Uptake of wheel-filtration among clients of a supervised injecting facility: Can structured education work?

Steele, M; Silins, E; Flaherty, I; Hiley, S; van Breda, N; Jauncey, M

Uptake of wheel-filtration among clients of a supervised injecting facility: Can structured education work?

Steele, M Silins, E Flaherty, I

Hiley, S van Breda, N Jauncey, M

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Publisher:: Wiley
Publication Type:: Journal Article
Citation:: Drug Alcohol Rev, 2018, 37, (1), pp. 116-120
Issue Date:: 2018-01

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Field	Value	Language
dc.contributor.author	Steele, M
dc.contributor.author	Silins, E
dc.contributor.author	Flaherty, I https://orcid.org/0000-0003-3874-2758
dc.contributor.author	Hiley, S
dc.contributor.author	van Breda, N
dc.contributor.author	Jauncey, M
dc.date.accessioned	2022-04-19T03:56:28Z
dc.date.available	2016-08-07
dc.date.available	2022-04-19T03:56:28Z
dc.date.issued	2018-01
dc.identifier.citation	Drug Alcohol Rev, 2018, 37, (1), pp. 116-120
dc.identifier.issn	0959-5236
dc.identifier.issn	1465-3362
dc.identifier.uri	http://hdl.handle.net/10453/156437
dc.description.abstract	INTRODUCTION AND AIMS: Wheel-filtration of pharmaceutical opioid tablets is a recognised harm reduction strategy, but uptake of the practice among people who inject drugs is low. The study aimed to: (i) examine perceptions of filtration practices; (ii) provide structured education on wheel-filtration; and (iii) assess uptake of the practice. DESIGN AND METHODS: Frequent opioid tablet injectors (n = 30) attending a supervised injecting facility in Sydney, Australia, received hands-on instruction on wheel-filtration based on recommended practice. Pre-education, post-education and follow-up questionnaires were administered. RESULTS: Wheel-filtration was generally regarded as better than cotton-filtration (the typical method) in terms of perceived effects on health, ease of use and overall drug effect. Sixty-eight percent of those who said they would try wheel-filtration after the education had actually done so. Of those who usually used cotton-filtration, over half (60%) had used wheel-filtration two weeks later. DISCUSSION AND CONCLUSIONS: Uptake of safer preparation methods for pharmaceutical opioid tablets increases after structured education in wheel-filtration. Findings suggest that SIFs are an effective site for this kind of education. Supervised injecting facility workers are uniquely positioned to provide harm reduction education at the time of injection. [Steele M, Silins E, Flaherty I, Hiley S, van Breda N, Jauncey M. Uptake of wheel-filtration among clients of a supervised injecting facility: Can structured education work? Drug Alcohol Rev 2018;37:116-120].
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Wiley
dc.relation.ispartof	Drug Alcohol Rev
dc.relation.isbasedon	10.1111/dar.12481
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	11 Medical and Health Sciences, 16 Studies in Human Society, 17 Psychology and Cognitive Sciences
dc.subject.classification	Substance Abuse
dc.subject.mesh	Adult
dc.subject.mesh	Filtration
dc.subject.mesh	Harm Reduction
dc.subject.mesh	Humans
dc.subject.mesh	Needle-Exchange Programs
dc.subject.mesh	Substance Abuse, Intravenous
dc.subject.mesh	Humans
dc.subject.mesh	Substance Abuse, Intravenous
dc.subject.mesh	Filtration
dc.subject.mesh	Harm Reduction
dc.subject.mesh	Adult
dc.subject.mesh	Needle-Exchange Programs
dc.title	Uptake of wheel-filtration among clients of a supervised injecting facility: Can structured education work?
dc.type	Journal Article
utslib.citation.volume	37
utslib.location.activity	Australia
utslib.for	11 Medical and Health Sciences
utslib.for	16 Studies in Human Society
utslib.for	17 Psychology and Cognitive Sciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access	*
dc.date.updated	2022-04-19T03:56:27Z
pubs.issue	1
pubs.publication-status	Published
pubs.volume	37
utslib.citation.issue	1

Abstract:

INTRODUCTION AND AIMS: Wheel-filtration of pharmaceutical opioid tablets is a recognised harm reduction strategy, but uptake of the practice among people who inject drugs is low. The study aimed to: (i) examine perceptions of filtration practices; (ii) provide structured education on wheel-filtration; and (iii) assess uptake of the practice. DESIGN AND METHODS: Frequent opioid tablet injectors (n = 30) attending a supervised injecting facility in Sydney, Australia, received hands-on instruction on wheel-filtration based on recommended practice. Pre-education, post-education and follow-up questionnaires were administered. RESULTS: Wheel-filtration was generally regarded as better than cotton-filtration (the typical method) in terms of perceived effects on health, ease of use and overall drug effect. Sixty-eight percent of those who said they would try wheel-filtration after the education had actually done so. Of those who usually used cotton-filtration, over half (60%) had used wheel-filtration two weeks later. DISCUSSION AND CONCLUSIONS: Uptake of safer preparation methods for pharmaceutical opioid tablets increases after structured education in wheel-filtration. Findings suggest that SIFs are an effective site for this kind of education. Supervised injecting facility workers are uniquely positioned to provide harm reduction education at the time of injection. [Steele M, Silins E, Flaherty I, Hiley S, van Breda N, Jauncey M. Uptake of wheel-filtration among clients of a supervised injecting facility: Can structured education work? Drug Alcohol Rev 2018;37:116-120].

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http://hdl.handle.net/10453/156437