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Refining a Video and Text Message Intervention (STAR, Skills Training in Active Recovery) to Prevent the Onset or Escalation of Posttraumatic Stress and Opioid Misuse Among Recent Sexual Assault Survivors: Community Engaged Study Background: Sexual violence is prevalent and consequences can be chronic and impairing. However, few interventions exist to prevent the onset and/or escalation of posttraumatic stress symptoms and opioid misuse among recent sexual violence survivors. Objective: This study describes a collaborative process of updating an integrated post-sexual assault video and developing a #TextMessaging #mhealth intervention program with a community advisory board (CAB) of sexual assault survivors. Methods: Research team members met virtually for six 60-90-minute meetings with a five-member CAB of sexual assault survivors with diverse racial and gender identities located throughout the United States. CAB members provided feedback on written documents detailing an adapted video script and newly developed text intervention to address risk of substance misuse and posttraumatic stress disorder (PTSD) symptoms following sexual assault. CAB members also received text messages to provide feedback from the end-user perspective. Results: We identified overarching themes to improve relatability (de-stigmatize and increase awareness of support; reduce technical language; increase representation in actors), content (increase social support; include substance-related assault; suggest activities) and wording (normalize different terms for sexual assault, reduce insensitive language) for the video intervention. For the text intervention, we identified themes relating to acceptability (timing, frequency, and format of texts), relatability (having an avatar introduce the program, identifying the study name in messages), content (messaging), and wording (increasing clarity). Conclusions: Findings reinforce the importance of including community members’ perspectives and suggestions to improve the acceptability and relatability of interventions, including the video and text message intervention described here.

JMIR Formative Res: Refining a Video and Text Message Intervention (STAR, Skills Training in Active Recovery) to Prevent the Onset or Escalation of Posttraumatic Stress and Opioid Misuse Among Recent Sexual Assault Survivors:… #SexualAssault #PTSD #OpioidMisuse #MentalHealth #SurvivorSupport

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Key features associated with opioid misuse in chronic pain: A machine learning cross-sectional study
Darnall, B. D., Kim, S. et al.
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#OpioidMisuse #ChronicPainResearch #MachineLearningStudy

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Lake County invests $600K in South Shore Clear Lake Clinic expansion and youth prevention programs Lake County allocates funds for clinic expansion and initiatives to prevent opioid misuse among youth.

Lake County is making a powerful investment of $600K to expand mental health services and combat the opioid crisis among tribal youth.

Learn more here

#LakeCounty #CA #CitizenPortal #MentalHealthInitiatives #OpioidMisuse #LakeCountyBehavioralHealth #YouthPrevention

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#OpioidMisuse versus #OpioidUse associated with increased #SuicideRisk; complicated however by misuse of other drugs and by the presence of multiple chronic medical conditions.

https://www.medscape.com/viewarticle/915684_1

#SharedFacts

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Postsurgical prescriptions for opioid naive patients and ... Objective To quantify the effects of varying opioid presc...

#OpioidCrisis Very large study of post-surgery opioid prescribing showing #OpioidMisuse in only 0.6%, with duration weeks of prescribing a strong predictor http://bit.ly/2C3fY85

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Postsurgical prescriptions for opioid naive patients and ... Objective To quantify the effects of varying opioid presc...

#OpioidCrisis Very large study of post-surgery opioid prescribing showing #OpioidMisuse in only 0.6%, with duration weeks of prescribing a strong predictor http://bit.ly/2C3fY85

0 0 0 0
Postsurgical prescriptions for opioid naive patients and ... Objective To quantify the effects of varying opioid presc...

#OpioidCrisis Very large study of post-surgery opioid prescribing showing #OpioidMisuse in only 0.6%, with duration weeks of prescribing a strong predictor http://bit.ly/2C3fY85

0 0 0 0
Postsurgical prescriptions for opioid naive patients and ... Objective To quantify the effects of varying opioid presc...

#OpioidCrisis Very large study of post-surgery opioid prescribing showing #OpioidMisuse in only 0.6%, with duration weeks of prescribing a strong predictor http://bit.ly/2C3fY85

0 0 0 0
Postsurgical prescriptions for opioid naive patients and ... Objective To quantify the effects of varying opioid presc...

#OpioidCrisis Very large study of post-surgery opioid prescribing showing #OpioidMisuse in only 0.6%, with duration weeks of prescribing a strong predictor http://bit.ly/2C3fY85

0 0 0 0
Postsurgical prescriptions for opioid naive patients and ... Objective To quantify the effects of varying opioid presc...

#OpioidCrisis Very large study of post-surgery opioid prescribing showing #OpioidMisuse in only 0.6%, with duration weeks of prescribing a strong predictor http://bit.ly/2C3fY85

0 0 0 0
Postsurgical prescriptions for opioid naive patients and ... Objective To quantify the effects of varying opioid presc...

#OpioidCrisis Very large study of post-surgery opioid prescribing showing #OpioidMisuse in only 0.6%, with duration weeks of prescribing a strong predictor http://bit.ly/2C3fY85

0 0 0 0
Postsurgical prescriptions for opioid naive patients and ... Objective To quantify the effects of varying opioid presc...

#OpioidCrisis Very large study of post-surgery opioid prescribing showing #OpioidMisuse in only 0.6%, with duration weeks of prescribing a strong predictor http://bit.ly/2C3fY85

0 0 0 0
Postsurgical prescriptions for opioid naive patients and ... Objective To quantify the effects of varying opioid presc...

