Is systematic training in opioid overdose prevention effective?
| Autor: | Espelt, Albert, Bosque Prous, Marina, Folch, Cinta, Sarasa Renedo, Ana, Majó, Xavier, Casabona-Barbarà, Jordi, Brugal, María Teresa, Esteve, Anna, Montoliu, Alexandra, Muñoz, Rafa, González Soler, Victoria, Ausina, Vicente, Vecino, Carmen, Colom, Joan, Meroño, Mercè, Altabas, Anna |
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| Přispěvatelé: | Red de Trastornos Adictivos (España) |
| Rok vydání: | 2017 |
| Předmět: |
Program evaluation
Male Health Knowledge Attitudes Practice Narcotic Antagonists 030508 substance abuse Social Sciences lcsh:Medicine Heroin 0302 clinical medicine Mathematical and Statistical Techniques Sociology Risk Factors Medicine and Health Sciences Public and Occupational Health 030212 general & internal medicine lcsh:Science Health Education Drug Dependence Harm reduction Analgesics Multidisciplinary Pharmaceutics Naloxone Drugs Socioeconomic Aspects of Health Analgesics Opioid Health education Behavioral Pharmacology Physical Sciences symbols Regression Analysis Female Narcotic antagonists 0305 other medical science Regression analysis Statistics (Mathematics) Interviews as topic medicine.drug Research Article Adult medicine.medical_specialty Death Rates Drug overdose Research and Analysis Methods Education Interviews as Topic 03 medical and health sciences symbols.namesake Drug Therapy Population Metrics Harm Reduction Recreational Drug Use Health knowledge medicine Pain Management Humans Poisson regression Statistical Methods Time Series Analysis Educational Attainment Pharmacology Population Biology business.industry Opioid-related disorders lcsh:R Biology and Life Sciences Opioid overdose medicine.disease Opioid-Related Disorders Opioids Health Care Multivariate analysis Risk factors Opioid Spain Emergency medicine Multivariate Analysis lcsh:Q Drug Overdose business Mathematics Program Evaluation |
| Zdroj: | Dipòsit Digital de Documents de la UAB Universitat Autònoma de Barcelona PLoS ONE, Vol 12, Iss 10, p e0186833 (2017) PLoS ONE r-IGTP. Repositorio Institucional de Producción Científica del Instituto de Investigación Germans Trias i Pujol instname PLoS One r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau Repisalud Instituto de Salud Carlos III (ISCIII) |
| ISSN: | 1932-6203 |
| Popis: | The objectives were to analyze the knowledge about overdose prevention, the use of naloxone, and the number of fatal overdoses after the implementation of Systematic Training in Overdose Prevention (STOOP) program. We conducted a quasi-experimental study, and held face-to-face interviews before (n = 725) and after (n = 722) implementation of systematic training in two different samples of people who injected opioids attending harm reduction centers. We asked participants to list the main causes of overdose and the main actions that should be taken when witnessing an overdose. We created two dependent variables, the number of (a) correct and (b) incorrect answers. The main independent variable was Study Group: Intervention Group (IG), Comparison Group (CG), Pre-Intervention Group With Sporadic Training in Overdose Prevention (PREIGS), or Pre-Intervention Group Without Training in Overdose Prevention (PREIGW). The relationship between the dependent and independent variables was assessed using a multivariate Poisson regression analysis. Finally, we conducted an interrupted time series analysis of monthly fatal overdoses before and after the implementation of systematic program during the period 2006-2015. Knowledge of overdose prevention increased after implementing systematic training program. Compared to the PREIGW, the IG gave more correct answers (IRR = 1.40;95%CI:1.33-1.47), and fewer incorrect answers (IRR = 0.33;95%CI:0.25-0.44). Forty percent of people who injected opioids who received a naloxone kit had used the kit in response to an overdose they witnessed. These courses increase knowledge of overdose prevention in people who use opioids, give them the necessary skills to use naloxone, and slightly diminish the number of fatal opioid overdoses in the city of Barcelona. This work was supported by the Spanish Network on Addictive Disorders [grant numbers RD06/0001/1018, and RD12/0028/0018] (http://www.eng.isciii.es/ISCIII/es/contenidos/fd-investigacion/fd-ejecucion/fd-centros-participados/centros-participados-redes-retics.shtml). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript Sí |
| Databáze: | OpenAIRE |
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