Virtual opioid poisoning education and naloxone distribution programs: A scoping review.

Autor:	Dos Santos B; Dalla Lana School of Public Health, University of Toronto, Toronto, Canada., Farzan Nipun R; Dalla Lana School of Public Health, University of Toronto, Toronto, Canada., Maria Subic A; Dalla Lana School of Public Health, University of Toronto, Toronto, Canada., Kubica A; Dalla Lana School of Public Health, University of Toronto, Toronto, Canada., Rondinelli N; Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.; Heart to Heart First Aid CPR Services Inc., Toronto, Canada., Marentette D; Canadian Red Cross Opioid Harm Reduction Advisory Council, Canada., Muise J; The Canadian Red Cross Society, Canada., Paes K; The Canadian Red Cross Society, Canada., Riley M; The Canadian Red Cross Society, Canada., Bhuiya S; The Canadian Red Cross Society, Canada., Crosby J; The Canadian Red Cross Society, Canada., McBride K; Canadian Red Cross Opioid Harm Reduction Advisory Council, Canada.; The Canadian Red Cross Society, Canada., Salter J; Canadian Red Cross Opioid Harm Reduction Advisory Council, Canada.; The Canadian Red Cross Society, Canada., Orkin AM; Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.; Department of Family and Community Medicine, University of Toronto, Toronto, Canada.; Li Ka Shing Knowledge Institute of Unity Health Toronto, Toronto, Canada.; Department of Emergency Medicine, Unity Health Toronto, Toronto, Canada.
Jazyk:	angličtina
Zdroj:	PLOS digital health [PLOS Digit Health] 2024 Jun 07; Vol. 3 (6), pp. e0000412. Date of Electronic Publication: 2024 Jun 07 (Print Publication: 2024).
DOI:	10.1371/journal.pdig.0000412
Abstrakt:	The global opioid poisoning crisis is a complex issue with far-reaching public health implications. Opioid Poisoning Education and Naloxone Distribution (OPEND) programs aim to reduce stigma and promote harm reduction strategies, enhancing participants' ability to apply life-saving interventions, including naloxone administration and cardiopulmonary resuscitation (CPR) to opioid poisoning. While virtual OPEND programs have shown promise in improving knowledge about opioid poisoning response, their implementation and evaluation have been limited. The COVID-19 pandemic has sparked renewed interest in virtual health services, including OPEND programs. Our study reviews the literature on fully virtual OPEND programs worldwide. We analyzed 7,722 articles, 30 of which met our inclusion criteria. We extracted and synthesized information about the interventions' type, content, duration, the scales used, and key findings. Our search shows a diversity of interventions being implemented, with different study designs, duration, outcomes, scales, and different time points for measurement, all of which hinder a meaningful analysis of interventions' effectiveness. Despite this, virtual OPEND programs appear effective in increasing knowledge, confidence, and preparedness to respond to opioid poisoning while improving stigma regarding people who use opioids. This effect appears to be true in a wide variety of populations but is significantly relevant when focused on laypersons. Despite increasing efforts, access remains an issue, with most interventions addressing White people in urban areas. Our findings offer valuable insights for the design, implementation, and evaluation of future virtual OPEND programs. Competing Interests: The authors have declared that no competing interests exist. (Copyright: © 2024 dos Santos et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu