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"LaForge, Kate"
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Using Asynchronous Online Focus Groups to Capture Healthcare Professional Opinions
2022
Introduction
Online data collection methods can increase study accessibility and ease the burden of data collection for participants. Asynchronous Online Focus Groups are a promising method for data collection among healthcare professionals.
Methods
In this article, we describe the use of, and lessons learned from conducting 19 Asynchronous Online Focus Groups across four research studies.
Results
We describe our experiences preparing for, recruiting for, and conducting Asynchronous Online Focus Groups. We highlight decision points around timeframe, eligibility, recruitment, participation, focus group assignment, moderation, and participant engagement. We found that removing geographic barriers was advantageous for collecting data, focus group attrition is a concern for asynchronous formats, and group assignment may affect data.
Conclusions
Asynchronous Online Focus Groups are a promising method for data collection among healthcare professionals. When conducting Asynchronous Online Focus Groups researchers should consider the suitability and the unique implications of this data collection method for data quality.
Journal Article
It wasn’t here, and now it is. It’s everywhere\: fentanyl’s rising presence in Oregon’s drug supply
by
Shin, Sarah S.
,
Pope, Justine
,
Seaman, Andrew
in
Access to information
,
Analgesics, Opioid - adverse effects
,
Counterfeiting
2022
Background
Illicit fentanyl has contributed to a drastic increase in overdose drug deaths. While fentanyl has subsumed the drug supply in the Northeastern and Midwestern USA, it has more recently reached the Western USA. For this study, we explored perspectives of people who use drugs (PWUD) on the changing drug supply in Oregon, experiences of and response to fentanyl-involved overdose, and recommendations from PWUD to reduce overdose risk within the context of illicit fentanyl’s dramatic increase in the recreational drug supply over the past decade.
Methods
We conducted in-depth interviews by phone with 34 PWUD in Oregon from May to June of 2021. We used thematic analysis to analyze transcripts and construct themes.
Results
PWUD knew about fentanyl, expressed concern about fentanyl pills, and were aware of other illicit drugs containing fentanyl. Participants were aware of the increased risk of an overdose but remained reluctant to engage with professional first responders due to fear of arrest. Participants had recommendations for reducing fentanyl overdose risk, including increasing access to information, harm reduction supplies (e.g., naloxone, fentanyl test strips), and medications for opioid use disorder; establishing drug checking services and overdose prevention sites; legalizing and regulating the drug supply; and reducing stigma enacted by healthcare providers.
Conclusion
PWUD in Oregon are aware of the rise of fentanyl and fentanyl pills and desire access to tools to reduce harm from fentanyl. As states in the Western USA face an inflection point of fentanyl in the drug supply, public health staff, behavioral health providers, and first responders can take action identified by the needs of PWUD.
Journal Article
Emergent Adulthood and Suicidal Ideation: Help-Seeking as Relational Practice
2025
Young adults in the United States (U.S.) suffer from suicidal ideation and attempts at persistently high rates. Many young adults do not seek help of any kind for suicidal ideation. Among support available for those with suicidal ideation, young adults are increasingly turning to crisis text services for suicidal ideation support. Given this, our understanding of how young adults seek support for suicidal ideation and navigate resources, including crisis text services, is crucial.Drawing from a web-based survey and interviews, I explore the structural, institutional, social, and relational engagement that gives shape to young adults’ suicide-related help-seeking practices. I begin by drawing from survey data to develop a quantitative understanding of those who use crisis text services relative to other resources. Using descriptive statistics, chi-square tests, and content analysis, I describe characteristics associated with crisis text service use and barriers to using this source of support. Further, I explore participant recommendations for the improvement of crisis text services.Following this, I draw from 39 in-depth interviews with young American adults aged 18-25. First, I analyze participants’ social lives, emphasizing how their daily living and priorities outside of medical systems influence and shape their conduct within them. I utilize life course theory to examine how the emergent adulthood stage of the life course shapes help-seeking practices, exploring how their self-development, shifting relationships and spatial ties, and increasing sense of self intersect with help-seeking practices. I highlight how suicide-related help-seeking practices are shaped less by age than by the social expectations and constraints embedded in the emergent adulthood life course stage.Finally, I bridge assemblage theory with the sociology of help-seeking to construct a relational understanding of participants’ subjective suicide care assemblages. I focus on how young adults envision and enact care, arguing that ideas and affects flow through suicide care assemblages to impact help-seeking processes in meaningful ways. Specifically, I trace how intimacy and spatiality flow through the assemblage, represent assemblage ideals, and produce particular affective experiences, revealing the care system's interconnected nature. I also illustrate how young adults adopt in response to these interconnections, showing how young adults calibrate suicidal ideation disclosures within care technologies to resist governing assemblage ideals. The assemblage perspective facilitates understanding suicide-related help-seeking as a series of temporarily arranged relations between diverse entities, including services, affects, ideas, and individuals envisioned and enacted by those who consider help and sometimes seek it.Taken together, these findings suggest a relational and processual view of suicide-related help-seeking—one that shifts focus from individuals’ attitudes toward isolated services to the pursuit of specific affective connections with people, services, technologies, and ideas, all shaped by one’s position within the life course.
Dissertation
A Rotten Smell in Manhattan Raises Alarms and Questions
by
Reporting was contributed by Carla Baranauckas, Ken Belson, Thayer Evans, Cassi Feldman, Kate Hammer, Christine Hauser, David M. Herszenhorn, John Holl, Patrick LaForge, Colin Moynihan, William Neuman, Andy Newman and Ronald Smothers
,
Sewell, Chan
in
Evacuations & rescues
,
Gas leaks
,
Natural gas
2007
''I feel faint,'' said Ivolett Bredwood, a legal assistant who noticed the odor once she stepped off a New Jersey Transit train at Pennsylvania Station around 8:45 a.m. The smell trailed her as she walked to her office, at 99 Park Avenue, which was briefly evacuated. ''It's an awful, nasty smell.'' Adding to the alarm was the strength and duration of the odor, which may have been aggravated by a weather phenomenon known as a temperature inversion. Inversions, which often occur when a warm front moves over a cooler, denser air mass, cause the temperature closer to the ground to be cooler and the air higher up to be warmer -- a reversal of the usual pattern. Inversions can trap pollutants and odors, preventing them from being dispersed upward. Emergency medical technicians outside Madison Square Garden yesterday as the city and parts of New Jersey investigated a widespread gas odor. (Photo by Justin Lane/European Pressphoto Agency); People waited yesterday outside a building on West 34th Street, some having left, others choosing not to enter, because of the smell of gas. (Photo by Peter Morgan/Associated Press)(pg. B5); A Con Edison employee tested for gas yesterday at [Christopher Haas] and Bleecker Streets in Greenwich Village. (Photo by John Marshall Mantel for The New York Times)(pg. A1)
Newspaper Article