Dataset Information

Nurse-led intervention to decrease drug use among LTBI positive homeless adults.

ABSTRACT:

Background

People experiencing homelessness (PEH) are disproportionately diagnosed with active tuberculosis. While promoting latent tuberculosis infection (LTBI) treatment has been a call to action, PEH engaging in substance use often experience challenges in completing LTBI treatment.

Methods

In this non-randomized single arm study, we tested an innovative, community-based, nurse-led community health worker (RN-CHW) model, on reducing drug use among 50 PEH, residing in homeless shelters or living on the streets in Los Angeles. Follow-up was at 3- and 6- months.

Results

Findings revealed significant and ongoing decrease in any drug use (odds ratio [OR] = 0.30; 95% confidence interval [CI] = 0.14-0.68); p = .004), amphetamine use (OR = 0.14; 95% CI = 0.02-0.81; p = .029), cannabis use (OR = 0.26; 95% CI = 0.12-0.57; p = .001) and methamphetamine use (OR = 0.30; 95% CI = 0.10-0.90; p = .031) at 6-month follow-up.

Conclusions

To our knowledge, this pilot study is the first to evaluate the impact a RN-CHW delivered intervention on reduction in drug use among PEH enrolled in a LTBI intervention. LTBI interventions may serve as an entryway into reduction in drug use among this underserved population.

SUBMITTER: Nyamathi A

PROVIDER: S-EPMC9271130 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Nurse-led intervention to decrease drug use among LTBI positive homeless adults.

Nyamathi Adeline A Morisky Donald D Wall Sarah Akure SA Yadav Kartik K Shin Sangshuk S Hall Elizabeth E Chang Alicia H AH White Kathryn K Arce Nicholas N Parsa Therese T Salem Benissa E BE

Public health nursing (Boston, Mass.) 20220110 4

<h4>Background</h4>People experiencing homelessness (PEH) are disproportionately diagnosed with active tuberculosis. While promoting latent tuberculosis infection (LTBI) treatment has been a call to action, PEH engaging in substance use often experience challenges in completing LTBI treatment.<h4>Methods</h4>In this non-randomized single arm study, we tested an innovative, community-based, nurse-led community health worker (RN-CHW) model, on reducing drug use among 50 PEH, residing in homeless s ...[more]

PMID: 35014087

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Dataset Information

Nurse-led intervention to decrease drug use among LTBI positive homeless adults.

Background

Methods

Results

Conclusions

Publications

Nurse-led intervention to decrease drug use among LTBI positive homeless adults.

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