“There’s absolutely no downside to this, I mean, except community opposition:” A qualitative study of the acceptability of vending machines for harm reduction
Abstract Background Vending machines for harm reduction (VMHR) are an innovative approach to deliver life-saving materials, information, and treatment for hard-to-reach populations, particularly for persons who inject drugs. The current study explores stakeholders’ perspectives on the feasibility an...
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-02-01
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| Series: | Harm Reduction Journal |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12954-023-00747-4 |
| _version_ | 1797865169229971456 |
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| author | Rebecca E. Stewart Nicholas C. Cardamone Emily Loscalzo Rachel French Collin Lovelace Winna Koe Mowenn Ali Tarhini Linden Lalley-Chareczko Kathleen A. Brady David S. Mandell |
| author_facet | Rebecca E. Stewart Nicholas C. Cardamone Emily Loscalzo Rachel French Collin Lovelace Winna Koe Mowenn Ali Tarhini Linden Lalley-Chareczko Kathleen A. Brady David S. Mandell |
| author_sort | Rebecca E. Stewart |
| collection | DOAJ |
| description | Abstract Background Vending machines for harm reduction (VMHR) are an innovative approach to deliver life-saving materials, information, and treatment for hard-to-reach populations, particularly for persons who inject drugs. The current study explores stakeholders’ perspectives on the feasibility and acceptability of VMHR in Philadelphia. Methods From October 2021 to February 2022, we conducted 31 semi-structured interviews with potential end users, staff, and leadership at a local federally qualified health center, and community members. Trained coders extracted themes from interview transcripts across four key domains: materials and logistics, location, access, and community introduction. Results Interviewees from all stakeholder groups endorsed using VMHR to provide supplies for wound care, fentanyl test strips, naloxone, and materials to connect individuals to treatment and other services. Dispensing syringes and medications for opioid use disorder were commonly endorsed by health center staff but were more controversial among potential end users. Even within stakeholder groups, views varied with respect to where to locate the machines, but most agreed that the machine should be placed in the highest drug use areas. Across stakeholder groups, interviewees suggested several strategies to introduce and gain community acceptance of VMHR, including community education, one-on-one conversations with community members, and coupling the machine with safe disposal of syringes and information to link individuals to treatment. Conclusions Stakeholders were generally receptive to VMHR. The current study findings are consistent with qualitative analyses from outside of the USA and contribute new ideas regarding the anticipated community response and best methods for introducing these machines to a community. With thoughtful planning and design, VMHR could be a feasible and acceptable modality to reduce death and disease transmission associated with the opioid and HIV epidemics in cities like Philadelphia. |
| first_indexed | 2024-04-09T23:03:36Z |
| format | Article |
| id | doaj.art-0c4bc4ca03324bb2b6afe2d8ddc3c616 |
| institution | Directory Open Access Journal |
| issn | 1477-7517 |
| language | English |
| last_indexed | 2024-04-09T23:03:36Z |
| publishDate | 2023-02-01 |
| publisher | BMC |
| record_format | Article |
| series | Harm Reduction Journal |
| spelling | doaj.art-0c4bc4ca03324bb2b6afe2d8ddc3c6162023-03-22T10:48:15ZengBMCHarm Reduction Journal1477-75172023-02-0120111010.1186/s12954-023-00747-4“There’s absolutely no downside to this, I mean, except community opposition:” A qualitative study of the acceptability of vending machines for harm reductionRebecca E. Stewart0Nicholas C. Cardamone1Emily Loscalzo2Rachel French3Collin Lovelace4Winna Koe Mowenn5Ali Tarhini6Linden Lalley-Chareczko7Kathleen A. Brady8David S. Mandell9University of Pennsylvania Perelman School of MedicineUniversity of Pennsylvania Perelman School of MedicinePhiladelphia FIGHT Community Health CentersUniversity of Pennsylvania School of NursingUniversity of Pennsylvania Perelman School of MedicinePhiladelphia FIGHT Community Health CentersPhiladelphia FIGHT Community Health CentersPhiladelphia FIGHT Community Health CentersPhiladelphia Department of Public HealthUniversity of Pennsylvania Perelman School of MedicineAbstract Background Vending machines for harm reduction (VMHR) are an innovative approach to deliver life-saving materials, information, and treatment for hard-to-reach populations, particularly for persons who inject drugs. The current study explores stakeholders’ perspectives on the feasibility and acceptability of VMHR in Philadelphia. Methods From October 2021 to February 2022, we conducted 31 semi-structured interviews with potential end users, staff, and leadership at a local federally qualified health center, and community members. Trained coders extracted themes from interview transcripts across four key domains: materials and logistics, location, access, and community introduction. Results Interviewees from all stakeholder groups endorsed using VMHR to provide supplies for wound care, fentanyl test strips, naloxone, and materials to connect individuals to treatment and other services. Dispensing syringes and medications for opioid use disorder were commonly endorsed by health center staff but were more controversial among potential end users. Even within stakeholder groups, views varied with respect to where to locate the machines, but most agreed that the machine should be placed in the highest drug use areas. Across stakeholder groups, interviewees suggested several strategies to introduce and gain community acceptance of VMHR, including community education, one-on-one conversations with community members, and coupling the machine with safe disposal of syringes and information to link individuals to treatment. Conclusions Stakeholders were generally receptive to VMHR. The current study findings are consistent with qualitative analyses from outside of the USA and contribute new ideas regarding the anticipated community response and best methods for introducing these machines to a community. With thoughtful planning and design, VMHR could be a feasible and acceptable modality to reduce death and disease transmission associated with the opioid and HIV epidemics in cities like Philadelphia.https://doi.org/10.1186/s12954-023-00747-4Harm reductionVending machines for harm reductionOpioid use disorderHIV |
| spellingShingle | Rebecca E. Stewart Nicholas C. Cardamone Emily Loscalzo Rachel French Collin Lovelace Winna Koe Mowenn Ali Tarhini Linden Lalley-Chareczko Kathleen A. Brady David S. Mandell “There’s absolutely no downside to this, I mean, except community opposition:” A qualitative study of the acceptability of vending machines for harm reduction Harm Reduction Journal Harm reduction Vending machines for harm reduction Opioid use disorder HIV |
| title | “There’s absolutely no downside to this, I mean, except community opposition:” A qualitative study of the acceptability of vending machines for harm reduction |
| title_full | “There’s absolutely no downside to this, I mean, except community opposition:” A qualitative study of the acceptability of vending machines for harm reduction |
| title_fullStr | “There’s absolutely no downside to this, I mean, except community opposition:” A qualitative study of the acceptability of vending machines for harm reduction |
| title_full_unstemmed | “There’s absolutely no downside to this, I mean, except community opposition:” A qualitative study of the acceptability of vending machines for harm reduction |
| title_short | “There’s absolutely no downside to this, I mean, except community opposition:” A qualitative study of the acceptability of vending machines for harm reduction |
| title_sort | there s absolutely no downside to this i mean except community opposition a qualitative study of the acceptability of vending machines for harm reduction |
| topic | Harm reduction Vending machines for harm reduction Opioid use disorder HIV |
| url | https://doi.org/10.1186/s12954-023-00747-4 |
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