Mixed methods feasibility study for the surviving opioid overdose with naloxone education and resuscitation (SOONER) trial

Orkin, Aaron; Charles, Mercy; Norris, Kristine; Thomas, Rekha; Chapman, Leigh; Wright, Amy; Campbell, Douglas M.; Handford, Curtis; Klaiman, Michelle; Hopkins, Shaun; Shahin, Rita; Thorpe, Kevin E.; Jüni, Peter; Parsons, Janet; Sellen, Kate; Goso, Nick; Hunt, Richard C.; Leece, Pamela; Morrison, Laurie J.; Stergiopoulos, Vicky; Turner, Suzanne; Strike, Carol

doi:10.1016/j.resplu.2021.100131

Cited by 9 publications

(14 citation statements)

References 26 publications

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“…This study employed a semi-structured debriefing interview and a follow up qualitative interview to understand the experience of participants in the SOONER trial [ 18 ]. It should be noted that the scope of this study pertained specifically to the experience of participants with the simulation process and that discussions that arose around broader themes such as addiction, stigma and rehabilitation are not described in this paper.…”

Section: Methodsmentioning

confidence: 99%

“…Participants consisted of individuals over the age of 16 identified at high risk of opioid overdose or the friends and family of people at risk of witnessing an overdose. Detailed inclusion and exclusion criteria can be found in the published protocol for the SOONER study [ 18 ]. Participants were recruited from multiple hospital-based services at St. Michael’s Hospital, an urban, academic, tertiary care, inner-city hospital in Toronto, Ontario, Canada.…”

Section: Methodsmentioning

confidence: 99%

“…Outpatients were also recruited from the St. Michael’s Hospital Academic Family Health Team and the Inner-City Family Health Team, which serves over 50,000 patients. The recruitment and retention strategies for the study were developed in collaboration with community representatives and drawing on available literature about retaining underserved populations in research studies [ 18 ]. A candidate-driven recruitment strategy was used and adapted for implementation in each of the recruitment settings (ED, family practice, addictions medicine).…”

Section: Methodsmentioning

confidence: 99%

“…The Surviving Opioid Overdose with Naloxone Education and Resuscitation (SOONER) study is a Toronto-based initiative in which individuals who were identified as being at high risk of experiencing or witnessing an opioid overdose were immersed into a high-fidelity simulated overdose. The primary objective of the SOONER study was to evaluate whether a novel point-of-care naloxone distribution and education strategy could lead to improved resuscitation outcomes compared to the current standard of care which involves a referral to a local pharmacy or naloxone distribution site [ 18 , 19 ]. A randomized controlled trial was designed in which participants were allocated to either receive the point-of-care naloxone distribution strategy or the community referral strategy.…”

Section: Introductionmentioning

confidence: 99%

“…The ability of participants to successfully resuscitate the mannikin (administer naloxone, perform CPR, etc.) was evaluated and their performance during simulation was used as the primary outcome measure for the SOONER study [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

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Resuscitation simulation among people who are likely to witness opioid overdose: Experiences from the SOONER Trial

et al. 2022

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The opioid crisis is a growing public health emergency and increasing resources are being directed towards overdose education. Simulation has emerged as a novel strategy for training overdose response, yet little is known about training non-clinicians in bystander resuscitation. Understanding the perspectives of individuals who are likely to experience or witness opioid overdose is critical to ensure that emergency response is effective. The Surviving Opioid Overdose with Naloxone Education and Resuscitation (SOONER) study evaluates the effectiveness of a novel naloxone education and distribution tool among people who are non-clinicians and likely to witness opioid overdose. Participants’ resuscitation skills are evaluated using a realistic overdose simulation as the primary outcome of the trial. The purpose of our study is to describe the experience of participants with the simulation process in the SOONER study. We employed a semi-structured debriefing interview and a follow up qualitative interview to understand the experience of participants with simulation. A qualitative content analysis was performed using data from 21 participants who participated in the SOONER study. Our qualitative analysis identified 5 themes and 17 subthemes which described the experience of participants within the simulation process. These themes included realism, valuing practical experience, improving self-efficacy, gaining new perspective and bidirectional learning. Our analysis found that simulation was a positive and empowering experience for participants in the SOONER trial, most of whom are marginalized in society. Our study supports the notion that expanding simulation-based education to non-clinicians may offer an acceptable and effective way of supplementing current opioid overdose education strategies. Increasing the accessibility of simulation-based education may represent a paradigm shift whereby simulation is transformed from a primarily academic practice into a patient-based community resource.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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