"Sometimes I'm interested in seeing a fuller story to tell with numbers" Implementing a forecasting dashboard for harm reduction and overdose prevention: a qualitative assessment.

The United States is currently grappling with an escalating overdose crisis, which has highlighted the need for novel and innovative data tools to address this issue. Despite the growing popularity of overdose data tools, significant challenges remain, including delays in data availability, incomplete data, and variability in data quality across different regions. To combat these challenges, researchers have been exploring forecasting tools, which leverage machine learning methods and multiple datasets to predict future vulnerability to overdose at the regional, town, and neighborhood levels. This approach can identify emerging and high-need areas, enabling targeted interventions and resource allocation. A recent study aimed to understand the factors that affect the early implementation of an overdose forecasting dashboard, which was developed in collaboration with statewide harm reduction providers.

The study used the Exploration, Preparation, Implementation, Sustainment (EPIS) Framework to guide its analysis, which provided a multi-level, four-phase framework for assessing the implementation of the dashboard. The study involved conducting focus groups with harm reduction organizations, which revealed several key themes related to organizational culture and resources. These included limited staff capacity for new interventions, repeated exposure to stress and trauma, and the burden of data collection for program funding. Additionally, community-level themes emerged, such as the need for stronger networks for data collection and dashboarding and data-driven resource allocation. The study's findings suggest that additional investments may be necessary to build organizational and community capacity to create an optimal implementation setting for forecasting tools. Using an implementation framework, the study identified multi-level and contextual factors that affect the early implementation of a forecasting dashboard, which can inform future efforts to develop and deploy such tools. Overall, the study highlights the potential of forecasting tools to support data-driven responses to the overdose crisis and the need to consider carefully.

Link: https://pubmed.ncbi.nlm.nih.gov/40055691/