First Aid Education for Opioid Overdose Poisoning: Scoping Review
Autor: | Jamillee L. Krob, Aaron Orkin, Jeffrey L. Pellegrino |
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Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
review responder Psychological intervention Poison control 030204 cardiovascular system & hematology survival 03 medical and health sciences 0302 clinical medicine Nursing Naloxone Medicine education naloxone business.industry Public health General Engineering Opioid overdose first aid Evidence-based medicine medicine.disease Quality Improvement quality Emergency Medicine opioid Health education Preventive Medicine business 030217 neurology & neurosurgery medicine.drug First aid |
Zdroj: | Cureus |
ISSN: | 2168-8184 |
DOI: | 10.7759/cureus.12454 |
Popis: | 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 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. |
Databáze: | OpenAIRE |
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