背景:药物过量导致的死亡是一个国际问题,2019年全球估计有128,000人死亡。苏格兰是欧洲与毒品有关的死亡率最高的国家,最贫困地区的人比富裕地区的人面临更大的风险。关于数字解决方案的研究很少,特别是从那些使用药物的人的角度来看,他们还获得了减少伤害和无家可归的支持服务。苏格兰数字生命线计划(DLS)为使用/d毒品的弱势群体提供数字设备以与服务连接。
方法:本文报告了从服务用户的角度对DLS的评估,这些服务用户访问了与药物相关危害风险的服务。使用了混合方法方法,包括在线调查(n=19)和半结构化访谈(n=21)。调查数据采用描述性分析,访谈数据采用归纳编码,由技术通知,人民,组织和宏观环境因素(TPOM)框架,为了调查使用情况,access,和设备的可用性,以及人们对他们的经验和看法。
结果:大多数参与者居住在社会/理事会住房中(63.2%,n=12),许多人独自生活(68.4%,n=13)。他们主要是40多岁,住在一个城市。参与者描述了对数据隐私的渴望,知识,和教育,并在数字设备上赋予了新生的社会和个人价值。与会者指出,服务提供以人为中心的个性是经常参与服务的原因之一。服务用户的价值感增强,社区感明显,通过该计划开发的联系和归属,包括与服务和设备的交互。
结论:本文提供了一个独特的视角,记录了服务用户在DLS上的体验。与会者表达了对改善生活的渴望,以及对自己和数字设备的集体和个人责任感。数字包容有可能为服务用户提供安全和建设性地访问服务和社会以改善结果的途径。本文为进一步培养服务用户对这一新兴领域数字解决方案的洞察力奠定了基础。
BACKGROUND: Deaths due to drug overdose are an international issue, causing an estimated 128,000 global deaths in 2019. Scotland has the highest rate of drug-related deaths in Europe, with those in the most deprived areas at greater risk than those in affluent areas. There is a paucity of research on digital solutions, particularly from the perspective of those who use drugs who additionally access harm reduction and homelessness support services. The Digital Lifelines Scotland programme (DLS) provides vulnerable people who use/d drugs with digital devices to connect with services.
METHODS: This paper reports on the evaluation of the DLS from the perspective of service users who accessed services for those at risk of drug-related harms. A mixed methods approach was used including an online-survey (n = 19) and semi-structured interviews (n = 21). Survey data were analysed descriptively and interview data through inductive coding, informed by the Technology, People, Organisations and Macroenvironmental factors (TPOM) framework, to investigate the use, access, and availability of devices, and people\'s experiences and perceptions of them.
RESULTS: Most participants lived in social/council housing (63.2%, n = 12), many lived alone (68.4%, n = 13). They were mainly over 40 years old and lived in a city. Participants described a desire for data privacy, knowledge, and education, and placed a nascent social and personal value on digital devices. Participants pointed to the person-centred individuality of the service provision as one of the reasons to routinely engage with services. Service users experienced an increased sense of value and there was a palpable sense of community, connection and belonging developed through the programme, including interaction with services and devices.
CONCLUSIONS: This paper presents a unique perspective which documents the experiences of service users on the DLS. Participants illustrated a desire for life improvement and a collective and individual feeling of responsibility towards themselves and digital devices. Digital inclusion has the potential to provide avenues by which service users can safely and constructively access services and society to improve outcomes. This paper provides a foundation to further cultivate the insight of service users on digital solutions in this emerging area.