ケンタッキー アウトリーチ サービス キオスク (KyOSK): HIV、HCV、過剰摂取のリスクを軽減

実験的：Health Department Program Plus a Health Kiosk Intervention

The intervention involves enhancing the health department's existing staffed model of service delivery with a KyOSK. The intervention county's staffed program operates identically to the comparison county. Both counties' staffed programs and the kiosk will use an identically structured unique ID to provide objective data on service engagement. The KyOSK will resemble a vending machine but with a touchscreen, audiovisual interface. The KyOSK will include naloxone, wound care kits, and supplies for basic needs (e.g., hygiene items, food, water, emergency blankets); offer overdose education materials; and an innovative call-back feature for care navigation by recovery coaches. While the KyOSK is operating, the county will continue to operate its traditional program.

行動：Health kiosk

The intervention involves enhancing its existing health department model with a Kentucky Outreach Service Kiosk (KyOSK).

介入なし：Staffed Health Department Program

A staffed program located in the local department of health (DOH) and staffed by DOH personnel currently operates in the comparison county. The program provides supplies (e.g., naloxone, wound care kits, snacks, drinks, resource guides). A peer support specialist from a nearby recovery facility is present for consultation with clients (by request of client) during operating hours. New clients to the program "register" by providing information for establishment of a client ID and answer a brief survey of demographic and behavioral questions used by all state programs. Program clients will also receive a resource guide covering the same categories as those covered in the call-back feature of the KyOSK.

ナロキソンの携帯日数の変化

最近（過去30日間）の自己申告によるナロキソンの保有頻度（継続的）

Change in frequency of use of substance use treatment, detoxification, and/or peer-support services

Self-reported recent (past 6-month) frequency of engaging in substance use treatment services (binary)

Change in number of injection-related abscesses

Self-reported recent (past 6 month) number of injection-site abscesses among those who inject drugs (continuous)

過剰摂取の頻度の変化

過去 6 か月間の過剰摂取の自己申告回数 (連続)。

オピオイドを使用してハイになる参加者のオピオイド使用障害（MOUD）の投薬日数の変化

最近 (過去 30 日間) に MOUD を使用した頻度 (継続的) の自己申告

コンドームを使用しないアナルセックスおよび/または膣性交の頻度の変化

自己申告による最近（過去 30 日間）のコンドームなしのアナルまたは膣性交の頻度（継続的、すべての性行為の数と割合）

Change in use of naloxone during overdose events by participants who witnessed an overdose

Self-reported number of times participant used naloxone to reverse someone's overdose in the past 6 months (continuous)

Change in frequency of helping others access naloxone

Self-reported recent (past 6 months) frequency of providing naloxone to others (binary)

Change in frequency of hospitalization for an injection-related infection

Self-reported recent (past 6 month) hospitalization for an injection-site infection among those who inject drugs (binary)

Change in frequency of helping others access wound care

Self-reported recent (past 6 month) frequency of providing wound care supplies to other (binary)

Change in recovery capital

Composite measure of recent (past 6 month) self-reported social capital (receipt and provision of support), physical capital (housing, transportation, food security, technology, and health care access), and human capital (quality of life, experience of shame) (continuous)