Brandon Del Pozo, Saba Rouhani, Amelia Bailey, M H Clark, Kaitlin F Martins, Fatema Z Ahmed, Danielle Atkins, Barbara Andraka-Christou
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This study assessed whether police chiefs' support for such interventions was sensitive to framing an intervention's benefits in terms that emphasize public health and harm reduction outcomes, versus terms typically indicative of public safety outcomes.</p><p><strong>Methods: </strong>A two-armed survey utilizing a randomized, between-subjects design tested framing-based variance in support among US chiefs of police for overdose prevention centers, syringe service programs (SSPs), Good Samaritan laws, police naloxone distribution, trustworthiness of officers in recovery from OUD, and related propositions. Of 1,200 invitations, 276 chiefs participated (23%). The two experimental arms (n = 133, n = 143) were demographically balanced between both each other and non-respondents.</p><p><strong>Results: </strong>Chiefs were more likely to agree that their mission was protecting public safety than protecting public health, even when both were defined using public health outcomes. Chiefs expressed significantly greater support for \"overdose prevention sites\" than \"safe injection sites\" (p = .018), low levels of support for SSPs regardless of framing (18% safety; 19% health), and comparably more support for Good Samaritan laws based on framing (62% safety vs. 54% health). Respondents voiced low levels of trust in officers recovering from OUD generally (31%), and significantly lower levels of trust when recovery involved the medication buprenorphine (10%; p < .001). Senior chiefs were significantly more likely to support SSPs (aOR 1.05; CI 1.01, 1.09) and overdose prevention sites (aOR 2.45; CI 1.13, 5.28) than less senior chiefs.</p><p><strong>Conclusions: </strong>In this cross-sectional survey experiment, support for some interventions for OUD was greater among US chiefs of police when framed to emphasize positive public safety outcomes. Research is required to better understand low support for SSPs, mistrust of officers in recovery for OUD, and greater support for OUD interventions among senior chiefs.</p>","PeriodicalId":37843,"journal":{"name":"Health and Justice","volume":"12 1","pages":"50"},"PeriodicalIF":3.0000,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11660544/pdf/","citationCount":"0","resultStr":"{\"title\":\"The effects of message framing on US police chiefs' support for interventions for opioid use disorder: a randomized survey experiment.\",\"authors\":\"Brandon Del Pozo, Saba Rouhani, Amelia Bailey, M H Clark, Kaitlin F Martins, Fatema Z Ahmed, Danielle Atkins, Barbara Andraka-Christou\",\"doi\":\"10.1186/s40352-024-00306-4\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>US chiefs of police hold significant influence over the perceived acceptability and appropriateness of interventions for opioid use disorder (OUD) among the public, elected officials, and subordinate officers. This study assessed whether police chiefs' support for such interventions was sensitive to framing an intervention's benefits in terms that emphasize public health and harm reduction outcomes, versus terms typically indicative of public safety outcomes.</p><p><strong>Methods: </strong>A two-armed survey utilizing a randomized, between-subjects design tested framing-based variance in support among US chiefs of police for overdose prevention centers, syringe service programs (SSPs), Good Samaritan laws, police naloxone distribution, trustworthiness of officers in recovery from OUD, and related propositions. Of 1,200 invitations, 276 chiefs participated (23%). The two experimental arms (n = 133, n = 143) were demographically balanced between both each other and non-respondents.</p><p><strong>Results: </strong>Chiefs were more likely to agree that their mission was protecting public safety than protecting public health, even when both were defined using public health outcomes. 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引用次数: 0
摘要
背景：美国警察局长对公众、民选官员和下属官员对阿片类药物使用障碍（OUD）干预措施的可接受性和适当性具有重大影响。本研究评估了警察局长对此类干预措施的支持是否敏感，以强调公共卫生和减少伤害结果的方式，而不是通常表明公共安全结果的方式，来描述干预措施的好处。方法：一项采用随机受试者间设计的双臂调查，测试了美国警察局长对过量预防中心、注射器服务计划（ssp）、好撒玛黎雅人法、警察纳洛酮分发、吸毒后康复警察的可信度以及相关主张的支持度的基于框架的方差。在1200份邀请中，276名首席执行官（23%）参加了。两个实验组（n = 133, n = 143）在人口统计学上相互平衡，并在非调查对象之间保持平衡。结果：酋长们更有可能同意他们的任务是保护公共安全，而不是保护公共健康，即使两者都是根据公共健康结果来定义的。局长们对“过量预防地点”的支持明显高于“安全注射地点”（p = 0.018），无论框架如何，对ssp的支持水平都很低(18%的安全性；19%的人支持健康)，而对基于框架的好撒玛利亚人法的支持相对更多（62%的人支持安全，54%的人支持健康）。受访者普遍表示，对从OUD中康复的警官的信任度较低（31%），当康复涉及丁丙诺啡(10%；p结论：在这个横断面调查实验中，当强调积极的公共安全结果时，美国警察局长对一些OUD干预措施的支持更大。需要进行研究，以更好地了解对ssp的低支持，对OUD恢复的军官的不信任，以及高级军官对OUD干预的更大支持。
The effects of message framing on US police chiefs' support for interventions for opioid use disorder: a randomized survey experiment.
