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Henry SG, Shev AB, Crow D, Stewart SL, Wintemute GJ, Fenlon C, Wirtz SJ. Impacts of prescription drug monitoring program policy changes and county opioid safety coalitions on prescribing and overdose outcomes in California, 2015-2018. Prev Med 2021; 153:106861. [PMID: 34687731 DOI: 10.1016/j.ypmed.2021.106861] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/27/2021] [Revised: 09/05/2021] [Accepted: 10/14/2021] [Indexed: 11/30/2022]
Abstract
In 2015, California received funding to implement the Prescription Drug Overdose Prevention Initiative, a 4-year program to reduce deaths involving prescription opioids by 1) leveraging improvements to California's prescription drug monitoring program (PDMP) (i.e., mandatory PDMP registration for prescribers and pharmacists), and 2) supporting county opioid safety coalitions. We used statewide data from 2011 to 2018 to evaluate the Initiative's impact on opioid prescribing and overdose rates. Prescribing data were obtained from California's PDMP; fatal and non-fatal overdose data were obtained from the California Department of Public Health. Outcomes were monthly opioid prescribing rates and opioid overdose rates, modeled using generalized linear mixed models. Exposures were mandatory PDMP registration, presence of county coalitions, and Initiative support for county coalitions. Mandatory PDMP registration was associated with a 25% decrease (95%CI, 0.71-0.79) in opioid prescribing rates after 24 months. Having a county coalition was associated with a 2% decrease (95%CI, 0.96-0.99) in the opioid prescribing rate; receiving Initiative support was associated with an additional 2% decrease (95%CI, 0.97-0.98). Mandatory PDMP registration and county coalitions were associated with a 35% decrease (95%CI, 0.43-0.97) and a 21% decrease (95% CI, 0.70-0.90), respectively in prescription opioid overdose deaths. Both interventions were also associated with significantly fewer deaths involving any opioid but had no significant association with non-fatal overdose rates. Findings add to the knowledge available to guide policy to prevent high-risk prescribing and opioid overdoses. While further study is needed, coalitions and mandatory PDMP registration may be important components in such efforts.
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Affiliation(s)
- Stephen G Henry
- Department of Internal Medicine, University of California Davis, 4150 V St Suite 2400, Sacramento, CA 95817, USA.
| | - Aaron B Shev
- Violence Prevention Research Program, University of California Davis, 2315 Stockton Blvd, Sacramento, CA 95817, USA
| | - David Crow
- Substance and Addiction Prevention Branch, California Department of Public Health, 1616 Capitol Ave MS 8701, Sacramento, CA 95814, USA
| | - Susan L Stewart
- Department of Public Health Sciences, University of California Davis, Medical Sciences 1-C, One Shields Ave, Davis, CA 95616, USA
| | - Garen J Wintemute
- Violence Prevention Research Program, University of California Davis, 2315 Stockton Blvd, Sacramento, CA 95817, USA
| | - Christine Fenlon
- Substance and Addiction Prevention Branch, California Department of Public Health, 1616 Capitol Ave MS 8701, Sacramento, CA 95814, USA
| | - Stephen J Wirtz
- Injury and Violence Prevention Branch, California Department of Public Health, 1616 Capitol Ave, Suite 74.436 MS 7214, Sacramento, CA 95814, USA
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Weaver NL, Thompson J, Shoff CR, Copanas K, McMillin SE. A conceptual model for the pathways of effect for intermediary organizations: A case study from maternal and child health. EVALUATION AND PROGRAM PLANNING 2017; 63:69-73. [PMID: 28391051 DOI: 10.1016/j.evalprogplan.2017.03.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/17/2016] [Revised: 01/20/2017] [Accepted: 03/21/2017] [Indexed: 06/07/2023]
Affiliation(s)
- Nancy L Weaver
- Department of Behavioral Science and Health Education, College for Public Health and Social Justice, Saint Louis University, St. Louis, MO 63104, USA.
| | - Jill Thompson
- Maternal, Child and Family Health Coalition, 1300 Hampton Ave, Suite 111, St. Louis, MO 63139, USA.
| | - Catherine R Shoff
- School of Health Sciences, Lindenwood University, St. Charles, MO 63301.
| | - Kendra Copanas
- Maternal, Child and Family Health Coalition, 1300 Hampton Ave, Suite 111, St. Louis, MO 63139, USA.
| | - Stephen Edward McMillin
- School of Social Work, College for Public Health and Social Justice, Saint Louis University, St. Louis, MO 63104, USA.
