Intervention in an opioid overdose event increases interest in treatment among individuals with opioid use disorder
| Autor: | Laura Brandt, Aimee N.C. Campbell, Jermaine D. Jones, Sandra D. Comer, Felipe Castillo, Rebecca Abbott |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Narcotic Antagonists 030508 substance abuse Medicine (miscellaneous) Article Heroin 03 medical and health sciences 0302 clinical medicine Intervention (counseling) Naloxone Medicine Humans 030212 general & internal medicine Prospective Studies Event (probability theory) business.industry Opioid use disorder Opioid overdose medicine.disease Opioid-Related Disorders Analgesics Opioid Psychiatry and Mental health Opiate Overdose Emergency medicine Drug Overdose 0305 other medical science business medicine.drug |
| Zdroj: | Subst Abus |
| ISSN: | 1547-0164 |
| Popis: | Background This study sought to explore whether intervening in suspected cases of opioid overdose alters interest in treatment for opioid use disorder (OUD). Data were collected as a part of a trial comparing the effects of different overdose education and naloxone distribution (OEND) training curricula on overdose outcomes. Methods Following OEND training, participants completed four in-person follow-up visits at 1-, 3-, 6- and 12-months. Participants were also regularly contacted to inquire about overdose events they responded to, witnessed, or experienced themselves. Other assessments included the Addiction Severity Index that queries participants’ perceived importance of drug treatment on a scale of: 0 (Not at All) to 4 (Extremely). For the current secondary data analysis, treatment importance was assessed at the time points most immediately preceding and following participant intervention in an overdose event using naloxone. Results The sample reported a mean duration of opioid use of 14.9 (± 11.5) years, with 67% having witnessed an overdose event prior to the study. Of the 321 enrolled, 92 participants used naloxone in response to 166 suspected cases of an opioid overdose. For the entire sample, mean treatment importance did not significantly change throughout the study. Among participants who utilized naloxone, treatment importance increased following the event (Before: 3.03, After: 3.39, p = 0.02). Due to the amount of time between the overdose event and assessment of post-event treatment importance (40.5 days, ±40.2), the current study most likely underestimates this effect. Conclusions The current study suggests that responding to an overdose event increases interest in OUD treatment. Currently only considered an acute intervention to reduce overdose morbidity and mortality, OEND may have the potential to increase enrollment in medications to treat OUD. However, a prospective investigation needs to determine if the impact of an overdose event could be utilized to increase treatment engagement. |
| Databáze: | OpenAIRE |
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