TY  - JOUR
AU  - Salvi, Amey
AU  - Gillenwater, Logan A
AU  - Cockrum, Brandon P
AU  - Wiehe, Sarah E
AU  - Christian, Kaitlyn
AU  - Cayton, John
AU  - Bailey, Timothy
AU  - Schwartz, Katherine
AU  - Dir, Allyson L
AU  - Ray, Bradley
AU  - Aalsma, Matthew C
AU  - Reda, Khairi
PY  - 2024
DA  - 2024/6/11
TI  - Development of a Real-Time Dashboard for Overdose Touchpoints: User-Centered Design Approach
JO  - JMIR Hum Factors
SP  - e57239
VL  - 11
KW  - overdose prevention
KW  - dashboards
KW  - fatality review
KW  - data integration
KW  - visualizations
KW  - visualization
KW  - dashboard
KW  - fatality
KW  - death
KW  - overdose
KW  - overdoses
KW  - overdosing
KW  - prevention
KW  - develop
KW  - development
KW  - design
KW  - interview
KW  - interviews
KW  - focus group
KW  - focus groups
KW  - touchpoints
KW  - touchpoint
KW  - substance abuse
KW  - drug abuse
AB  - Background: Overdose Fatality Review (OFR) is an important public health tool for shaping overdose prevention strategies in communities. However, OFR teams review only a few cases at a time, which typically represent a small fraction of the total fatalities in their jurisdiction. Such limited review could result in a partial understanding of local overdose patterns, leading to policy recommendations that do not fully address the broader community needs. Objective: This study explored the potential to enhance conventional OFRs with a data dashboard, incorporating visualizations of touchpoints—events that precede overdoses—to highlight prevention opportunities. Methods: We conducted 2 focus groups and a survey of OFR experts to characterize their information needs and design a real-time dashboard that tracks and measures decedents’ past interactions with services in Indiana. Experts (N=27) were engaged, yielding insights on essential data features to incorporate and providing feedback to guide the development of visualizations. Results: The findings highlighted the importance of showing decedents’ interactions with health services (emergency medical services) and the justice system (incarcerations). Emphasis was also placed on maintaining decedent anonymity, particularly in small communities, and the need for training OFR members in data interpretation. The developed dashboard summarizes key touchpoint metrics, including prevalence, interaction frequency, and time intervals between touchpoints and overdoses, with data viewable at the county and state levels. In an initial evaluation, the dashboard was well received for its comprehensive data coverage and its potential for enhancing OFR recommendations and case selection. Conclusions: The Indiana touchpoints dashboard is the first to display real-time visualizations that link administrative and overdose mortality data across the state. This resource equips local health officials and OFRs with timely, quantitative, and spatiotemporal insights into overdose risk factors in their communities, facilitating data-driven interventions and policy changes. However, fully integrating the dashboard into OFR practices will likely require training teams in data interpretation and decision-making. 
SN  - 2292-9495
UR  - https://humanfactors.jmir.org/2024/1/e57239
UR  - https://doi.org/10.2196/57239
UR  - http://www.ncbi.nlm.nih.gov/pubmed/38861717
DO  - 10.2196/57239
ID  - info:doi/10.2196/57239
ER  -