PDF(Pubmed)
Abstract：
BACKGROUND: Unregulated supply of fentanyl and adulterants continues to drive the overdose crisis. Mobile Overdose Response Services (MORS) are novel technologies that offer virtual supervised consumption to minimize the risk of fatal overdose for those who are unable to access other forms of harm reduction. However, as newly implemented services, they are also faced with numerous limitations. The aim of this study was to examine the facilitators and barriers to the adoption of MORS in Canada.
METHODS: A total of 64 semi-structured interviews were conducted between November 2021 and April 2022. Participants consisted of people who use substances (PWUS), family members of PWUS, health care professionals, harm reduction workers, MORS operators, and members of the general public. Inductive thematic analysis was used to identify the major themes and subthemes.
RESULTS: Respondents revealed that MORS facilitated a safe, anonymous, and nonjudgmental environment for PWUS to seek harm reduction and other necessary support. It also created a new sense of purpose for operators to positively contribute to the community. Further advertising and promotional efforts were deemed important to increase its awareness. However, barriers to MORS implementation included concerns regarding privacy/confidentiality, uncertainty of funding, and compassion fatigue among the operators.
CONCLUSIONS: Although MORS were generally viewed as a useful addition to the currently existing harm reduction services, it\'s important to monitor and tackle these barriers by engaging the perspectives of key interest groups.
METHODS: A total of 64 semi-structured interviews were conducted between November 2021 and April 2022. Participants consisted of people who use substances (PWUS), family members of PWUS, health care professionals, harm reduction workers, MORS operators, and members of the general public. Inductive thematic analysis was used to identify the major themes and subthemes.
RESULTS: Respondents revealed that MORS facilitated a safe, anonymous, and nonjudgmental environment for PWUS to seek harm reduction and other necessary support. It also created a new sense of purpose for operators to positively contribute to the community. Further advertising and promotional efforts were deemed important to increase its awareness. However, barriers to MORS implementation included concerns regarding privacy/confidentiality, uncertainty of funding, and compassion fatigue among the operators.
CONCLUSIONS: Although MORS were generally viewed as a useful addition to the currently existing harm reduction services, it\'s important to monitor and tackle these barriers by engaging the perspectives of key interest groups.
摘要：
背景：芬太尼和掺假品的无管制供应继续推动过量危机。移动过量响应服务（MORS）是一种新颖的技术，可提供虚拟监督消费，以最大程度地减少那些无法获得其他形式的减少伤害的人的致命过量风险。然而,作为新实施的服务，他们也面临着许多限制。这项研究的目的是研究加拿大采用MORS的促进者和障碍。
方法：在2021年11月至2022年4月之间共进行了64次半结构化访谈。参与者包括使用物质（PWUS）的人，PWUS的家庭成员,卫生保健专业人员,减少伤害的工人，MORS操作符,和公众人士。归纳主题分析用于确定主要主题和子主题。
结果：受访者透露，MORS促进了安全，匿名,以及PWUS寻求减少伤害和其他必要支持的非判断性环境。它还为运营商创造了一种新的目标感，可以为社区做出积极贡献。进一步的广告和促销工作被认为对提高其认识很重要。然而,MORS实施的障碍包括对隐私/保密的担忧，资金的不确定性，以及操作员之间的同情疲劳。
结论：尽管人们普遍认为MORS是对现有的减少伤害服务的有益补充，通过吸引主要利益集团的观点来监控和解决这些障碍是很重要的。
方法：在2021年11月至2022年4月之间共进行了64次半结构化访谈。参与者包括使用物质（PWUS）的人，PWUS的家庭成员,卫生保健专业人员,减少伤害的工人，MORS操作符,和公众人士。归纳主题分析用于确定主要主题和子主题。
结果：受访者透露，MORS促进了安全，匿名,以及PWUS寻求减少伤害和其他必要支持的非判断性环境。它还为运营商创造了一种新的目标感，可以为社区做出积极贡献。进一步的广告和促销工作被认为对提高其认识很重要。然而,MORS实施的障碍包括对隐私/保密的担忧，资金的不确定性，以及操作员之间的同情疲劳。
结论：尽管人们普遍认为MORS是对现有的减少伤害服务的有益补充，通过吸引主要利益集团的观点来监控和解决这些障碍是很重要的。
