A study protocol to explore the effectiveness and implementation of mobile community outreach services for women who use drugs in Baltimore, Maryland: The SHOUT Study.
Sulpe, Sewika; Tomko, Catherine; Clouse, Emily; Wirtz, Andrea L.; Weir, Brian; El-Ashry, Nouran; Sherman, Susan G.
Why this matters
Evidence on mobile outreach for women who use drugs is thin, and this protocol sets out to change that. The SHOUT study will compare 250 women receiving harm reduction mobile outreach in Southwest Baltimore against 150 controls over 18 months, measuring nonfatal overdose and health care access.
Abstract
The SHOUT study evaluates the effectiveness and implementation of a harm reduction-based mobile outreach service for women who use drugs (WWUD) in Southwest Baltimore. The study includes in-depth interviews assessing feasibility of modified respondent-driven sampling, a prospective cohort study comparing intervention (N=250) and control (N=150) groups over 18 months to assess nonfatal overdose and healthcare access outcomes, and implementation evaluation using RE-AIM.