{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T22:14:04Z","timestamp":1793916844189,"version":"4.8.0"},"reference-count":14,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2024,10,22]],"date-time":"2024-10-22T00:00:00Z","timestamp":1729555200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Substance Use &amp; Addiction Journal"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Naloxone distribution and overdose education are key preventive strategies to reduce opioid overdose deaths. This paper describes the development and evaluation of The Lookout Project (TLP), a 501(c)(3) organization led by college students and based in Ann Arbor, Michigan. This research aimed to examine the outreach of TLP with hopes of creating a reproducible mail-based kit distribution program for college student\u2013run organizations to replicate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>TLP used a targeted social media advertising campaign to ask participants 7 multiple-choice questions concerning their demographics, previous incarcerations, experiences with intranasal naloxone (IN), and if they had watched the optional informational video in the opioid overdose response kit (OORK) order form.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>TLP\u2019s team distributed over 900 OORKs from August 3, 2020, to January 4, 2022, first by word of mouth and then through social media advertising that began on February 13, 2021. Of the 657 respondents who agreed to participate in research, the majority identified as white (76.0%, n\u2009=\u2009400), did not identify with any specified ethnicity group (60.2%, n\u2009=\u2009318), were female (60.8%, n\u2009=\u2009356), were between the ages of 18 and 22 (35.4%, n\u2009=\u2009209), had not been previously incarcerated (95.6%, n\u2009=\u2009564), and did watch the hyperlinked video detailing how to respond to an overdose (74.7%, n\u2009=\u2009438). Additionally, several kit recipients (2.8%, n\u2009=\u200919) responded to a follow-up survey. Of those, 7 people reported using the IN provided by TLP to reverse an overdose (36.8%, n\u2009=\u20097).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>TLP, a nonprofit organization founded by college students, shows potential for informing other student-run organizations about naloxone distribution programs using social media advertising.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/29767342241288985","type":"journal-article","created":{"date-parts":[[2025,3,15]],"date-time":"2025-03-15T02:58:56Z","timestamp":1742007536000},"page":"364-368","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["The Lookout Project: A Student-Run Mail-Based Overdose Response Kit Distribution Program Through Social Media During COVID-19"],"prefix":"10.1177","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1570-7327","authenticated-orcid":false,"given":"Shelby A.","family":"Shaughnessy","sequence":"first","affiliation":[{"name":"Michigan State University College of Human Medicine, Grand Rapids, MI, USA"},{"name":"University of Michigan, Ann Arbor, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine C.","family":"Hankes","sequence":"additional","affiliation":[{"name":"University of Michigan, Ann Arbor, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victoria","family":"Garrow","sequence":"additional","affiliation":[{"name":"University of Michigan, Ann Arbor, MI, USA"},{"name":"University of Michigan Medical School, Ann Arbor, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2445-8043","authenticated-orcid":false,"given":"John A.","family":"Hopper","sequence":"additional","affiliation":[{"name":"Trinity Health Ann Arbor and Livingston Hospitals Department of Medicine, Ypsilanti, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chin Hwa","family":"Dahlem","sequence":"additional","affiliation":[{"name":"University of Michigan School of Nursing, Ann Arbor, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,10,22]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"Schiller EY Goyal A Mechanic OJ. Opioid overdose. In: StatPearls. [Internet] StatPearls Publishing; 2023. Accessed February 29 2024. https:\/\/pubmed.ncbi.nlm.nih.gov\/29262202\/"},{"key":"e_1_3_3_3_2","unstructured":"Centers for Disease Control and Prevention. A qualitative assessment of circumstances surrounding drug overdose deaths during early stages of the COVID-19 pandemic. Accessed February 29 2024. https:\/\/www.cdc.gov\/drugoverdose\/databriefs\/sudors-2.html#anchor_1657642608541"},{"key":"e_1_3_3_4_2","unstructured":"Lieberman A Dennis A Davis C. Harm reduction laws in the United States. The Network for Public Health Law. Updated March 13 2024. Accessed August 15 2024. https:\/\/www.networkforphl.org\/resources\/harm-reduction-laws-in-the-united-states\/"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2021.103199"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13722-019-0158-0"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2020.103080"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.2196\/14886"},{"key":"e_1_3_3_9_2","unstructured":"Dixon SJ. Percentage of U.S. population who currently use any social media from 2008 to 2021. Statista. Accessed February 29 2024. https:\/\/www.statista.com\/statistics\/273476\/percentage-of-us-population-with-a-social-network-profile\/"},{"key":"e_1_3_3_10_2","unstructured":"Dixon SJ. Social media use during COVID-19 worldwide - statistics & facts. Statista. Accessed February 29 2024. https:\/\/www.statista.com\/topics\/7863\/social-media-use-during-coronavirus-covid-19-worldwide\/#topicOverview"},{"issue":"1","key":"e_1_3_3_11_2","first-page":"44","article-title":"The adaptation of health care marketing to the digital era","volume":"10","author":"Radu G","year":"2017","unstructured":"Radu G, Solomon M, Gheorghe CM, Hostiuc M, Bulescu IA, Purcarea VL. The adaptation of health care marketing to the digital era. J Med Life. 2017;10(1):44-46.","journal-title":"J Med Life"},{"key":"e_1_3_3_12_2","unstructured":"Safety topics: drug overdoses. National Safety Council. Accessed February 29 2024. https:\/\/injuryfacts.nsc.org\/home-and-community\/safety-topics\/drugoverdoses\/#:"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.japh.2022.10.030"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2020.306124"},{"key":"e_1_3_3_15_2","unstructured":"State naloxone access rules and resources. SAFE Project. Accessed August 15 2024. https:\/\/www.safeproject.us\/naloxone\/state-rules\/"}],"container-title":["Substance Use &amp; Addiction Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/29767342241288985","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/29767342241288985","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/29767342241288985","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T01:50:30Z","timestamp":1777600230000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/29767342241288985"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,22]]},"references-count":14,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1177\/29767342241288985"],"URL":"https:\/\/doi.org\/10.1177\/29767342241288985","relation":{},"ISSN":["2976-7342","2976-7350"],"issn-type":[{"value":"2976-7342","type":"print"},{"value":"2976-7350","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,22]]}}}