Opioid users reflect on their experiences responding to suspected opioid overdoses using take-home naloxone

Donaghy, Juliet

doi:10.1136/ebnurs-2019-103072

Cited by 2 publications

(2 citation statements)

References 3 publications

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“…The train-the-trainer naloxone curriculum titled, “Take A.C.T.I.O.N. : Opioid Overdose Prevention Education”, 27 was adapted from Substance Abuse and Mental Health Services Administration (SAMHSA) Opioid Overdose TOOLKIT 28 and Harm Reduction Coalition. 29 Modifications to the train-the-trainer curriculum were made prior to this study after receiving feedback from a law enforcement agency and a substance use treatment organization.…”

Section: Methodsmentioning

confidence: 99%

Impact of the Take ACTION Train-The-Trainer Model of Opioid Overdose Education with Naloxone Distribution– who Benefits?

et al. 2020

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Background Overdose education with naloxone distribution (OEND) is a key national strategy to reduce morbidity and mortality related to opioid overdoses. Train-the-trainer model has been one method to increase the pool of trainers to facilitate greater dissemination of OEND. This exploratory study seeks to (1) evaluate participant's change in knowledge and confidence, (2) examine if pre- and post-training test outcomes differed by occupation and level of experience, and (3) determine if train-the-trainer participants trained others 6 months later. Methods Fifteen train-the-trainer sessions were delivered to staff from community organizations who served high-risk clients in four counties whose overdose death rates ranged from 11.2 to 32.8 per 100,000. Participants were administered pre- and post-training tests from September 2017 to December 2018. A follow-up survey was conducted 6 months post-training to evaluate outcomes. Final paired pre-and post-training surveys of 109 participants were used for analysis. Paired sample t-tests were used to evaluate changes in the knowledge and confidence in teaching others. One-way ANOVA compared the change scores across groups with different demographic or experiential characteristics. Kruskal-Wallis Test was used for Likert scales. Results The one and one-half hour train-the-trainer curriculum increased participants’ knowledge and confidence to teach others ( p < .001). This was particularly true for participants who had no prior experience compared to those who had some experience with naloxone ( p = .0003). Changes in confidence to teach others significantly improved among demographic subgroups of participants. At 6 months after completing the train-the-trainer curriculum, 14 participants had trained 243 new trainees. Conclusions Implementing a train-the-trainer model for OEND increases knowledge and participants’ confidence to teach others. This demonstrates the important potential of the train-the-trainer model to respond to the growing opioid overdose epidemic.

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Section: Methodsmentioning

confidence: 99%

Impact of the Take ACTION Train-The-Trainer Model of Opioid Overdose Education with Naloxone Distribution– who Benefits?

et al. 2020

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“…In November 2014, new WHO guidelines stated that naloxone should be made available to anyone at risk of witnessing an overdose [48,49]. However, it is being feared that the distribution of THN to at-risk populations might condone or promote opioid misuse [42], and may reduce the perceived negative consequences associated with opioid and polysubstance use, leading to riskier patterns of use [31,50]. There were also concerns about administration mistakes and appropriate disposal of ampoules.…”

Section: Overdose Education and Thn Training To Opioid Usersmentioning

confidence: 99%

A systematic review of the distribution of take-home naloxone in low- and middle-income countries and barriers to the implementation of take-home naloxone programs

Sajwani

Williams

2022

Harm Reduct J

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Background Opioid overdose epidemic is hitting record highs worldwide, accounting for 76% of mortality related to substance use. Take-home naloxone (THN) strategies are being implemented in many developed countries that suffer from high opioid overdose death rates. They aim to provide overdose identification and naloxone administration training, along with THN delivery to opioid users and others likely to witness an overdose incident such as family members and peers. However, little is known about such measures in low- and middle-income countries (LMIC), where opioid use and opioid-related deaths are reportedly high. This systematic literature review aims to examine the distribution of THN in LMIC, review studies identifying barriers to the implementation of THN programs worldwide, and assess their applicability to LMIC. Methods The literature was searched and analyzed for eligible studies with quality assessment. Results Two studies were found from LMIC on THN programs with promising results, and 13 studies were found on the barriers identified in implementing THN programs worldwide. The main barriers to THN strategies were the lack of training of healthcare providers, lack of privileges, time constraints, cost, legislative/policy restrictions, stigma, fear of litigation, and some misperceptions around THN. Conclusions The barriers outlined in this paper are probably applicable to LMIC, but more difficult to overcome considering the differences in their response to opioid overdose, their cultural attitudes and norms, the high cost, the waivers required, the legislative differences and the severe penalties for drug-related offenses in some of these countries. The solutions suggested to counter-act these obstacles can also be more difficult to achieve in LMIC. Further research is required in this area with larger sample sizes to provide a better understanding of the obstacles to the implementation, feasibility, accessibility, and utilization of THN programs in LMIC.

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Opioid users reflect on their experiences responding to suspected opioid overdoses using take-home naloxone

Cited by 2 publications

References 3 publications

Impact of the Take ACTION Train-The-Trainer Model of Opioid Overdose Education with Naloxone Distribution– who Benefits?

Impact of the Take ACTION Train-The-Trainer Model of Opioid Overdose Education with Naloxone Distribution– who Benefits?

A systematic review of the distribution of take-home naloxone in low- and middle-income countries and barriers to the implementation of take-home naloxone programs

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