Implementing a Peer-Led, Low-Barrier Opioid Treatment Clinic in Longueuil Using a Photovoice Method
Notice bibliographique
Résumé
<h3>Context:</h3> Longueuil, an urban area in Quebec, Canada is underserved with opioid use disorder (OUD) treatment facilities, especially with the most marginalized groups. Objective: Explore the needs and expectations of marginalized patients with OUD in clinics. <h3>Study Design and Analysis:</h3> The study used a photovoice method. 13 participants were recruited. There were 4 meetings: the 1st to present the project and elaborate the research question. The 2nd meeting was to take pictures with the peer expert. The 3rd and 4th meetings were to present and discuss the pictures with the research team. Discussions were recorded and transcribed. A thematic analysis was performed with the transcripts by research team. A member-checking meeting was held afterwards with a few of the participants and other peers opioid users. <h3>Setting:</h3> The study took place in the basement of the clinic in addiction treatment, in Longueuil, Québec. At the time of the study, the organization had not started its activities. It is now open since October 2022. For the 1st, 3rd and 4th meeting, the meeting room was arranged in circle with food and beverages. The 2nd meeting was the session to take pictures and participants were walking around the neighborhood. <h3>Population Studied:</h3> Participants were adults who: 1- spoke French or English, 2- met the criteria for OUD, 3- had the profile of the users of the clinic and were marginalized. Intervention/Instrument: A clinic in addiction treatment for OUD with a low-barrier of access to care for marginalized patients. <h3>Main Outcome Measures:</h3> Participants discussed their pictures and spoke about barriers of access to care, experiences with care, specific needs with OUD treatment, the stress of the opioid crisis and overdoses crisis, and other subjects that came around the discussion of their pictures. <h3>Results:</h3> The main themes that emerged from the discussions sessions were : 1- the importance of having a roof (or a place to stay), 2- Outreach as a way of accessing the services, 3- the One-stop shop model with integrated primary care and psychosocial services, 4- Accompaniement by peers or professionals and 5- Community approach in the services. Conclusions: Engaging under-served, marginalized communities in health research is an efficient way to address health inequities between population groups in Canada. The clinic already implemented some of the recommendations addressed by the participants. Future steps in the study will evaluate this implementation.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,022 | 0,005 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,002 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,003 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».