scholarly journals Developing Typologies of User Engagement With the BRANCH Alcohol-Harm Reduction Smartphone App: Qualitative Study

10.2196/11692 ◽  
2018 ◽  
Vol 6 (12) ◽  
pp. e11692 ◽  
Author(s):  
Joanna Milward ◽  
Paolo Deluca ◽  
Colin Drummond ◽  
Andreas Kimergård
Keyword(s):  
Qualitative Study ◽  
Harm Reduction ◽  
Smartphone App ◽  
User Engagement ◽  
Alcohol Harm Reduction

scholarly journals “If I knew I could get that every hour instead of alcohol, I would take the cannabis”: need and feasibility of cannabis substitution implementation in Canadian managed alcohol programs

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Bernie Pauly ◽  
Meaghan Brown ◽  
Clifton Chow ◽  
Ashley Wettlaufer ◽  
Brittany Graham ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Harm Reduction ◽  
Partial Substitution ◽  
Organizational Leaders ◽  
Willingness To Participate ◽  
Alcohol Cravings ◽  
Alcohol Harm Reduction ◽  
Alcohol Programs ◽  
Robust Evidence

Abstract Background While there is robust evidence for strategies to reduce harms of illicit drug use, less attention has been paid to alcohol harm reduction for people experiencing severe alcohol use disorder (AUD), homelessness, and street-based illicit drinking. Managed Alcohol Programs (MAPs) provide safer and regulated sources of alcohol and other supports within a harm reduction framework. To reduce the impacts of heavy long-term alcohol use among MAP participants, cannabis substitution has been identified as a potential therapeutic tool. Methods To determine the feasibility of cannabis substitution, we conducted a pre-implementation mixed-methods study utilizing structured surveys and open-ended interviews. Data were collected from MAP organizational leaders (n = 7), program participants (n = 19), staff and managers (n = 17) across 6 MAPs in Canada. We used the Consolidated Framework for Implementation Research (CFIR) to inform and organize our analysis. Results Five themes describing feasibility of CSP implementation in MAPs were identified. The first theme describes the characteristics of potential CSP participants. Among MAP participants, 63% (n = 12) were already substituting cannabis for alcohol, most often on a weekly basis (n = 8, 42.1%), for alcohol cravings (n = 15, 78.9%,) and withdrawal (n = 10, 52.6%). Most MAP participants expressed willingness to participate in a CSP (n = 16, 84.2%). The second theme describes the characteristics of a feasible and preferred CSP model according to participants and staff. Participants preferred staff administration of dry, smoked cannabis, followed by edibles and capsules with replacement of some doses of alcohol through a partial substitution model. Themes three and four highlight organizational and contextual factors related to feasibility of implementing CSPs. MAP participants requested peer, social, and counselling supports. Staff requested education resources and enhanced clinical staffing. Critically, program staff and leaders identified that sustainable funding and inexpensive, legal, and reliable sourcing of cannabis are needed to support CSP implementation. Conclusion Cannabis substitution was considered feasible by all three groups and in some MAPs residents are already using cannabis. Partial substitution of cannabis for doses of alcohol was preferred. All three groups identified a need for additional supports for implementation including peer support, staff education, and counselling. Sourcing and funding cannabis were identified as primary challenges to successful CSP implementation in MAPs.

Early unsupervised drinking-reducing the risks. The School Health and Alcohol Harm Reduction Project

2003 ◽  
Vol 22 (3) ◽  
pp. 263-276 ◽  
Author(s):  
NYANDA MCBRIDE ◽  
FIONA FARRINGDON ◽  
RICHARD MIDFORD ◽  
LYNN MEULENERS ◽  
MIKE PHILLIPS
Keyword(s):  
Harm Reduction ◽  
School Health ◽  
Alcohol Harm Reduction

scholarly journals Features of alcohol harm reduction advertisements that most motivate reduced drinking among adults: an advertisement response study

BMJ Open ◽  
2017 ◽  
Vol 7 (4) ◽  
pp. e014193 ◽  
Author(s):  
Melanie A Wakefield ◽  
Emily Brennan ◽  
Kimberley Dunstone ◽  
Sarah J Durkin ◽  
Helen G Dixon ◽  
...  
Keyword(s):  
Harm Reduction ◽  
Reduced Drinking ◽  
Alcohol Harm Reduction
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