Introduction: The Centers for Disease Control and Prevention announced that more than 100,000 Americans died from opioid overdose in a twelve-month period that ended in April 2021. This astonishing and record-breaking number is up from the estimated 91,799 reported overdose deaths that occurred in the year prior, according to the National Center for Health Statistics. Thus, the purpose of this rapid systematic review is to identify, evaluate, and summarize available evidence regarding the distribution of Fentanyl Test Strips (FTS) as a harm reduction strategy in community-based programs. Methods: This rapid review will use the existing literature review to better understand how community-based programs that incorporate FTS interventions affect behavior change in regards to drug use and risk reduction. Furthermore, a secondary goal is to ascertain more knowledge about the utilization of FTS as a harm reduction strategy. The articles included are all original peer-reviewed studies with outcomes of interest published in English between the years 2015–2021, as off-labeled FTS technology is a relatively new harm reduction intervention. Results: Of the 533 articles identified from the database searches, ten met the inclusion criteria and had relevance to fentanyl test strip dissemination from a community-based setting. Eight articles reviewed included relevant findings on awareness and attitudes towards FTS. Seven articles discussed various self-reported behavior change modifications. Although all but one article included demographic characteristics, only two articles highlighted demographic differences in their measured outcome results. Conclusion: This rapid review of the best evidence available supports that community-based settings such as supervised injection sites are a potential avenue for fentanyl test strip distribution and that a number of important harm reduction behaviors are taken by individuals who utilized FTS.
Orellana, Steven, "Community-Based Programs as an Opportunity for Fentanyl Test Strip Distribution: A Rapid Systematic Review" (2022). Master of Public Health Capstone Presentations. Presentation 427.