阿片类药物滥用的预防干预措施

实验性的：Brief intervention (BI) then Portal

The BI will be delivered at intake and the portal will occur for 4 weeks starting at intake. All participants receive an opioid disposal bag at enrollment (in-person or mailed).

行为的：简短干预（BI）

由健康教练提供的远程简短干预，使用动机访谈来解决阿片类药物滥用和风险因素。 远程健康教练使用基于网络的临床医生支持指南来保持准确性，同时根据独特的参与者因素定制课程。

行为的：门户网站

远程健康教练将在 4 周内向参与者推送量身定制的信息。 这些消息将使用动机访谈策略。 这些消息旨在引起参与者的响应。 健康教练还将在 4 周的课程中对参与者的回复做出与动机访谈一致的回复。

实验性的：Brief intervention (BI) then Enhanced Usual Care (EUC)

The BI will be delivered at intake and EUC will be added 4 weeks later. All participants receive an opioid disposal bag at enrollment (in-person or mailed).

行为的：简短干预（BI）

由健康教练提供的远程简短干预，使用动机访谈来解决阿片类药物滥用和风险因素。 远程健康教练使用基于网络的临床医生支持指南来保持准确性，同时根据独特的参与者因素定制课程。

行为的：加强常规护理 (EUC)

这本小册子涵盖了阿片类药物的储存和处置以及药物过量预防等教育主题，以及纳洛酮、自杀热线、心理健康和药物滥用治疗等资源。 它将在网上和印刷品上提供。

实验性的：Enhanced Usual Care (EUC) then Portal

EUC will be delivered at intake and the portal will occur for 4 weeks starting at intake. All participants receive an opioid disposal bag at enrollment (in-person or mailed).

行为的：门户网站

远程健康教练将在 4 周内向参与者推送量身定制的信息。 这些消息将使用动机访谈策略。 这些消息旨在引起参与者的响应。 健康教练还将在 4 周的课程中对参与者的回复做出与动机访谈一致的回复。

行为的：加强常规护理 (EUC)

这本小册子涵盖了阿片类药物的储存和处置以及药物过量预防等教育主题，以及纳洛酮、自杀热线、心理健康和药物滥用治疗等资源。 它将在网上和印刷品上提供。

有源比较器：Enhanced Usual Care (EUC) then EUC

EUC will be delivered at intake and delivered again 4 weeks later. All participants receive an opioid disposal bag at enrollment (in-person or mailed).

行为的：加强常规护理 (EUC)

这本小册子涵盖了阿片类药物的储存和处置以及药物过量预防等教育主题，以及纳洛酮、自杀热线、心理健康和药物滥用治疗等资源。 它将在网上和印刷品上提供。

Opioid Misuse Severity Score (Past 3-month)

Alcohol Smoking and Substance Involvement Screening Test severity risk score (severity of prescription opioids/heroin consumption and consequences, scores range 0-27 per subscale; the prescription opioid and heroin subscales are summed such that total possible range on this measure is 0-54, higher score indicates worse outcomes/more severity). Note: missing data was imputed and median scores are presented.

Overdose Risk Behaviors

Opioid-related risk behaviors (score ranges from 0-32, higher score indicates worse outcomes)

Past 30-day Opioid Misuse (Dichotomized: 1+ Day vs. 0 Days)

Item based on the Addiction Severity Index (modified), data was collected for days of opioid misuse and possible scores ranged from 0-60. For statistical analysis, responses were dichotomized to 0 days vs. 1+ days, thus results are presented as # of participants reporting past 30-day opioid misuse.

Other Drug and Alcohol Use Severity

Substance use severity index (based on 7-items measuring frequency of: alcohol consumption, cannabis consumption, prescription sedative misuse, prescription stimulant misuse, cocaine consumption, methamphetamine consumption, hallucinogens consumption), sum of all 7 items with response options for each substance: 0 = never, 1= 1 time, 2= 2 times, 3= Once a month, 4= 2 to 3 times a month, 5= Once a week, 6= 2 times a week, 7= 3 to 4 times a week, 8= Nearly every day, 9= Every day, 10= More than once a day; total possible range is 0-70, higher scores indicate worse outcome/greater severity

Substance Use Consequences

Adapted alcohol (14 items), cannabis (14 items), and/or opioid-related consequences (14 items); response options for each item on each subscale were: 0=Never, 1=1 time, 2=2 times, 3=3-5 times, 4=6-9 times, 5=10-19 times, 6=20 or more times. Measure comprises total of sum of items across 3 subscales with a possible range of 0 to 252, higher score indicates worse outcomes/more consequences

Impaired Driving

Adapted items from Young Adult Driving Questionnaire (5 items; score ranges from 0-30; higher score indicates worse outcome)