Opioid overdose knowledge among college students in a high overdose death state

Stover, Amanda N.; Grogg, Kristin A.; Patel, Jayeshkumar; Thornton, J. Douglas; Dwibedi, Nilanjana

doi:10.1080/10911359.2019.1633981

Cited by 9 publications

(8 citation statements)

References 14 publications

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“…This aligns with the results of Razdan et al, who determined that knowledge regarding opioid use for paediatric patients was greater for parents who knew someone who had become addicted to opioids [ 42 ]. Stover et al [ 43 ] also demonstrated that young adults who received prior naloxone training or opioid prescriptions scored significantly higher on the Opioid Overdose Knowledge Scale. It is possible that these patients were educated by their prescribing physician or distributing pharmacist on the appropriate use and risks involved.…”

Section: Discussionmentioning

confidence: 99%

“…It is possible that these patients were educated by their prescribing physician or distributing pharmacist on the appropriate use and risks involved. Another plausible explanation is that in light of the ongoing opioid epidemic, patients were more aware of the intrinsic risks and more inclined to research these risks upon receiving prescriptions or having someone they know become dependent or overdosing on opioids [ 43 ]. Recent initiatives to educate patients through counseling and public materials thus may be effective, and it is important for surgeons to follow recommendations for co-prescription of naloxone and opioids.…”

Section: Discussionmentioning

confidence: 99%

“…Despite the high socioeconomic measures of our cohort, we were able to capture 17 unique individuals (10%) who reported self-dependency or overdose on opioids, which is higher than the estimated national rate of prescription opioid misuse (3.6%) amongst people aged 12 years or older [ 46 ]. Overall, our respondent characteristics would trend toward greater awareness of opioids and the importance of understanding their appropriate use [ 20 , 43 ], so the low level of understanding in our results likely overestimates opioid knowledge, emphasizing the importance of presenting our findings.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Patient understanding regarding opioid use in an orthopaedic trauma surgery population: a survey study

Dunham

Enumah

et al. 2021

J Orthop Surg Res

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Background Prior studies have assessed provider knowledge and factors associated with opioid misuse; similar studies evaluating patient knowledge are lacking. The purpose of this study was to assess the degree of understanding regarding opioid use in orthopaedic trauma patients. We also sought to determine the demographic factors and clinical and personal experiences associated with level of understanding. Methods One hundred and sixty-six adult orthopaedic trauma surgery patients across two clinical sites of an academic institution participated in an internet-based survey (2352 invited, 7.1% response rate). Demographic, clinical, and personal experience variables, as well as perceptions surrounding opioid use were collected. Relationships between patient characteristics and opioid perceptions were identified using univariate and multivariable logistic regressions. Alpha = 0.05. Results Excellent recognition (> 85% correct) of common opioids, side effects, withdrawal symptoms, and disposal methods was demonstrated by 29%, 10%, 30%, and 2.4% of patients; poor recognition (< 55%) by 11%, 56%, 33%, and 52% of patients, respectively. Compared with white patients, non-white patients had 7.8 times greater odds (95% confidence interval [CI] 1.9–31) of perceiving addiction discrepancy (p = 0.004). Employed patients with higher education levels were less likely to have excellent understanding of side effects (adjusted odds ratio [aOR] 0.06, 95% CI 0.006–0.56; p = 0.01) and to understand that dependence can occur within 2 weeks (aOR 0.28, 95% CI 0.09–0.86; p = 0.03) than unemployed patients. Patients in the second least disadvantaged ADI quartile were more knowledgeable about side effects (aOR 8.8, 95% CI 1.7–46) and withdrawal symptoms (aOR 2.7, 95% CI 1.0–7.2; p = 0.046) than those in the least disadvantaged quartile. Patients who knew someone who was dependent or overdosed on opioids were less likely to perceive addiction discrepancy (aOR 0.24, 95% CI 0.07–0.76; p = 0.02) as well as more likely to have excellent knowledge of withdrawal symptoms (aOR 2.6, 95% CI 1.1–6.5, p = 0.03) and to understand that dependence can develop within 2 weeks (aOR 3.8, 95% CI 1.5–9.8, p = 0.005). Conclusions Level of understanding regarding opioid use is low among orthopaedic trauma surgery patients. Clinical and personal experiences with opioids, in addition to demographics, should be emphasized in the clinical history.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Patient understanding regarding opioid use in an orthopaedic trauma surgery population: a survey study