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Colchamiro R, Edwards RA, Nordstrom C, Eshelman J, Ghiringhelli K, Forgit J, Tolan E, Mainello K, Foley J. Mobilizing Community Resources to Enhance Postdischarge Support for Breastfeeding in Massachusetts (USA): Results of a Catalyst Grant Approach. J Hum Lact 2015; 31:631-40. [PMID: 26266946 DOI: 10.1177/0890334415597680] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/20/2014] [Accepted: 07/04/2015] [Indexed: 11/15/2022]
Abstract
BACKGROUND The Massachusetts Department of Public Health's (MDPH) Mass in Motion Program (MiM) facilitates the adoption of community-level strategies that promote healthy weight in 52 municipalities. MiM provided the platform for enhancing postdischarge continuity of care for breastfeeding. OBJECTIVE This study aimed to improve the continuity of breastfeeding care and support for mothers by enhancing postdischarge care infrastructure and supportive contacts for women and families. METHODS The MDPH awarded catalyst grants to community-based organizations (CBOs) that facilitated the formation of teams for improving breastfeeding support. The effort focused on populations that often experience disparities in breastfeeding outcomes such as minority women and women receiving Medicaid. The Added Value Model of Community Coalitions was used to qualitatively assess effect across multiple levels of the socioecological model of influence. RESULTS Six communities were awarded grants to enhance or convene Breastfeeding Continuity-of-Care Teams consisting of at least 3 CBOs, including 1 maternity hospital, the local Special Supplemental Nutrition Program for Women, Infants, and Children, and the local MiM representative. Teams implemented customized plans with performance indicators to create and strengthen infrastructure for supportive contacts with breastfeeding mothers. The project included Baby Café pilots in 3 additional MiM communities. Across all grantee communities, there was an average total increase of 491 contacts with mothers per month, an improvement of 8.5% over baseline. The project created 153 added value outcomes of community collaboration at 5 levels in the socioecological framework. CONCLUSION The project demonstrated how cross-sector, coordinated efforts focused on vulnerable populations can leverage local strengths to establish/enhance breastfeeding support services customized to local needs.
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Affiliation(s)
- Rachel Colchamiro
- Nutrition Division, Massachusetts Department of Public Health, Boston, MA, USA
| | - Roger A Edwards
- Consultant, Massachusetts Department of Public Health, Boston, MA, USA
| | - Christina Nordstrom
- Division of Prevention and Wellness, Massachusetts Department of Public Health, Boston, MA, USA
| | - Jill Eshelman
- Department of Sociology, Northeastern University, Boston, MA, USA
| | - Kara Ghiringhelli
- Nutrition Division, Massachusetts Department of Public Health, Boston, MA, USA
| | - Julie Forgit
- Nutrition Division, Massachusetts Department of Public Health, Boston, MA, USA
| | - Ellen Tolan
- Nutrition Division, Massachusetts Department of Public Health, Boston, MA, USA
| | - Kristen Mainello
- Bouvé College of Health Sciences, Northeastern University, Boston, MA, USA
| | - Judi Foley
- Community Health Training Institute, Health Resources in Action, Boston, MA, USA
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Cardazone G, U Sy A, Chik I, Corlew LK. Mapping one strong 'Ohana: using network analysis and GIS to enhance the effectiveness of a statewide coalition to prevent child abuse and neglect. AMERICAN JOURNAL OF COMMUNITY PSYCHOLOGY 2014; 53:346-356. [PMID: 24682889 DOI: 10.1007/s10464-014-9641-7] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
Network analysis and GIS enable the presentation of meaningful data about organizational relationships and community characteristics, respectively. Together, these tools can provide a concrete representation of the ecological context in which coalitions operate, and may help coalitions identify opportunities for growth and enhanced effectiveness. This study uses network analysis and GIS mapping as part of an evaluation of the One Strong 'Ohana (OSO) campaign. The OSO campaign was launched in 2012 via a partnership between the Hawai'i Children's Trust Fund (HCTF) and the Joyful Heart Foundation. The OSO campaign uses a collaborative approach aimed at increasing public awareness of child maltreatment and protective factors that can prevent maltreatment, as well as enhancing the effectiveness of the HCTF Coalition. This study focuses on three elements of the OSO campaign evaluation: (1) Network analysis exploring the relationships between 24 active Coalition member organizations, (2) GIS mapping of responses to a randomized statewide phone survey (n = 1,450) assessing awareness of factors contributing to child maltreatment, and (3) Combined GIS maps and network data, illustrating opportunities for geographically-targeted coalition building and public awareness activities.
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Affiliation(s)
- Gina Cardazone
- Social Science Research Institute, Office of Evaluation and Needs Assessment Services, University of Hawai'i at Mānoa, Saunders Hall, Suite 704, 2424 Maile Way, Honolulu, HI, 96822, USA,
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Meurer JR, Lyon-Callo S. Controlling Asthma in American Cities: major themes, persistent challenges, and next steps. J Urban Health 2011; 88 Suppl 1:30-7. [PMID: 21337049 PMCID: PMC3042059 DOI: 10.1007/s11524-010-9474-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Affiliation(s)
- John R Meurer
- Department of Pediatrics, Medical College of Wisconsin, and Fight Asthma Milwaukee Allies, Children's Hospital and Health System, Milwaukee, WI, USA.
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Abstract
The Controlling Asthma in American Cities Project (CAACP) was designed to improve the control of asthma in inner-city populations of children with a disparate burden of symptoms and adverse outcomes. As with many chronic diseases, asthma is the manifestation of multiple biologic, environmental, and social determinants. In addition to appropriate medical management, individuals with asthma must have logistical, financial, and cultural access to environments that allow avoidance of asthma triggers and encourage good asthma management practices. In recognition of this complexity, the CAACP required the seven project sites to coordinate and synchronize multiple interventions (education, healthcare access, medical management, trigger reduction) at multiple levels (individual, home, school, community, and policy) through the collaboration of relevant groups, institutions, and individuals. This paper describes the "program theory" of the CAACP project-the assumptions about how the project worked, how the components were linked, and what outcomes were anticipated. It relates the subsequent papers in the supplement to the program theory and describes how the papers can inform and guide other community-based interventions, and advance the translation of scientific knowledge to effective interventions in communities of need.
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Affiliation(s)
- Elizabeth Jane Herman
- Air Pollution and Respiratory Health Branch, National Center for Environmental Health, Centers for Disease Control and Prevention, 4770 Buford Highway, Atlanta, GA 30341, USA.
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