Contextual influences on femoral injecting behaviour in the UK Randomised Injectable Opiate Treatment Trial
Miller, P.G., Forzisi, L., Lintzeris, N., Zador, D., Metrebian, N. and Van Der Waal, R. 2006, Contextual influences on femoral injecting behaviour in the UK Randomised Injectable Opiate Treatment Trial, in NCIDU 2006 : Presentations of the National Conference on Injecting Drug Use, Exchange Supplies, [London, England].
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Title
Contextual influences on femoral injecting behaviour in the UK Randomised Injectable Opiate Treatment Trial
NCIDU 2006 : Presentations of the National Conference on Injecting Drug Use
Publication date
2006
Publisher
Exchange Supplies
Place of publication
[London, England]
Summary
Femoral injecting amongst participants of the Randomised Injectable Opiate Treatment Trial (RIOTT) has created a number of procedural, ethical and medical dilemmas for staff, clients and researchers. This study investigated the effect on femoral injecting behaviour of a drug consumption room (DCR) in the context of the RIOTT currently being conducted at the Maudsley Hospital, South London. It uses in-depth qualitative interviews with 10 RIOTT clients to investigate the effects of this environmental intervention on the injecting behaviour of individuals who injected femorally upon treatment entry. Interviewees were selected on the basis of membership in one of four groups: 1) never injected femorally, 2) injected femorally prior to trial and have ceased completely, 3) injected femorally prior to trial and have ceased within the DCR, and 4) have continued to inject femorally the inside and outside clinical settings. The paper uses case studies and clinical protocols to interpret changes in behaviour in injecting behaviour in regards to the goals of treatment. Preliminary results indicate that there are major advantages and disadvantages associated with femoral injecting. The most commonly reported reason for commencing femoral injecting was a lack of other viable veins and interviewee narratives illustrate how this issue use addressed within the context of the DCR. Within this setting, the paper explores the boundaries of harm reduction in the context of a traditional 'risk boundary' within the 'ideal' risk environment. Other issues explored include: gender differences in femoral injecting episodes, femoral injecting as a risk boundary and the importance of time pressures as a major predictor of choosing to inject femorally.
Notes
Invited Plenary Speaker
Language
eng
Field of Research
170106 Health, Clinical and Counselling Psychology
Socio Economic Objective
920414 Substance Abuse
HERDC Research category
E2.1 Full written paper - non-refereed / Abstract reviewed
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