Background: US chiefs of police hold significant influence over the perceived acceptability and appropriateness of interventions for opioid use disorder (OUD) among the public, elected officials, and subordinate officers. This study assessed whether police chiefs' support for such interventions was sensitive to framing an intervention's benefits in terms that emphasize public health and harm reduction outcomes, versus terms typically indicative of public safety outcomes.
Methods: A two-armed survey utilizing a randomized, between-subjects design tested framing-based variance in support among US chiefs of police for overdose prevention centers, syringe service programs (SSPs), Good Samaritan laws, police naloxone distribution, trustworthiness of officers in recovery from OUD, and related propositions. Of 1,200 invitations, 276 chiefs participated (23%). The two experimental arms (n = 133, n = 143) were demographically balanced between both each other and non-respondents.
Results: Chiefs were more likely to agree that their mission was protecting public safety than protecting public health, even when both were defined using public health outcomes. Chiefs expressed significantly greater support for "overdose prevention sites" than "safe injection sites" (p = .018), low levels of support for SSPs regardless of framing (18% safety; 19% health), and comparably more support for Good Samaritan laws based on framing (62% safety vs. 54% health). Respondents voiced low levels of trust in officers recovering from OUD generally (31%), and significantly lower levels of trust when recovery involved the medication buprenorphine (10%; p < .001). Senior chiefs were significantly more likely to support SSPs (aOR 1.05; CI 1.01, 1.09) and overdose prevention sites (aOR 2.45; CI 1.13, 5.28) than less senior chiefs.
Conclusions: In this cross-sectional survey experiment, support for some interventions for OUD was greater among US chiefs of police when framed to emphasize positive public safety outcomes. Research is required to better understand low support for SSPs, mistrust of officers in recovery for OUD, and greater support for OUD interventions among senior chiefs.
期刊介绍：
Health & Justice is open to submissions from public health, criminology and criminal justice, medical science, psychology and clinical sciences, sociology, neuroscience, biology, anthropology and the social sciences, and covers a broad array of research types. It publishes original research, research notes (promising issues that are smaller in scope), commentaries, and translational notes (possible ways of introducing innovations in the justice system). Health & Justice aims to: Present original experimental research on the area of health and well-being of people involved in the adult or juvenile justice system, including people who work in the system; Present meta-analysis or systematic reviews in the area of health and justice for those involved in the justice system; Provide an arena to present new and upcoming scientific issues; Present translational science—the movement of scientific findings into practice including programs, procedures, or strategies; Present implementation science findings to advance the uptake and use of evidence-based practices; and, Present protocols and clinical practice guidelines. As an open access journal, Health & Justice aims for a broad reach, including researchers across many disciplines as well as justice practitioners (e.g. judges, prosecutors, defenders, probation officers, treatment providers, mental health and medical personnel working with justice-involved individuals, etc.). The sections of the journal devoted to translational and implementation sciences are primarily geared to practitioners and justice actors with special attention to the techniques used.
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