Comparison of Methods for Recruiting Suburban Opioid Users for Studies on Hepatitis C Virus Infection Prevention (Preprint)

2019 ◽  
Author(s):  
Mary Ellen Mackesy-Amiti ◽  
Timothy P. Johnson ◽  
Basmattee Boodram

BACKGROUND Increasing opioid use among young people contributes to multiple harms including overdose, and HIV and hepatitis C virus infections. OBJECTIVE We conducted a pilot study to address challenges in recruiting young suburban residents for research on opioid use and risk behavior. METHODS We used a multi-pronged advertising strategy to recruit young adults (18-29 years) residing in the suburbs surrounding the City of Chicago to an online survey to test the feasibility of using these methods to recruit people who used opioids in the past 30 days for a research study. RESULTS Over 1,000 survey responses were recorded during 13 weeks, of which 60% (n = 606) were valid and at least 90% complete. Survey completers were 61% male, and 65% non-Hispanic white, with a mean age of 21. Six percent of respondents (n = 34) reported misuse of prescription pain relievers in the past 30 days, and 1% (n = 6) reported recent heroin use. Of the 38 respondents who were eligible for the telephone interview, 26 (68%) indicated that they were interested in learning more about the research study, and 24 provided contact information. CONCLUSIONS Facebook/Instagram advertising appears to be a useful online resource for identifying and recruiting suburban opioid users for research, with a cost of about $20 per subject. Craigslist and reddit, while free, are slower and less efficient as they require staff time to continually re-post, but may be worthwhile to include as part of a multi-pronged strategy.

2020 ◽  
Author(s):  
Theresa Watts ◽  
Diane Lauver ◽  
Ajay K. Sethi ◽  
Traci Snedden ◽  
Susan Zahner

2018 ◽  
Vol 63 (12) ◽  
pp. 3233-3240 ◽  
Author(s):  
Rachel A. Stewart ◽  
Brooke R. MacDonald ◽  
Tzu-Chun Chu ◽  
Jonathan D. Moore ◽  
Esther O. Fasanmi ◽  
...  

2016 ◽  
Vol 61 (3) ◽  
pp. 282-287 ◽  
Author(s):  
NA Alaizari ◽  
SA Al-Maweri ◽  
HM Al-Shamiri ◽  
B Tarakji ◽  
B Shugaa-Addin

2018 ◽  
Vol 69 (2) ◽  
pp. 323-331 ◽  
Author(s):  
Andrew H Talal ◽  
Phyllis Andrews ◽  
Anthony Mcleod ◽  
Yang Chen ◽  
Clewert Sylvester ◽  
...  

Abstract Background Despite high hepatitis C virus (HCV) prevalence, opioid use disorder (OUD) patients on methadone rarely engage in HCV treatment. We investigated the effectiveness of HCV management via telemedicine in an opioid substitution therapy (OST) program. Methods OUD patients on methadone underwent biweekly telemedicine sessions between a hepatologist and physician assistant during the entire HCV treatment course. All pretreatment labs (HCV RNA, genotype, and noninvasive fibrosis assessments) were obtained onsite and direct-acting antivirals were coadministered with methadone using modified directly observed therapy. We used multiple correspondence analysis, least absolute shrinkage and selection operator, and logistic regression to identify variables associated with pursuit of HCV care. Results Sixty-two HCV RNA–positive patients (24% human immunodeficiency virus [HIV] infected, 61% male, 61% African American, 25.8% Hispanic) were evaluated. All patients were stabilized on methadone and all except 4 were HCV genotype 1 infected. Advanced fibrosis/cirrhosis was present in 34.5% of patients. Of the 45 treated patients, 42 (93.3%) achieved viral eradication. Of 17 evaluated patients who were not treated, 5 were discontinued from the drug treatment program or did not follow up after the evaluation, 2 had HIV adherence issues, and 10 had insurance authorization issues. Marriage and a mental health diagnosis other than depression were the strongest positive predictors of treatment pursuit, whereas being divorced, separated, or widowed was the strongest negative predictor. Conclusions HCV management via telemedicine integrated into an OST program is a feasible model with excellent virologic effectiveness. Psychosocial and demographic variables can assist in identification of subgroups with a propensity or aversion to pursue HCV treatment.


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