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- Status: Published
This white paper serves as an accumulation of research to guide needle exchange program (NEP) policies in the state of Arizona to decrease the transmission of infectious diseases such as HIV and HCV.
The electronic dance music (EDM) rave community prides itself in fostering an all- accepting subculture for people to unite in style, song, and dance. Based on the principles of Peace, Love, Unity, and Respect (PLUR), rave events have unique and colorful themes, bass levels you can feel in your heart, bright and invigorating laser light shows, and in many cases, a heavy presence of both legal and illegal drug use. Because of the association with illegal substances, open discussions regarding drug presence, use, and harm reduction have been stigmatized and limited in the rave community. This study aims to evaluate the current level of knowledge and attitudes regarding drug presence and harm reduction among “ravers.” All participants were required to be of 18 years of age or older and have attended at least 1 EDM event in the past 5 years. The study involved two stages: (1) collecting qualitative data through in person, phone call, or Zoom interviews (n=14), and (2) collecting quantitative data through closed-ended, anonymous surveys via QuestionPro (n=64). The results indicate that a significant portion of participants in both stages express a desire for easily accessible harm reduction information and increased measures prior to and at EDM events. Starting an open dialogue about drug use and harm reduction efforts within this subculture could help create a safer environment and reduce the negative consequences of drug use.
Harm reduction in cardiovascular disease is a significant problem worldwide. Providers, families, and healthcare agencies are feeling the burdens imparted by these diseases. Not to mention missed days of work and caregiver strain, the losses are insurmountable. Motivational interviewing (MI) is gaining momentum as a method of stimulating change through intrinsic motivation by resolving ambivalence toward change (Ma, Zhou, Zhou, & Huang, 2014).
If practitioners can find methods of educating the public in a culturally-appropriate and sensitive manner, and if they can work with community stakeholders to organize our resources to make them more accessible to the people, we may find that simple lifestyle changes can lead to risk reduction of cardiovascular diseases. By working with our community leaders and identifying barriers unique to each population, we can make positive impacts on a wide range of issues that markedly impact our healthcare systems.
People who inject drugs (PWID) are at high risk for disease transmission and bacterial invasion of the blood and/or skin. PWID are a marginalized population who often delay medical treatment or substitute self-care treatment due to increased fear, barriers, or stigmatization in traditional healthcare settings. These delays often create multifaceted complications that eventually cost the healthcare system billions of dollars. This leads to poorer health outcomes in PWID. There is evidence that community-based interventions are effective in reaching this population of people in order to promote better health outcomes.
To address this gap in care, an evidenced based project centered on increasing the confidence levels of community lay workers when providing general wound education to PWID was conducted. The project was implemented at a rural harm reduction agency site in Northern Arizona. Utilizing the theoretical framework of the Adult Learning Theory, a convenience sample of 22 participants received a general wound education intervention consisting of a PowerPoint presentation with a written brochure over multiple sessions.
Adapted questions from the new general self-efficacy (NGSE) scale, which has demonstrated valid internal consistency, were utilized to measure confidence levels of participants and a scored checklist was used to measure teaching performance. Confidence levels significantly increased from baseline to week four (p = .001). Teach-back performance scores also increased from baseline to week two and four. Providing a general wound education intervention to community lay workers improved confidence levels and teaching performance which can promote better health outcomes in PWID.