Dunham

Enumah

et al. 2021

J Orthop Surg Res

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“…The Opioid Overdose Knowledge Scale (OOKS) was the first validated instrument of which we are aware to be used in conjunction with OEND (18) although other instruments have become available more recently (19). Consisting of 45 items in its original version, the OOKS continues to be frequently cited in studies that evaluate THN/OEND trainings (20-22). The OOKS has been translated into several languages for use in European countries and a short, 10-item form (i.e., the Brief Opioid Overdose Knowledge Scale [BOOK]) has been developed as well as a version adapted for use to assess knowledge specific to prescription opioids (23-25).…”

Section: Introductionmentioning

confidence: 99%

A Measurement Invariance Analysis of Selected Opioid Overdose Knowledge Scale (OOKS) Items among Bystanders and First Responders

Swartz

Lin

Kim

2022

Preprint

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The Opioid Overdose Knowledge Scale (OOKS) is widely used as an adjunct to opioid education and naloxone distribution (OEND) for assessing pre- and post-training knowledge. However, the extent to which the OOKS performs comparably for bystander and first responder groups has not been well determined. We used exploratory structural equation modeling (ESEM) to assess the measurement invariance of an OOKS item subset when used as an OEND training pre-test. We used secondary analysis of pre-test data collected from 446 first responders and 1,349 bystanders (N=1,795) attending OEND trainings conducted by two county public health departments. Twenty-four items were selected by practitioner/trainer consensus from the original 45-item OOKS instrument with an additional 2 removed owing to low response variation. We used exploratory factor analysis (EFA) followed by ESEM to identify a factor structure, which we assessed for configural, metric, and scalar measurement invariance by participant group using the 22 dichotomous items (correct/incorrect) as factor indicators. EFA identified a 3-factor model consisting of items dealing with: basic overdose risk information, signs of an overdose, and rescue procedures/advanced overdose risk information. Model fit by ESEM estimation versus confirmatory factor analysis showed the ESEM model afforded a better fit. Measurement invariance analyses indicated the 3-factor model fit the data across all levels of invariance per standard fit statistic metrics. The reduced set of 22 OOKS items appears to offer comparable measurement of pre-training knowledge on opioid overdose risks, signs of an overdose, and rescue procedures for both bystanders and first responders.

show abstract

“…The Opioid Overdose Knowledge Scale (OOKS) was the first validated instrument of which we are aware to be used in conjunction with OEND [19] although other instruments have become available more recently [20]. Consisting of 45 items in its original version, the OOKS continues to be frequently cited in studies that evaluate THN/OEND trainings [21][22][23]. The OOKS has been translated into several languages for use in European countries and a short, 10-item form (i.e., the Brief Opioid Overdose Knowledge Scale [BOOK]) has been developed as well as a version adapted for use to assess knowledge specific to prescription opioids [24][25][26].…”

Section: Introductionmentioning

confidence: 99%

A measurement invariance analysis of selected Opioid Overdose Knowledge Scale (OOKS) items among bystanders and first responders

2022

View full text Add to dashboard Cite

The Opioid Overdose Knowledge Scale (OOKS) is widely used as an adjunct to opioid education and naloxone distribution (OEND) for assessing pre- and post-training knowledge. However, the extent to which the OOKS performs comparably for bystander and first responder groups has not been well determined. We used exploratory structural equation modeling (ESEM) to assess the measurement invariance of an OOKS item subset when used as an OEND training pre-test. We used secondary analysis of pre-test data collected from 446 first responders and 1,349 bystanders (N = 1,795) attending OEND trainings conducted by two county public health departments. Twenty-four items were selected by practitioner/trainer consensus from the original 45-item OOKS instrument with an additional 2 removed owing to low response variation. We used exploratory factor analysis (EFA) followed by ESEM to identify a factor structure, which we assessed for configural, metric, and scalar measurement invariance by participant group using the 22 dichotomous items (correct/incorrect) as factor indicators. EFA identified a 3-factor model consisting of items assessing: basic overdose risk information, signs of an overdose, and rescue procedures/advanced overdose risk information. Model fit by ESEM estimation versus confirmatory factor analysis showed the ESEM model afforded a better fit. Measurement invariance analyses indicated the 3-factor model fit the data across all levels of invariance per standard fit statistic metrics. The reduced set of 22 OOKS items appears to offer comparable measurement of pre-training knowledge on opioid overdose risks, signs of an overdose, and rescue procedures for both bystanders and first responders.

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Opioid overdose knowledge among college students in a high overdose death state

Cited by 9 publications

References 14 publications

Patient understanding regarding opioid use in an orthopaedic trauma surgery population: a survey study

Patient understanding regarding opioid use in an orthopaedic trauma surgery population: a survey study

A Measurement Invariance Analysis of Selected Opioid Overdose Knowledge Scale (OOKS) Items among Bystanders and First Responders

A measurement invariance analysis of selected Opioid Overdose Knowledge Scale (OOKS) items among bystanders and first responders

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