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Principal Investigator: David W Seal
Organization: UNIVERSITY OF WISCONSIN-MADISON
Fiscal Year: 2020
Award: $127,201
Funding agency: National Institute on Drug Abuse
PROJECT SUMMARY
In response to NOT-DA-20-047, Notice of Special Interest (NOSI) regarding the Availability of Administrative
Supplements and Urgent Competitive Revisions for Research on the 2019 Novel Coronavirus, our research
team proposes increase our understanding of drug use and syringe sharing behaviors, overdose, impacts of
homelessness, and other potential barriers PWID face during COVID-19 by developing a phone based survey
among PWID who participated in the first phase of the Wisconsin Rural Opioid Initiative. The survey will be
embedded in our proposed virtual intervention adapted from our original proposal. Last, we will evaluate how
restricted operations at the SSP changed utilization of syringe services and assess the feasibility of the use of
at-home HIV and viral hepatitis testing and counseling by phone
Using the organizational infrastructure of our local SSP, Vivent Health, a geographically disperse population of
people who inject drugs in rural communities across Northern Wisconsin, we are building locally responsive
systems to facilitate uptake of evidence-based prevention services for high-risk clients. Understanding
information on how COVID-19 may change risk is needed to provide effective prevention and treatment to
PWID. The growing problem of opioid injection in rural Wisconsin is highly significant because it exemplifies
trends observed nationally indicating severe vulnerability to worsening epidemics of HIV, HCV, and opioid
overdose deaths in rural communities that are substantially underserved by evidence-based prevention
interventions.
This proposal is highly innovative because it will enable us to use an evidence-based intervention in a unique
way to reach clients during a global pandemic. Additionally, we have the ability to assess how the pandemic
will have long-term effects on people who inject drugs that will inform future interventions. It has potential for
high impact because of our team's state-wide reach, broad access to at-risk individuals, and robust
infrastructure for conducting a rigorous, multi-site evaluation of our proposed model.
Terms: <2019 novel coronavirus><2019-nCoV><AIDS Virus><AIDS test><AIDS/HIV test><Acquired Immune Deficiency Syndrome Virus><Acquired Immunodeficiency Syndrome Virus><Address><Administrative Supplement><Award><Behavior><COVID-19><COVID19><Case Management><Client><Communicable Diseases><Communities><Complement><Complement Proteins><Counseling><County><Data><Diacetylmorphine><Diamorphine><Disease Outbreaks><Drug usage><Drugs><Educational Mainstreaming><Epidemic><Evaluation><Evidence based intervention><Face><Funding><Future><Geography><Goals><Grant><HCV><HCV infection><HCV/HIV><HIV><HIV and HCV><HIV and hepatitis C><HIV test><HIV-1 test><HIV-2 test><HIV-HCV><HIV/HCV><HIV/Hepatitis C><Harm Minimization><Harm Reduction><Health><Health system><Hepatitis C><Hepatitis C virus><Hepatitis C virus infection><Hepatitis, Viral, Non-A, Non-B, Parenterally-Transmitted><Hepatitus C><Heroin><Home><Home environment><Homelessness><Human Immunodeficiency Viruses><Human immunodeficiency virus test><Individual><Infectious Disease Pathway><Infectious Diseases><Infectious Disorder><Infrastructure><Injecting drug user><Injection Drug User><Injections><Intervention><Intervention Strategies><Interview><Investigators><Knowledge><LAV-HTLV-III><Long-Term Effects><Longterm Effects><Lymphadenopathy-Associated Virus><Mainstreaming><Measures><Medical><Medication><Mental Health><Mental Hygiene><Modeling><NIDA><Naloxone><National Institute of Drug Abuse><National Institute on Drug Abuse><Needle Sharing><Needle-Exchange Programs><Needlesharing><Opiates><Opioid><Outbreaks><Overdose><PWID><Parents><Pharmaceutic Preparations><Pharmaceutical Preparations><Phase><Phone><Population><Preventative intervention><Preventative service><Prevention><Prevention intervention><Preventive Intervention><Preventive service><Primary Care Physician><Psychological Health><Public Health><QOC><Quality of Care><Research><Research Activity><Research Personnel><Researchers><Risk><Running><Rural><Rural Community><SARS-CoV-2><SARS-CoV2><SARS-associated coronavirus 2><SARS-coronavirus-2><SARS-related coronavirus 2><Service delivery model><Service model><Services><Severe acute respiratory syndrome coronavirus 2><Sight><Site><Survey Instrument><Surveys><Syringe Sharing><Syringe-Exchange Programs><Syringes><System><Telephone><Testing><Time><Uncertainty><Viral hepatitis><Virus-HIV><Vision><Wisconsin><Work><Wuhan coronavirus><achievement Mainstream Education><base><care delivery model><corona virus disease 2019><coronavirus disease 2019><doubt><drug use><drug/agent><evidence base><experience><faces><facial><health care delivery model><healthcare delivery model><hep C><hepatitis non A non B><hepatitis virus infection><high risk><homeless><improved><injection drug use><innovate><innovation><innovative><interest><interventional strategy><intravenous opiate><intravenous opioid><needle exchange><new approaches><non A, non B hepatitis><non-A, non-B hepatitis><novel approaches><novel strategies><novel strategy><operation><opiate crisis><opiate deaths><opiate injection><opiate mortality><opioid crisis><opioid deaths><opioid epidemic><opioid injection><opioid injector><opioid mortality><opioid overdose death><opioid related death><pandemic><pandemic disease><parent grant><people who inject drugs><people who inject illicit drugs><persons who inject drugs><prevention service><preventional intervention strategy><programs><public health emergency><public health relevance><response><rural dwelling><rural households><rural residence><service coordination><study population><syringe exchange><syringe exchange services><syringe service programs><trend><unhoused><uptake><virtual><visual function>