provinces (Tehran, Khuzestan, and Kermanshah) between January and May 2023. Participant selection was guided by purposive sampling, specifically utilizing Maximum Variation Sampling.</p><p><strong>Results: </strong>The findings of this study showed that service providers specifically need to alleviate credit constraints and control inflation. Additionally, the necessity for continuous monitoring, revision of evaluative criteria, centralization of shelters and drop-in centers, and adequate staffing was emphasized. The need for flexible regulations, clear job descriptions, improved accommodations, and sufficient equipment was also highlighted. Employee safety and effective judicial protection were among other important needs. This study also emphasized the need to change negative social attitudes and enhance professional development for social workers. Developing creative educational approaches and conducting rigorous needs assessments were also among the significant findings. These findings can help policymakers design more effective support programs for service providers and improve service quality by providing appropriate communication tools.</p><p><strong>Conclusion: </strong>The findings of this study underscore the critical importance of policymakers addressing this spectrum of identified needs to ensure the effective delivery of harm reduction services for women, not only during the COVID-19 pandemic but also in similar future crises.</p>","PeriodicalId":12922,"journal":{"name":"Harm Reduction Journal","volume":"22 1","pages":"66"},"PeriodicalIF":4.0,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12023357/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143983375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A qualitative investigation of the feasibility and acceptability of lower risk gambling guidelines.","authors":"Michael Egerer, Paula Jääskeläinen, Virve Marionneau, Riitta Matilainen, Jussi Palomäki, Eija Pietilä, Mika Tsupari, David C Hodgins, Matthew M Young, Sari Castrén","doi":"10.1186/s12954-025-01225-9","DOIUrl":"https://doi.org/10.1186/s12954-025-01225-9","url":null,"abstract":"<p><p>Effective and comprehensive harm reduction strategies to mitigate gambling-related harms are needed worldwide. The development of such strategies is however resource intensive. Using existing models in multiple contexts would thus be advisable. This study is part of a larger project investigating the feasibility and acceptability of the Canadian Lower Risk Gambling Guidelines (LRGG) within a Finnish cultural context. The Canadian guidelines recommend not gambling more than 1% of one's household income, not gambling more than 4 days per month, and to avoid regularly gambling at more than 2 types of gambling products.13 Focus group interviews were conducted (N = 37, 23 women, 14 men) across five subpopulations: individuals gambling at no-risk/low-risk levels, individuals with past experiences of problematic gambling, concerned significant others of those with gambling problems, professional gamblers, and social workers and health care professionals. The analysis utilised a deductive approach.While the subpopulations differed in their assessment of the LRGG in some regards, we were able to synthesise three concrete suggestions to adjust the Canadian LRGGs into the Finnish context. Participants proposed rephrasing the guidelines as follows: (1) Limit gambling to a fixed percentage of monthly personal income after taxes and other fixed expenses, (2) Restrict the number and duration of weekly gambling sessions, (3) Avoid regular participation in the most harmful forms of gambling, such as online casino games.Overall, the LRGG were considered as useful also in the Finnish context. However, our results suggest that some culturally specific rewording may be advisable. The main challenge in the implementation of the LRGG is that respondents across groups considered the guidelines to be aimed at someone else. Implementation therefore requires clear communication that these guidelines are for all individuals who gamble, not only those experiencing problems.</p>","PeriodicalId":12922,"journal":{"name":"Harm Reduction Journal","volume":"22 1","pages":"65"},"PeriodicalIF":4.0,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12023663/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143990340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction: Is fentanyl in everything? Examining the unexpected occurrence of illicit opioids in British Columbia's drug supply.","authors":"Bruce Wallace, Irene Shkolnikov, Collin Kielty, Derek Robinson, Lea Gozdzialski, Joshua Jai, Ava Margolese, Pablo Gonzalez-Nieto, Armin Saatchi, Lucas Abruzzi, Taelor Zarkovic, Chris Gill, Dennis Hore","doi":"10.1186/s12954-025-01196-x","DOIUrl":"https://doi.org/10.1186/s12954-025-01196-x","url":null,"abstract":"","PeriodicalId":12922,"journal":{"name":"Harm Reduction Journal","volume":"22 1","pages":"62"},"PeriodicalIF":4.0,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12010682/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143999727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"CENTER-ing Black voices: incorporating lived experience across the research process to advance equity in drug treatment and outcomes.","authors":"Devin E Banks, Maria E Paschke, Kaytryn D Campbell, Daje D Bradshaw-Glenn, Rashmi Ghonasgi, Burton Barr, Arial Collins, Gerald Dennis, Keith Lofton, Alfred Long, Harriet Montgomery, Andreas Prince, Rachel P Winograd","doi":"10.1186/s12954-025-01202-2","DOIUrl":"https://doi.org/10.1186/s12954-025-01202-2","url":null,"abstract":"<p><strong>Background: </strong>Black people in the United States face persistent and increasing inequities in addiction treatment access and drug overdose death. Incorporating people with lived experience through community based participatory research (CBPR) approaches can improve understanding of drivers of and solutions to such inequities. However, practical and systemic challenges limit incorporating Black people with lived experience with substance use across each step of the research process. This paper describes the methods, recommendations, and lessons learned from a research team and Black-led community advisory board (CAB) working together across the research process to promote equity in harm reduction and addiction treatment.</p><p><strong>Methods: </strong>The CENTER Initiative is an academic-community partnership established to address increasing drug overdose deaths affecting the Black community in St. Louis, Missouri. The CAB comprised 10 Black people with lived experience recruited with the help of community-based agency partners. Academic staff dedicated to liaising with the CAB encouraged establishing structure and bylaws toward a self-governing CAB with decision-making power independent of agency partner and research teams.</p><p><strong>Results: </strong>The CAB and research team collaborated across all stages of the research process including design (e.g., deciding inclusion criteria), recruitment (e.g., flier development and participant referrals), data collection (e.g., conducting qualitative interviews), analysis (e.g., qualitative coding), and dissemination. Aligned with CBPR principles, dissemination activities extended the impact of the research to create sustainability and community empowerment (e.g., through advocacy, direct intervention, capacity building, and funding). Key lessons learned for working with a CAB facing intersectional oppression include a balanced approach incorporating structure and flexibility, a need for adequate personnel and funding support, and the importance of relationship building.</p><p><strong>Conclusion: </strong>Integrating people with lived experience into the research process through CBPR can mitigate the harms and inefficiencies of research while enhancing its community impact. The CENTER CAB and research partners creatively collaborated across each step of the research and translated their findings to practical community empowerment and sustainability in innovative ways. Research institutions, funders and other stakeholders must support building relationships and capacity among academics and people with lived experience to advance racial health equity and justice in substance use research and outcomes.</p>","PeriodicalId":12922,"journal":{"name":"Harm Reduction Journal","volume":"22 1","pages":"64"},"PeriodicalIF":4.0,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12010516/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144006475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}