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A multi-site intervention using influencers to communicate about syringe service programmes

Bibliographic Data

ID21323656
AuthorsErika Bonnevie (0000-0001-8068-5123, The Public Good Projects, New York, NY, USA, corresponding author), Melissa Dunn Silesky (0000-0002-0641-4920, The Public Good Projects, Alexandria, VA, USA), Jaclyn Goldbarg (The Public Good Projects, San Diego, CA, USA), Caitlyn Gudmundsen (CDC Foundation, Atlanta, GA, USA), Megan Fields (0000-0001-6919-2934, CDC Foundation, Atlanta, GA, USA), Joe Smyser (The Public Good Projects, New York, NY, USA)
Year2023
Volume82
Issue7
Pages779-791
Publication date2023-11-01
Open AccessYes
TypeARTICLE
VenueHealth Education Journal (JOURNAL)
Journal identifiersISSN: 0017-8969 • E-ISSN: 1748-8176
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/00178969231197623
PMID38650842
OpenAlexW4386440869
LanguageEN
Citations received1
References cited31

Introduction: In the USA, syringe services programmes (SSPs) provide a range of harm reduction services and have numerous benefits for communities. However, stigma, misconceptions about SSPs and changing policies/legislation remain a challenge to effective implementation. This study reviews the implementation of two digital interventions, Appalachian Influence and Shared Influence, which used social media influencers and digital volunteers to communicate positive information about harm reduction and SSPs. Methods: The intervention was designed to deliver accurate and supportive messaging in locally relevant and meaningful ways. Messaging was informed by interviews with subject matter experts and community organisations, and was integrated into prompts used by local influencers (paid individuals with more than 1,000 followers) and digital volunteers (unpaid individuals with no following requirement, who joined the project independently). Results: In the first 6 months of implementation, Appalachian Influence and Shared Influence engaged a total of 9,014 individuals, 236 of whom were paid influencers and 8,778 of whom were digital volunteers. Paid influencer posts achieved a total of 868,943 impressions, 42,432 engagements and 1,567 comments. Comments on paid influencer posts were overwhelmingly positive, with 87.4% positive and 0.8% negative. Interviews showed the importance of understanding local realities, leading with compassion and emphasising the 'human' aspects of dependency and addiction in messaging. Conclusion: This study shows the potential to implement an influencer-led social media intervention to reach people with authentic and compassionate messaging about harm reduction and SSPs. Future research should examine intervention effectiveness and how this approach can be applied to other stigmatised topics

Business · Focus group · Harm · Harm reduction · Influencer marketing · Intervention (counseling) · Political science · Psychological intervention · Public health · Public relations · Qualitative research · Social media · Sociology · World Wide Web · Computer Science · Digital Mental Health Interventions · Marketing · Medicine · Mental Health via Writing · Nursing · Psychology · Social Media in Health Education · Social Psychology

  • Exploring the Impact of an Influencer-Led Program on Community Support for Harm Reduction in West Virginia

    Megan Leibensperger, Melissa Dunn Silesky et al.•Substance Use & Misuse•2026

  • Health Literacy and Use and Trust in Health Information

    Xuewei Chen, Jennifer L Hay et al.•Journal of Health Communication•2018

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  • Syringe Service Program Utilization, Barriers, and Preferences for Design in Rural Appalachia

    Kathryn E Lancaster, Heather L Cooper et al.•Substance Use & Misuse•2020

  • Layla’s Got You

    Open Access•Erika Bonnevie, Tiffany D Lloyd et al.•Health Education Journal•2021

  • Willingness to use syringe service programs and safe consumption sites among methadone patients with histories of injection drug use in a small Midwest community

    Emily Pasman, Elizabeth Agius et al.•Addiction Research & Theory•2021

  • Communicating During an HIV Outbreak Among People Who Inject Drugs—West Virginia 2019

    Open Access•Meg Watson, Erica D Thomasson et al.•AIDS and Behavior•2022

  • Syringe services program (SSP) operational changes during the Covid-19 global outbreak

    Open Access•Tyler S Bartholomew, Nobuyo Nakamura et al.•International Journal of Drug…•2020

  • Content Themes and Influential Voices Within Vaccine Opposition on Twitter, 2019

    Erika Bonnevie, Jaclyn Goldbarg et al.•American Journal of Public Health•2020

Citations per year1
Citation span2026 - 2026 (1)
Highly citedNo

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