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dc.contributor.authorCarrà, Giuseppe
dc.contributor.authorCrocamo, Cristina
dc.contributor.authorHumphris, Gerald Michael
dc.contributor.authorTabacchi, Tommaso
dc.contributor.authorFrancesco, Bartoli
dc.contributor.authorNeufeind, Julia
dc.contributor.authorScherbaum, Norbert
dc.contributor.authorBaldacchino, Alexander Mario
dc.identifier.citationCarrà , G , Crocamo , C , Humphris , G M , Tabacchi , T , Francesco , B , Neufeind , J , Scherbaum , N & Baldacchino , A M 2017 , ' Engagement in the Overdose RIsk InfOrmatioN (ORION) e-Health tool for opioid overdose prevention and self-efficacy : a preliminary study ' , Cyberpsychology, Behavior, and Social Networking , vol. 20 , no. 12 , pp. 762-768 .
dc.identifier.otherPURE: 251376108
dc.identifier.otherPURE UUID: 2a784fcc-b735-4e8e-a30d-c047f736f3b6
dc.identifier.otherScopus: 85038626074
dc.identifier.otherORCID: /0000-0002-5388-7376/work/60196804
dc.identifier.otherWOS: 000417108400001
dc.identifier.otherORCID: /0000-0002-4601-8834/work/64033923
dc.description.abstractIncreasing awareness of, and information about, overdose risk is an appropriate approach in risk reduction. e-Health technology in substance use disorders is an opportunity to support behavioral changes related to public health concerns. The present study aimed to evaluate the short-term impact of an innovative e-health psychoeducational software, the Overdose RIsk InfOrmatioN (ORION) tool. The ORION programme provided relevant information to opioid-dependent individuals about the risk of suffering a drug overdose as a result of high risky and dysfunctional behaviors. Seven aggregate risk factors were identified through a systematic review and their outputs included in a risk estimation model. We recruited 194 opioid-dependent treatment-seeking individuals from the United Kingdom, Germany, Italy, and Denmark. All participants were given at study entry, and after their use of the software, the General Self-Efficacy (GSE) Scale. We found comparable pre- and post-ORION administration mean GSE scores (SD), 28.49 (5.50) and 28.32 (5.90), respectively (p = 0.297). However, there was an inverse correlation between the number of risk factors and reported levels of self-efficacy (p < 0.001). ORION was able to identify individuals who are most in need of reducing their modifiable risk factors with appropriate interventions. However, a one-shot e-health tool cannot influence complex domains such as self-efficacy unless this is used with other effective interventions. Nonetheless, the ORION tool is unique in its style and content of delivery, that is translating risks combination into a clear estimation, and will need further development such as (a) integration in smartphone-based e-health apps and (b) testing in other high-risk populations.
dc.relation.ispartofCyberpsychology, Behavior, and Social Networkingen
dc.rights© 2017, Mary Ann Liebert. This work has been made available online in accordance with the publisher’s policies. This is the author created, accepted version manuscript following peer review and may differ slightly from the final published version. The final published version of this work is available at
dc.subjectRA0421 Public health. Hygiene. Preventive Medicineen
dc.subjectT Technologyen
dc.subjectSDG 3 - Good Health and Well-beingen
dc.titleEngagement in the Overdose RIsk InfOrmatioN (ORION) e-Health tool for opioid overdose prevention and self-efficacy : a preliminary studyen
dc.typeJournal articleen
dc.contributor.institutionUniversity of St Andrews. School of Medicineen
dc.contributor.institutionUniversity of St Andrews. WHO Collaborating Centre for International Child & Adolescent Health Policyen
dc.contributor.institutionUniversity of St Andrews. Health Psychologyen
dc.contributor.institutionUniversity of St Andrews. St Andrews Sustainability Instituteen
dc.contributor.institutionUniversity of St Andrews. Population and Behavioural Science Divisionen
dc.contributor.institutionUniversity of St Andrews. Centre for Minorities Research (CMR)en
dc.description.statusPeer revieweden

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