Health and Nutrition Institute, Michigan State University Extension, East Lansing, MI, United States.
Front Public Health. 2022 Sep 20;10:921919. doi: 10.3389/fpubh.2022.921919. eCollection 2022.
People living with opioid use disorder and those experiencing other types of substance misuse are part of a public health crisis in the United States. Rates of opioid misuse, overdose, and opioid-related deaths within different subpopulations show where prevention efforts must focus. Through concerted efforts, aligned with common goals, a statewide community-based educational organization (Michigan State University Extension) has demonstrated ability to acquire multi-year funding from varied sources of state and federal funds that has produced robust support for statewide projects and collaborations. Researchers, educators, public health program managers, and other practitioners can benefit from learning how three funded initiatives in one state resulted in improved awareness and access for individuals and healthcare organizations. By sharing our implementation of health educational programs and presentations, other states' can adopt these evidence-based strategies for similar outreach. Cooperative Extension in Michigan delivers program series and one-time education to the public on the self-management of chronic conditions and pain, mindfulness for stress reduction, anger management, and opioid misuse prevention, treatment, and recovery. These evidence- and research-based health programs implemented by Extension staff teach participants common aspects of prevention such as self-management care, communication skills, self-efficacy, and goal setting or personal health action plans. Education aims to reduce dependency on opioids, prevent opioid misuse and share non-pharmacological solutions to pain management for those living with chronic conditions or at risk for developing dependence. The funded initiatives targeted rural residents, older adults, health care providers, and people living with chronic pain who may have access to prescription opioids. In addition to direct education, projects supported local communities with the development of coalitions, including the training of community partners to become program facilitators thereby increasing community capacity for prevention programs, and through the creation of patient referrals from healthcare settings to community-based education. In rural areas, Cooperative Extension plays a crucial role in connecting community resources to address healthy aging, and chronic disease or chronic pain self-management education. Community partners engaged in public health education and promotion, and healthcare providers alike may not be aware that Cooperative Extension plays a vital role in providing community-based health education.
患有阿片类药物使用障碍和其他类型物质滥用的人是美国公共卫生危机的一部分。不同亚人群中的阿片类药物滥用、过量用药和与阿片类药物相关的死亡率表明了预防工作的重点。通过协调一致的努力，以及共同的目标，一个全州性的社区教育组织（密歇根州立大学推广部）已经证明了有能力从州和联邦的各种来源获得多年的资金，为全州的项目和合作提供了强有力的支持。研究人员、教育工作者、公共卫生项目管理人员和其他从业者可以从了解一个州的三个资助计划中受益，这些计划提高了个人和医疗机构的意识和获得服务的机会。通过分享我们实施健康教育计划和演讲的经验，其他州可以采用这些基于证据的策略，进行类似的外展工作。密歇根州的合作推广为公众提供了一系列关于慢性病和疼痛自我管理、减压正念、愤怒管理和阿片类药物滥用预防、治疗和康复的教育项目和一次性教育。这些由推广工作人员实施的基于证据和研究的健康计划，教导参与者预防的共同方面，如自我管理护理、沟通技巧、自我效能和目标设定或个人健康行动计划。教育旨在减少对阿片类药物的依赖，预防阿片类药物滥用，并为患有慢性病或有依赖风险的人分享非药物性疼痛管理解决方案。这些资助的计划针对的是农村居民、老年人、医疗保健提供者和患有慢性疼痛的人，他们可能有机会获得处方阿片类药物。除了直接教育外，这些项目还支持当地社区发展联盟，包括培训社区合作伙伴成为计划促进者，从而提高预防计划的社区能力，并通过从医疗保健机构向社区教育机构转介患者。在农村地区，合作推广在连接社区资源以解决健康老龄化、慢性病或慢性疼痛自我管理教育方面发挥着至关重要的作用。参与公共卫生教育和宣传的社区伙伴以及医疗保健提供者可能没有意识到，合作推广在提供社区健康教育方面发挥着重要作用。
