TY  - JOUR
PY  - 2022//
TI  - Protocol for community-driven selection of strategies to implement evidence-based practices to reduce opioid overdoses in the HEALing Communities Study: a trial to evaluate a community-engaged intervention in Kentucky, Massachusetts, New York and Ohio
JO  - BMJ open
A1  - Young, April M.
A1  - Brown, Jennifer L.
A1  - Hunt, Timothy
A1  - Sprague-Martinez, Linda S.
A1  - Chandler, Redonna
A1  - Oga, Emmanuel
A1  - Winhusen, T. John
A1  - Baker, Trevor
A1  - Battaglia, Tracy
A1  - Bowers-Sword, Rachel
A1  - Button, Amy
A1  - Fallin-Bennett, Amanda
A1  - Fanucchi, Laura
A1  - Freeman, Patricia
A1  - Glasgow, LaShawn M.
A1  - Gulley, Jennifer
A1  - Kendell, Charles
A1  - Lofwall, Michelle
A1  - Lyons, Michael S.
A1  - Quinn, Maria
A1  - Rapkin, Bruce David
A1  - Surratt, Hilary L.
A1  - Walsh, Sharon L.
SP  - e059328
EP  - e059328
VL  - 12
IS  - 9
N2  - Introduction  Opioid-involved overdose deaths continue to surge in many communities, despite numerous evidence-based practices (EBPs) that exist to prevent them. The HEALing Communities Study (HCS) was launched to develop and test an intervention (ie, Communities That HEAL (CTH)) that supports communities in expanding uptake of EBPs to reduce opioid-involved overdose deaths. This paper describes a protocol for a process foundational to the CTH intervention through which community coalitions select strategies to implement EBPs locally.     Methods and analysis  The CTH is being implemented in 67 communities (randomised to receive the intervention) in four states in partnership with coalitions (one per community). Coalitions must select at least five strategies, including one to implement each of the following EBPs: (a) overdose education and naloxone distribution; expanded (b) access to medications for opioid use disorder (MOUD), (c) linkage to MOUD, (d) retention in MOUD and (e) safer opioid prescribing/dispensing. Facilitated by decision aid tools, the community action planning process includes (1) data-driven goal setting, (2) discussion and prioritisation of EBP strategies, (3) selection of EBP strategies and (4) identification of next steps. Following review of epidemiologic data and information on existing local services, coalitions set goals and discuss, score and/or rank EBP strategies based on feasibility, appropriateness within the community context and potential impact on reducing opioid-involved overdose deaths with a focus on three key sectors (healthcare, behavioural health and criminal justice) and high-risk/vulnerable populations. Coalitions then select EBP strategies through consensus or majority vote and, subsequently, suggest or choose agencies with which to partner for implementation.     Ethics and dissemination  The HCS protocol was approved by a central Institutional Review Board (Advarra). <br><br>RESULTS of the action planning process will be disseminated in academic conferences and peer-reviewed journals, online and print media, and in meetings with community stakeholders.     Trial registration number  NCT04111939.<p />  <p>Language: en</p>
LA  - en
SN  - 2044-6055
UR  - http://dx.doi.org/10.1136/bmjopen-2021-059328
ID  - ref1
ER  -