Cargando…
Implementation and sustainability of safe consumption sites: a qualitative systematic review and thematic synthesis
BACKGROUND: Safe consumption sites (SCSs) serve diverse populations of people who use drugs (PWUD) and public health objectives. SCS implementation began in the 1980s, and today, there are at least 200 known SCSs operating in over twelve countries. While a growing literature supports their effective...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9255520/ https://www.ncbi.nlm.nih.gov/pubmed/35790994 http://dx.doi.org/10.1186/s12954-022-00655-z |
_version_ | 1784740937888432128 |
---|---|
author | Yoon, Grace H. Levengood, Timothy W. Davoust, Melissa J. Ogden, Shannon N. Kral, Alex H. Cahill, Sean R. Bazzi, Angela R. |
author_facet | Yoon, Grace H. Levengood, Timothy W. Davoust, Melissa J. Ogden, Shannon N. Kral, Alex H. Cahill, Sean R. Bazzi, Angela R. |
author_sort | Yoon, Grace H. |
collection | PubMed |
description | BACKGROUND: Safe consumption sites (SCSs) serve diverse populations of people who use drugs (PWUD) and public health objectives. SCS implementation began in the 1980s, and today, there are at least 200 known SCSs operating in over twelve countries. While a growing literature supports their effectiveness as a harm reduction strategy, there is limited information on contextual factors that may support or hinder SCS implementation and sustainability. We aimed to fill this gap in knowledge by reviewing existing qualitative studies on SCSs. METHODS: We conducted a systematic review and thematic synthesis of qualitative studies. We identified all peer-reviewed, English-language qualitative studies on SCSs containing original data in PubMed, Web of Science, Google Scholar, and Science Direct as of September 23, 2019. Two authors independently screened, abstracted, and coded content relating to SCS implementation and sustainment aligned with the Exploration, Preparation, Implementation, Sustainment (EPIS) implementation science framework. RESULTS: After removing duplicates, we identified 765 unique records, of which ten qualitative studies met inclusion criteria for our synthesis. Across these ten studies, 236 total interviews were conducted. Overall, studies described how SCSs can (1) keep drug use out of public view while fostering a sense of inclusion for participants, (2) support sustainment by enhancing external communities’ acceptability of SCSs, and (3) encourage PWUD utilization. Most studies also described how involving PWUD and peer workers (i.e., those with lived experience) in SCS operation supported implementation and sustainability. DISCUSSION: Our thematic synthesis of qualitative literature identified engagement of PWUD and additional factors that appear to support SCS planning and operations and are critical to implementation success. However, the existing qualitative literature largely lacked perspectives of SCS staff and other community members who might be able to provide additional insight into factors influencing the implementation and sustainability of this promising public health intervention. |
format | Online Article Text |
id | pubmed-9255520 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-92555202022-07-06 Implementation and sustainability of safe consumption sites: a qualitative systematic review and thematic synthesis Yoon, Grace H. Levengood, Timothy W. Davoust, Melissa J. Ogden, Shannon N. Kral, Alex H. Cahill, Sean R. Bazzi, Angela R. Harm Reduct J Research BACKGROUND: Safe consumption sites (SCSs) serve diverse populations of people who use drugs (PWUD) and public health objectives. SCS implementation began in the 1980s, and today, there are at least 200 known SCSs operating in over twelve countries. While a growing literature supports their effectiveness as a harm reduction strategy, there is limited information on contextual factors that may support or hinder SCS implementation and sustainability. We aimed to fill this gap in knowledge by reviewing existing qualitative studies on SCSs. METHODS: We conducted a systematic review and thematic synthesis of qualitative studies. We identified all peer-reviewed, English-language qualitative studies on SCSs containing original data in PubMed, Web of Science, Google Scholar, and Science Direct as of September 23, 2019. Two authors independently screened, abstracted, and coded content relating to SCS implementation and sustainment aligned with the Exploration, Preparation, Implementation, Sustainment (EPIS) implementation science framework. RESULTS: After removing duplicates, we identified 765 unique records, of which ten qualitative studies met inclusion criteria for our synthesis. Across these ten studies, 236 total interviews were conducted. Overall, studies described how SCSs can (1) keep drug use out of public view while fostering a sense of inclusion for participants, (2) support sustainment by enhancing external communities’ acceptability of SCSs, and (3) encourage PWUD utilization. Most studies also described how involving PWUD and peer workers (i.e., those with lived experience) in SCS operation supported implementation and sustainability. DISCUSSION: Our thematic synthesis of qualitative literature identified engagement of PWUD and additional factors that appear to support SCS planning and operations and are critical to implementation success. However, the existing qualitative literature largely lacked perspectives of SCS staff and other community members who might be able to provide additional insight into factors influencing the implementation and sustainability of this promising public health intervention. BioMed Central 2022-07-05 /pmc/articles/PMC9255520/ /pubmed/35790994 http://dx.doi.org/10.1186/s12954-022-00655-z Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Yoon, Grace H. Levengood, Timothy W. Davoust, Melissa J. Ogden, Shannon N. Kral, Alex H. Cahill, Sean R. Bazzi, Angela R. Implementation and sustainability of safe consumption sites: a qualitative systematic review and thematic synthesis |
title | Implementation and sustainability of safe consumption sites: a qualitative systematic review and thematic synthesis |
title_full | Implementation and sustainability of safe consumption sites: a qualitative systematic review and thematic synthesis |
title_fullStr | Implementation and sustainability of safe consumption sites: a qualitative systematic review and thematic synthesis |
title_full_unstemmed | Implementation and sustainability of safe consumption sites: a qualitative systematic review and thematic synthesis |
title_short | Implementation and sustainability of safe consumption sites: a qualitative systematic review and thematic synthesis |
title_sort | implementation and sustainability of safe consumption sites: a qualitative systematic review and thematic synthesis |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9255520/ https://www.ncbi.nlm.nih.gov/pubmed/35790994 http://dx.doi.org/10.1186/s12954-022-00655-z |
work_keys_str_mv | AT yoongraceh implementationandsustainabilityofsafeconsumptionsitesaqualitativesystematicreviewandthematicsynthesis AT levengoodtimothyw implementationandsustainabilityofsafeconsumptionsitesaqualitativesystematicreviewandthematicsynthesis AT davoustmelissaj implementationandsustainabilityofsafeconsumptionsitesaqualitativesystematicreviewandthematicsynthesis AT ogdenshannonn implementationandsustainabilityofsafeconsumptionsitesaqualitativesystematicreviewandthematicsynthesis AT kralalexh implementationandsustainabilityofsafeconsumptionsitesaqualitativesystematicreviewandthematicsynthesis AT cahillseanr implementationandsustainabilityofsafeconsumptionsitesaqualitativesystematicreviewandthematicsynthesis AT bazziangelar implementationandsustainabilityofsafeconsumptionsitesaqualitativesystematicreviewandthematicsynthesis |