#OpioidCrisis Very large study of post-surgery opioid prescribing showing #OpioidMisuse in only 0.6%, with duration weeks of prescribing a strong predictor http://bit.ly/2C3fY85

0 0 0 0
Postsurgical prescriptions for opioid naive patients and ... Objective To quantify the effects of varying opioid presc...

#OpioidCrisis Very large study of post-surgery opioid prescribing showing #OpioidMisuse in only 0.6%, with duration weeks of prescribing a strong predictor http://bit.ly/2C3fY85

0 0 0 0
Postsurgical prescriptions for opioid naive patients and ... Objective To quantify the effects of varying opioid presc...

#OpioidCrisis Very large study of post-surgery opioid prescribing showing #OpioidMisuse in only 0.6%, with duration weeks of prescribing a strong predictor http://bit.ly/2C3fY85

0 0 0 0
Postsurgical prescriptions for opioid naive patients and ... Objective To quantify the effects of varying opioid presc...

#OpioidCrisis Very large study of post-surgery opioid prescribing showing #OpioidMisuse in only 0.6%, with duration weeks of prescribing a strong predictor http://bit.ly/2C3fY85

0 0 0 0
Postsurgical prescriptions for opioid naive patients and ... Objective To quantify the effects of varying opioid presc...

#OpioidCrisis Very large study of post-surgery opioid prescribing showing #OpioidMisuse in only 0.6%, with duration weeks of prescribing a strong predictor http://bit.ly/2C3fY85

0 0 0 0
Postsurgical prescriptions for opioid naive patients and ... Objective To quantify the effects of varying opioid presc...

#OpioidCrisis Very large study of post-surgery opioid prescribing showing #OpioidMisuse in only 0.6%, with duration weeks of prescribing a strong predictor http://bit.ly/2C3fY85

0 0 0 0
Postsurgical prescriptions for opioid naive patients and ... Objective To quantify the effects of varying opioid presc...

#OpioidCrisis Very large study of post-surgery opioid prescribing showing #OpioidMisuse in only 0.6%, with duration weeks of prescribing a strong predictor http://bit.ly/2C3fY85

0 0 0 0
Postsurgical prescriptions for opioid naive patients and ... Objective To quantify the effects of varying opioid presc...

#OpioidCrisis Very large study of post-surgery opioid prescribing showing #OpioidMisuse in only 0.6%, with duration weeks of prescribing a strong predictor http://bit.ly/2C3fY85

0 0 0 0
Postsurgical prescriptions for opioid naive patients and ... Objective To quantify the effects of varying opioid presc...

#OpioidCrisis Very large study of post-surgery opioid prescribing showing #OpioidMisuse in only 0.6%, with duration weeks of prescribing a strong predictor http://bit.ly/2C3fY85

0 0 0 0
Postsurgical prescriptions for opioid naive patients and ... Objective To quantify the effects of varying opioid presc...

#OpioidCrisis Very large study of post-surgery opioid prescribing showing #OpioidMisuse in only 0.6%, with duration weeks of prescribing a strong predictor http://bit.ly/2C3fY85

0 0 0 0
Postsurgical prescriptions for opioid naive patients and ... Objective To quantify the effects of varying opioid presc...

#OpioidCrisis Very large study of post-surgery opioid prescribing showing #OpioidMisuse in only 0.6%, with duration weeks of prescribing a strong predictor http://bit.ly/2C3fY85

0 0 0 0
Postsurgical prescriptions for opioid naive patients and ... Objective To quantify the effects of varying opioid presc...

#OpioidCrisis Very large study of post-surgery opioid prescribing showing #OpioidMisuse in only 0.6%, with duration weeks of prescribing a strong predictor http://bit.ly/2C3fY85

0 0 0 0
Postsurgical prescriptions for opioid naive patients and ... Objective To quantify the effects of varying opioid presc...

#OpioidCrisis Very large study of post-surgery opioid prescribing showing #OpioidMisuse in only 0.6%, with duration weeks of prescribing a strong predictor http://bit.ly/2C3fY85

0 0 0 0
Postsurgical prescriptions for opioid naive patients and ... Objective To quantify the effects of varying opioid presc...

#OpioidCrisis Very large study of post-surgery opioid prescribing showing #OpioidMisuse in only 0.6%, with duration weeks of prescribing a strong predictor http://bit.ly/2C3fY85

0 0 0 0
Postsurgical prescriptions for opioid naive patients and ... Objective To quantify the effects of varying opioid presc...

#OpioidCrisis Very large study of post-surgery opioid prescribing showing #OpioidMisuse in only 0.6%, with duration (weeks) of prescribing a strong predictor http://bit.ly/2C3fY85

0 0 0 0
Postsurgical prescriptions for opioid naive patients and ... Objective To quantify the effects of varying opioid presc...

#OpioidCrisis Very large study of post-surgery opioid prescribing showing #OpioidMisuse in only 0.6%, with duration weeks of prescribing a strong predictor http://bit.ly/2C3fY85

0 0 0 0
Postsurgical prescriptions for opioid naive patients and ... Objective To quantify the effects of varying opioid presc...

#OpioidCrisis Very large study of post-surgery opioid prescribing showing #OpioidMisuse in only 0.6%, with duration weeks of prescribing a strong predictor http://bit.ly/2C3fY85

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Postsurgical prescriptions for opioid naive patients and ... Objective To quantify the effects of varying opioid presc...

#OpioidCrisis Very large study of post-surgery opioid prescribing showing #OpioidMisuse in only 0.6%, with duration weeks of prescribing a strong predictor http://bit.ly/2C3fY85

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