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Addressing the Intersecting Epidemic...

Hochstatter, Karli R.

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Addressing the Intersecting Epidemics of Opioid Injection and Hepatitis C Virus Infection through Computer-Tailored and Mobile-Health Interventions.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Addressing the Intersecting Epidemics of Opioid Injection and Hepatitis C Virus Infection through Computer-Tailored and Mobile-Health Interventions./
Author:	Hochstatter, Karli R.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2019,
Description:	150 p.
Notes:	Source: Dissertations Abstracts International, Volume: 80-12, Section: B.
Contained By:	Dissertations Abstracts International80-12B.
Subject:	Information Technology. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=13900048
ISBN:	9781392287811

Addressing the Intersecting Epidemics of Opioid Injection and Hepatitis C Virus Infection through Computer-Tailored and Mobile-Health Interventions.
Hochstatter, Karli R.

Addressing the Intersecting Epidemics of Opioid Injection and Hepatitis C Virus Infection through Computer-Tailored and Mobile-Health Interventions. - Ann Arbor : ProQuest Dissertations & Theses, 2019 - 150 p.

Source: Dissertations Abstracts International, Volume: 80-12, Section: B.

Thesis (Ph.D.)--The University of Wisconsin - Madison, 2019.

This item must not be sold to any third party vendors.

Background: The current opioid crisis in the United States is driving new hepatitis C virus (HCV) infections at an alarming rate. Effective medications are available for the treatment of opioid use disorder and HCV, but they remain highly underutilized. Interventions that reduce risky injection behaviors and link people to care for addiction and HCV are desperately needed.Methods: This dissertation examines two novel interventions developed by teams at the University of Wisconsin Madison. Hep-Net is a computer-tailored intervention implemented in a harm reduction setting that aims to reduce drug use, prevent risky injection practices and overdose, and increase screening for HCV. A-CHESS is a mobile-health intervention implemented among people in early remission for opioid use disorder that aims to prevent opioid relapse, increase screening for HCV, and link HCV-positive individuals to care and treatment. The effect of these interventions on risky injection behaviors and HCV testing is examined, and the HCV intervention components of the A-CHESS intervention are described in detail.Results: Individuals who received the Hep-Net intervention were more likely to undergo testing for HCV, receive Naloxone training for the prevention of overdose, and not share injection equipment. The HCV-related components and functionality incorporated into the A-CHESS system also appeared to increase screening for HCV among people with opioid use disorder who have a history of injection drug use, and particularly those who have shared injection equipment.Conclusion: Hep-Net and A-CHESS are two behavioral interventions that improve the health of individuals affected by opioid use disorder and HCV. Disseminating health information using these innovative technologies provides an opportunity to spread knowledge at an unprecedented rate, across wide geographical areas, and at a low cost.

ISBN: 9781392287811Subjects--Topical Terms:

1030799
Information Technology.

Addressing the Intersecting Epidemics of Opioid Injection and Hepatitis C Virus Infection through Computer-Tailored and Mobile-Health Interventions.
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245 1 0 $a Addressing the Intersecting Epidemics of Opioid Injection and Hepatitis C Virus Infection through Computer-Tailored and Mobile-Health Interventions.
260 1 $a Ann Arbor : $b ProQuest Dissertations & Theses, $c 2019
300 $a 150 p.
500 $a Source: Dissertations Abstracts International, Volume: 80-12, Section: B.
500 $a Publisher info.: Dissertation/Thesis.
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502 $a Thesis (Ph.D.)--The University of Wisconsin - Madison, 2019.
506 $a This item must not be sold to any third party vendors.
520 $a Background: The current opioid crisis in the United States is driving new hepatitis C virus (HCV) infections at an alarming rate. Effective medications are available for the treatment of opioid use disorder and HCV, but they remain highly underutilized. Interventions that reduce risky injection behaviors and link people to care for addiction and HCV are desperately needed.Methods: This dissertation examines two novel interventions developed by teams at the University of Wisconsin Madison. Hep-Net is a computer-tailored intervention implemented in a harm reduction setting that aims to reduce drug use, prevent risky injection practices and overdose, and increase screening for HCV. A-CHESS is a mobile-health intervention implemented among people in early remission for opioid use disorder that aims to prevent opioid relapse, increase screening for HCV, and link HCV-positive individuals to care and treatment. The effect of these interventions on risky injection behaviors and HCV testing is examined, and the HCV intervention components of the A-CHESS intervention are described in detail.Results: Individuals who received the Hep-Net intervention were more likely to undergo testing for HCV, receive Naloxone training for the prevention of overdose, and not share injection equipment. The HCV-related components and functionality incorporated into the A-CHESS system also appeared to increase screening for HCV among people with opioid use disorder who have a history of injection drug use, and particularly those who have shared injection equipment.Conclusion: Hep-Net and A-CHESS are two behavioral interventions that improve the health of individuals affected by opioid use disorder and HCV. Disseminating health information using these innovative technologies provides an opportunity to spread knowledge at an unprecedented rate, across wide geographical areas, and at a low cost.
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