First Aid Education for Opioid Overdose Poisoning: Scoping Review.
| Autor: | Pellegrino JL; Emergency Management & Homeland Security, University of Akron, Akron, USA., Krob JL; Health Sciences, Aultman College of Nursing & Health Sciences, Canton, USA., Orkin A; Family and Community Medicine, University of Toronto, Toronto, CAN. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2021 Jan 03; Vol. 13 (1), pp. e12454. Date of Electronic Publication: 2021 Jan 03. |
| DOI: | 10.7759/cureus.12454 |
| Abstrakt: | Effective health education needs ongoing evidence to support policy development and action in a public health crisis, like the opioid epidemic in the United States. Opioid Education and Naloxone Distribution (OEND) programs work to change behaviors through information, education, and resources to empower people to prevent and respond to opioid overdose poisonings. In this review, we sought to identify the first aid educational components of OEND to address opioid overdose poisoning, identify gaps in the existing literature, and support the development of future studies that could then be systematically reviewed. From a systematic review that identified 2057 peer-reviewed manuscripts, 59 studies demonstrated that the educational literature is sparse, of low quality, lacks quality measures and effective methodologies, and suffers from self-reported and highly inconsistent endpoints, making outcome comparisons challenging, if not impossible. The reviewed OEND programs generally used a public health/health education approach focusing on people who inject opioids, their family and friends, first responders, and rarely the general public. Depending on the learners, interventions were broken down to those <15, 16-90, and >90 minutes, which categorically showed differences in knowledge and first aid response actions. Only eight studies used comparison groups which provide a slightly higher level of evidence. Reports of survival appeared to positively correlate with naloxone kit distribution. Opportunity exists to develop policies and plans that support individual and community efforts through evidence-based guidelines, particularly to the domains of first aid education, so that educators and organizations can deliver efficacious programming that meets the needs of their learners. Competing Interests: Pellegrino & Orkin both voluntarily serve on the Scientific Advisory Council of the American Red Cross and the American Heart Association/ American Red Cross First Aid Guidelines. Pellegrino voluntarily serves on the International Liaison Committee Resuscitation's (ILCOR) Education, Implementation, & Teams Taskforce, while Orkin serves on the First Aid Taskforce. (Copyright © 2021, Pellegrino et al.) |
| Databáze: | MEDLINE |
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