早期阿片类药物教育活动的证据：以罗得岛为例。

Early Evidence of an Opioid Education Campaign: A Case Study of Rhode Island.

机构信息

Schroeder Institute at Truth Initiative, Washington, District of Columbia (Drs Rath, Hair, Barton, Kreslake, and Vallone); Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland (Drs Rath, Hair, and Vallone); Crux Research, Honeoye Falls, New York, New York (Mr Geraci and Ms Palmerini); Office of Governor Gina M. Raimondo, Providence, Rhode Island (Mr Coderre); and Department of Social and Behavioral Sciences, NYU College of Global Public Health, New York University, New York, New York (Dr Vallone).

出版信息

J Public Health Manag Pract. 2020 May/Jun;26(3):252-258. doi: 10.1097/PHH.0000000000001154.

DOI:10.1097/PHH.0000000000001154

PMID:32235207

Abstract

CONTEXT

The opioid crisis poses a significant burden at a national level, and certain states have seen particularly high rates of misuse, addiction, and overdose. In 2017, Rhode Island reported opioid-related deaths nearly twice the national average.

OBJECTIVE

To test message efficacy and evaluate the effectiveness of campaign messaging to shift attitudes/beliefs related to opioid misuse in Rhode Island.

DESIGN

In phase 1, near-final versions of 6 advertisements were shown to a sample of the target audience via an online survey portal to assess responses to the messages (N = 1210). Phase 2 of the study employed a pre/posttest design whereby 2 cross-sectional surveys were conducted, first prior to the campaign launch (N = 456) and another survey 6 months later in Rhode Island (N = 433).

SETTING

Phase 1 was conducted online using a nationally representative panel, and phase 2 included a convenience sample of participants in Rhode Island recruited to undergo an online survey.

PARTICIPANTS

Eighteen- to 29-year-old members of a nationally representative online panel (phase 1) and 15- to 34-year-olds living in the state of Rhode Island during data collection periods.

MAIN OUTCOME MEASURE(S): Empathy and destigmatization ("someone like me could become addicted..." and "those who are dependent on prescription opioids are victims") and perceived risk of developing dependence on opioids.

RESULTS

In both phases, there was an increase in empathy ("someone") (phase 1: pretest [31%], posttest [42%; z = 5.5, P < .0001] and phase 2 [34% baseline vs 41% follow-up; z = 2.0, P = .04]) and destigmatization ("victims") (phase 1: pretest [54%], posttest [58%; z = 2.2, P = .01] and phase 2 [46% baseline vs 54% follow-up; z = 2.2, P = .03]). There was also an increase in perceived risk: phase 1 (pretest [65%], posttest [75%; z = 5.4, P < .0001]) and phase 2 (66% baseline vs 74% follow-up; z = 2.5, P = .01).

CONCLUSIONS

This study demonstrated the potential efficacy of a media campaign to shift young adults' opioid-related attitudes.

摘要

背景

阿片类药物危机给国家层面带来了重大负担，某些州的滥用、成瘾和过量用药问题尤为严重。2017 年，罗得岛报告的阿片类药物相关死亡人数几乎是全国平均水平的两倍。

目的

测试信息的有效性，并评估罗得岛开展宣传活动以改变与阿片类药物滥用相关的态度/信念的效果。

设计

在第 1 阶段，通过在线调查门户向目标受众的样本展示了 6 个广告的最终版本，以评估对信息的反应（N = 1210）。第 2 阶段采用了前后测设计，在活动启动前进行了 2 次横断面调查（N = 456），然后在罗得岛进行了第 2 次调查（N = 433）。

地点

第 1 阶段在全国代表性小组中在线进行，第 2 阶段包括在数据收集期间在罗得岛招募的便利样本参与者进行在线调查。

参与者

第 1 阶段为全国代表性在线小组的 18 至 29 岁成员，第 2 阶段为居住在罗得岛的 15 至 34 岁人群。

主要观察指标

同理心和去污名化（“像我这样的人也可能上瘾……”和“依赖处方阿片类药物的人是受害者”）和对成瘾风险的感知。

结果

在两个阶段中，同理心（“有人”）都有所增加（第 1 阶段：前测[31%]，后测[42%；z = 5.5，P <.0001]和第 2 阶段[34%基线对 41%随访；z = 2.0，P =.04]）和去污名化（“受害者”）（第 1 阶段：前测[54%]，后测[58%；z = 2.2，P =.01]和第 2 阶段[46%基线对 54%随访；z = 2.2，P =.03]）。对感知风险也有所增加：第 1 阶段（前测[65%]，后测[75%；z = 5.4，P <.0001]）和第 2 阶段（66%基线对 74%随访；z = 2.5，P =.01）。