Historique
Article de Périodique
Electronic harm reduction interventions for drug overdose monitoring and prevention: A scoping review (2023)
Auteur(s) :
LOVEROCK, A. ;
MARSHALL, T. ;
VISTE, D. ;
SAFI, F. ;
RIOUX, W. ;
SEDAGHAT, N. ;
KENNEDY, M. ;
GHOSH, S. M.
Année
2023
Page(s) :
art. 110878
Sous-type de document :
Revue de la littérature / Literature review
Langue(s) :
Anglais
Domaine :
Drogues illicites / Illicit drugs
Thésaurus mots-clés
SURDOSE
;
REDUCTION DES RISQUES ET DES DOMMAGES
;
TECHNOLOGIE
;
TELEPHONE MOBILE
;
INTERNET
;
INTERVENTION
;
PREVENTION
;
NALOXONE
;
PRODUIT ILLICITE
;
EDUCATION POUR LA SANTE
;
TRAITEMENT
Autres mots-clés
Résumé :
Background: Novel strategies are required to address rising overdose deaths across the globe. We sought to identify the breadth and depth of the existing evidence around electronic harm reduction (e-harm reduction) interventions that aimed to reduce the harms associated with substance use.
Methods: We conducted a scoping review according to the PRISMA-ScR and PRISMA for Searching guidelines. A health sciences librarian systematically searched seven health databases from inception until January 20, 2023. Citation chaining and reference lists of included studies were searched to identify additional articles. Two reviewers independently screened, extracted and charted the data. Additionally, we conducted a gray literature search and environmental scan to supplement the findings.
Results: A total of 51 studies met the criteria for inclusion (30 peer-reviewed articles and 21 non-peer reviewed). Most peer-reviewed studies were conducted in Western countries (USA = 23, Canada = 3, Europe = 3, China = 1) and among adult samples (adult = 27, youth/adults =1, unspecified = 2). Study designs were predominantly quantitative (n = 24), with a minority using qualitative (n = 4) or mixed methods (n = 2). Most e-harm reduction interventions were harm reduction (n = 15), followed by education (n = 6), treatment (n = 2), and combined/other approaches (n = 7). Interventions utilized web-based/mobile applications (n = 15), telephone/telehealth (n = 10), and other technology (n = 5).
Conclusions: While e-harm reduction technology is promising, further research is required to establish the efficacy and effectiveness of these novel interventions.
Highlights:
A scoping review was completed on e-harm reduction interventions.
E-harm reduction interventions can improve overdose detection and monitoring.
E- harm reduction interventions are feasible, acceptable, and usable.
Naloxone distribution can be increased through e-harm reduction technologies.
Methods: We conducted a scoping review according to the PRISMA-ScR and PRISMA for Searching guidelines. A health sciences librarian systematically searched seven health databases from inception until January 20, 2023. Citation chaining and reference lists of included studies were searched to identify additional articles. Two reviewers independently screened, extracted and charted the data. Additionally, we conducted a gray literature search and environmental scan to supplement the findings.
Results: A total of 51 studies met the criteria for inclusion (30 peer-reviewed articles and 21 non-peer reviewed). Most peer-reviewed studies were conducted in Western countries (USA = 23, Canada = 3, Europe = 3, China = 1) and among adult samples (adult = 27, youth/adults =1, unspecified = 2). Study designs were predominantly quantitative (n = 24), with a minority using qualitative (n = 4) or mixed methods (n = 2). Most e-harm reduction interventions were harm reduction (n = 15), followed by education (n = 6), treatment (n = 2), and combined/other approaches (n = 7). Interventions utilized web-based/mobile applications (n = 15), telephone/telehealth (n = 10), and other technology (n = 5).
Conclusions: While e-harm reduction technology is promising, further research is required to establish the efficacy and effectiveness of these novel interventions.
Highlights:
A scoping review was completed on e-harm reduction interventions.
E-harm reduction interventions can improve overdose detection and monitoring.
E- harm reduction interventions are feasible, acceptable, and usable.
Naloxone distribution can be increased through e-harm reduction technologies.
Affiliation :
School of Public Health, University of Alberta, 3-300 Edmonton Clinic Health Academy, Edmonton, Alberta, Canada