Year: 2015
Type: article
Study design: Clinical Trial
Abstract: This dissertation study aimed to evaluate the feasibility of an innovative group-based opioid overdose educational intervention in individuals at high-risk for overdose.Opioid overdose is the leading cause of injury death in the United States and overdose fatalities have more than tripled in the past 25 years.Fatal opioid overdoses have been declared an epidemic by the Centers for Disease Control and Prevention and can be reversed by the timely administration of naloxone, brand name Narcan®.There are approximately 188 opioid overdose prevention programs (OOPPs) distributing naloxone to individuals at high-risk for witnessing an overdose and there is vital need to expand the dissemination of interventions that reduce the risk of overdose and expand access to naloxone.In 2013, the Substance Abuse and Mental Health Services Administration (SAMHSA) released the Opioid Overdose Prevention Toolkit to assist OOPPs in the development and implementation of opioid overdose prevention efforts.However, in its current format the toolkit is not amenable for use in the group setting.Therefore, the overall purpose of this feasibility study was to develop a group-based OOPP educational intervention and determine the implementation fidelity and intervention effect size.Specifically this study aimed to: 1).Modify the SAMHSA Opioid Overdose Prevention Toolkit for use in the group setting; 2).Determine whether clinicians, who have received training, can deliver the intervention with implementation fidelity in the group setting; 3).Determine participant responsiveness to the intervention; 4).Determine the intervention effect size.A total of 49 subjects, receiving inpatient treatment for opioid dependence, participated in the educational intervention.Participants completed a pre-test and a post-test to determine their knowledge about preventing overdoses, risk factors for overdose, and responding to overdoses, including the administration of naloxone.The end product of this study was an overdose prevention iBook, for iii use in groups and implementation guidelines for program clinicians.Findings from this study will expand opportunities for educational interventions in other treatment settings.This study was a vital step in the development of practice guidelines and treatment initiatives for opioid overdose prevention.
Author: Angela Clark
Institution: University of Cincinnati
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W2530375273