Kentucky Outreach Service Kiosk (KyOSK) Study protocol: a community-level, controlled quasi-experimental, type 1 hybrid effectiveness study to assess implementation, effectiveness and cost-effectiveness of a community-tailored harm reduction kiosk on HIV, HCV and overdose risk in rural Appalachia.

Autor:	Young AM; Department of Epidemiology and Environmental Health, University of Kentucky, Lexington, Kentucky, USA april.young@uky.edu.; Center on Drug and Alcohol Research, University of Kentucky, Lexington, Kentucky, USA., Havens JR; Center on Drug and Alcohol Research, University of Kentucky, Lexington, Kentucky, USA.; College of Medicine, University of Kentucky, Lexington, Kentucky, USA., Cooper HLF; Behavioral, Social, and Health Education Sciences, Emory University Rollins School of Public Health, Atlanta, Georgia, USA., Fallin-Bennett A; College of Nursing, University of Kentucky, Lexington, Kentucky, USA., Fanucchi L; College of Medicine, University of Kentucky, Lexington, Kentucky, USA., Freeman PR; Center on Drug and Alcohol Research, University of Kentucky, Lexington, Kentucky, USA.; Department of Pharmacy Practice and Science, University of Kentucky, Lexington, Kentucky, USA., Knudsen H; Center on Drug and Alcohol Research, University of Kentucky, Lexington, Kentucky, USA.; College of Medicine, University of Kentucky, Lexington, Kentucky, USA., Livingston MD; Behavioral, Social, and Health Education Sciences, Emory University Rollins School of Public Health, Atlanta, Georgia, USA., McCollister KE; Division of Health Services Research and Policy, University of Miami, Coral Gables, Florida, USA., Stone J; Population Health Sciences, University of Bristol, Bristol, UK., Vickerman P; Population Health Sciences, University of Bristol, Bristol, UK., Freeman E; Department of Epidemiology and Environmental Health, University of Kentucky, Lexington, Kentucky, USA., Jahangir T; Behavioral, Social, and Health Education Sciences, Emory University Rollins School of Public Health, Atlanta, Georgia, USA., Larimore E; Center on Drug and Alcohol Research, University of Kentucky, Lexington, Kentucky, USA., White CR; Department of Epidemiology and Environmental Health, University of Kentucky, Lexington, Kentucky, USA., Cheatom C; TracB Exchange, Las Vegas, Nevada, USA., Community Staff K; College of Medicine, University of Kentucky, Lexington, Kentucky, USA.; College of Public Health, University of Kentucky, Lexington, Kentucky, USA., Design Team K; University of Kentucky, Lexington, Kentucky, USA.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2024 Mar 01; Vol. 14 (3), pp. e083983. Date of Electronic Publication: 2024 Mar 01.
DOI:	10.1136/bmjopen-2024-083983
Abstrakt:	Introduction: Many rural communities bear a disproportionate share of drug-related harms. Innovative harm reduction service models, such as vending machines or kiosks, can expand access to services that reduce drug-related harms. However, few kiosks operate in the USA, and their implementation, impact and cost-effectiveness have not been adequately evaluated in rural settings. This paper describes the Kentucky Outreach Service Kiosk (KyOSK) Study protocol to test the effectiveness, implementation outcomes and cost-effectiveness of a community-tailored, harm reduction kiosk in reducing HIV, hepatitis C and overdose risk in rural Appalachia. Methods and Analysis: KyOSK is a community-level, controlled quasi-experimental, non-randomised trial. KyOSK involves two cohorts of people who use drugs, one in an intervention county (n=425) and one in a control county (n=325). People who are 18 years or older, are community-dwelling residents in the target counties and have used drugs to get high in the past 6 months are eligible. The trial compares the effectiveness of a fixed-site, staffed syringe service programme (standard of care) with the standard of care supplemented with a kiosk. The kiosk will contain various harm reduction supplies accessible to participants upon valid code entry, allowing dispensing data to be linked to participant survey data. The kiosk will include a call-back feature that allows participants to select needed services and receive linkage-to-care services from a peer recovery coach. The cohorts complete follow-up surveys every 6 months for 36 months (three preceding kiosk implementation and four post-implementation). The study will test the effectiveness of the kiosk on reducing risk behaviours associated with overdose, HIV and hepatitis C, as well as implementation outcomes and cost-effectiveness. Ethics and Dissemination: The University of Kentucky Institutional Review Board approved the protocol. Results will be disseminated in academic conferences and peer-reviewed journals, online and print media, and community meetings. Trial Registration Number: NCT05657106. Competing Interests: Competing interests: AF-B is a co-founder of Voices of Hope, the contracted recovery community organisation providing the recovery coaching services. The device to facilitate syringe disposal and dispensing that will be installed in conjunction with the kiosk is intellectual property of the University of Kentucky, with AMY designated as the inventor. CC is a paid consultant on the implementation of harm reduction vending machines, including on the described project. (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu