Kentucky Outreach Service Kiosk(KyOSK): HIV, HCV 및 과다복용 위험 감소

실험적: 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.

행동: Health kiosk

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

간섭 없음: 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.

날록손 복용 일수의 변화

자가 보고한 최근(지난 30일) 날록손 소지 빈도(지속적)

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)

과다 복용 빈도의 변화

지난 6개월 동안 자가 보고한 과다복용 횟수(지속적).

마약 중독에 빠지기 위해 오피오이드를 사용하는 참가자들 사이에서 오피오이드 사용 장애(MOUD)에 대한 약물 복용 일수 변화

자가 보고한 최근(지난 30일) MOUD 사용 빈도(지속적)

콘돔을 사용하지 않는 항문 및/또는 질 성교 빈도의 변화

최근(지난 30일) 콘돔 없이 항문 또는 질 성교를 한 빈도(지속적, 모든 성행위의 횟수 및 비율)

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)