CTN 343: Project ReportNeedles.ca
Project ReportNeedles.ca: A rapid assessment and response system to map needle prevalence and implement harm reduction interventions in Regina, Saskatchewan
About the Study
CTN 343 will assess the use of a real-time needle collection tool called ReportNeedles.ca to identify “hot-spots” of higher needle prevalence for the deployment and evaluation of pop-up interventions for blood-borne infection prevention and substance use harm reduction in Regina, Saskatchewan.
Background
Used needles are a common route for the spread of blood-borne infections such as HIV and syphilis. These needles can be difficult to dispose of safely, particularly in cities with poor walkability, where it can be harder for drug users to reach safe disposal facilities. Timely and safe collection and disposal of these needles can help limit the spread of these infections.
In April 2021, AIDS Programs South Saskatchewan (APSS) launched reportneedles.ca as a web-based application for both the public and first responders (e.g., fire department) to anonymously report used needles found in public spaces, such as parking lots and parks. Within 24 hours of receiving a report, the APSS collects and safely disposes of any reported needles. The tool has an integrated geomatics feature so users can create maps using the community needle prevalence data reported through the website. This novel approach is the first known instance of real-time reporting of community needle prevalence, and presents an excellent opportunity to evaluate whether this prevalence can be used as a metric to effectively target harm reduction interventions.
Study Approach
Using data collected from the ReportNeedles.ca app, we will generate monthly community needle prevalence reports, including the number and location of needles in Regina. Informed by the maps, areas with high prevalence of reported needles will be offered free naloxone training as well as free Naloxone kits. We will be providing approximately 20 pop-up training events in hotspots identified by geo-mapping and local community organizations. A target of 50 participants will complete a brief demographic form and a post-training questionnaire to assess the effectiveness of Naloxone training.
An 8-session weekly peer support group for people who use injection drugs will be held at a location near the ‘hotspot’ areas identified by ReportNeedles.ca geo-mapping. Each 1.5-hour session will include a HIV and harm reduction topic targeted towards active users. Topics will include overdose prevention, HIV and Hepatitis C prevention, as well as safer usage and safer sex practices. Facilitators (peers with substance use experience and a social worker) will lead discussions involving HIV and Hepatitis C transmission through pipe sharing; mixing opioids and stimulants; safer injection areas; cutting agents; addiction triggers; coping skills; treatment options; relapse/lapse prevention; and safer sex practices. Alongside these guiding topics, there will be time for participant-directed conversation to identify topics and areas of support. Referral services will also be available for mental health and addictions detox and treatment, housing supports, and income supports. An anticipated 50 participants will complete a brief demographic and pre-post questionnaire regarding change in behaviour and supports.
Eligibility Requirements
Required
Naloxone Training Eligibility
- Engagement with the pop-up site and consent to participate
Peer Support Group Eligibility
- Consent to participate
Investigators
Here’s who is leading this study.
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Email info@ctnplus.ca.
