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Harm reduction stories: leveraging graphic medicine to engage veterans in substance use services within the VA.
Harvey, Leah H; Branch-Elliman, Westyn; Boudreau, Jacqueline; Sliwinski, Samantha K; Gifford, Allen L; Ho, Minh Q; Dinges, Elizabeth; Hyde, Justeen.
Afiliación
  • Harvey LH; Department of Medicine, Section of Infectious Diseases, Boston University Chobanian & Avedisian School of Medicine and Boston Medical Center, 801 Massachusetts Avenue, 2nd Floor, Boston, MA, 02118, USA. LHarvey@Lifespan.org.
  • Branch-Elliman W; Alpert School of Medicine at Brown University, Division of Infectious Diseases, Providence, RI, USA. LHarvey@Lifespan.org.
  • Boudreau J; Center for Healthcare Organization and Implementation Research, VA Boston Healthcare System, Boston, MA, USA.
  • Sliwinski SK; Harvard Medical School, Boston, MA, USA.
  • Gifford AL; Department of Medicine, Veterans Affairs Boston Healthcare System, Boston, MA, USA.
  • Ho MQ; Center for Healthcare Organization and Implementation Research, VA Boston Healthcare System, Boston, MA, USA.
  • Dinges E; Center for Healthcare Organization and Implementation Research, VA Boston Healthcare System, Boston, MA, USA.
  • Hyde J; Center for Healthcare Organization and Implementation Research, VA Boston Healthcare System, Boston, MA, USA.
Harm Reduct J ; 20(1): 177, 2023 Dec 06.
Article en En | MEDLINE | ID: mdl-38057789
BACKGROUND: Harm reduction strategies can decrease morbidity and mortality associated with substance use. Various barriers limit conversation around substance use between clinicians and patients. Graphic medicine techniques can inform and encourage patient-centered conversations about substance use. We describe the co-development of a harm reduction-focused graphic medicine comic that depicts the infectious risks associated with injection drug use and patient-centered approaches to providing education about potential risk mitigation strategies. METHODS: We formed a co-design group of veterans with lived experience with substance use, physicians, health services researchers, and community-based harm reduction leaders. Over the course of ten sessions, the co-design team developed a storyline and key messages, reviewed draft content and worked with a graphic designer to develop a comic incorporating the veterans' input. During each session, co-design leads presented drafts of the comic and invited feedback from the group. The comic was edited and adapted via this iterative process. RESULTS: The comic depicts a fictionalized clinical vignette in which a patient develops an injection-related abscess and presents to their primary care provider. The dialogue highlights key healthcare principles, including patient autonomy and agency, and highlights strategies for safer use, rather than emphasizing abstinence. Feedback from co-design group participants highlights lessons learned during the development process. DISCUSSION: Graphic medicine is ideally suited for a patient-centered curriculum about harm reduction. This project is one of several interventions that will be integrated into VA facilities nationally to support incorporation of harm reduction principles into the care of persons who inject drugs.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Veteranos / Abuso de Sustancias por Vía Intravenosa / Trastornos Relacionados con Sustancias / Consumidores de Drogas Límite: Humans Idioma: En Revista: Harm Reduct J Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Veteranos / Abuso de Sustancias por Vía Intravenosa / Trastornos Relacionados con Sustancias / Consumidores de Drogas Límite: Humans Idioma: En Revista: Harm Reduct J Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido