Brief overdose education can significantly increase accurate recognition of opioid overdose among heroin users |
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| Affiliation: | 1. Division on Substance Abuse, New York State Psychiatric Institute, Columbia University, College of Physicians and Surgeons, 1051 Riverside Drive, New York, NY 10032, United States;2. INSERM U912 (SESSTIM), Marseille, France;3. Université Aix Marseille, IRD, UMR-S912, Marseille, France;4. ORS PACA, Observatoire Régional de la Santé Provence Alpes Côte d’Azur, Marseille, France;5. Harm Reduction Coalition, 22 West 27th Street, New York, NY 10001, United States;1. Southeast, Inc. Healthcare Services, 16 West Long Street, Columbus, OH 43215, United States;2. UCSF Cardiovascular Care and Prevention Center, 533 Parnassus Avenue, UCSF Box 0622, San Francisco CA 94117, United States;3. The Ohio State University College of Pharmacy, 500 West 12th Avenue, Columbus, OH 43210, United States;4. The Ohio State University College of Pharmacy, A218 Lloyd M. Parks Hall, 500 West 12th Avenue, Columbus, OH 43210, United States;1. Department of Anthropology, University of Colorado Denver, Denver, CO, USA;2. Department of Health & Behavioral Sciences, University of Colorado Denver, Denver, CO, USA;5. Harm Reduction Action Center, 231 E Colfax Ave, Denver, CO 80203, USA;6. Faculty of International Liberal Arts, Akita International University, Japan;1. RTI-International, San Francisco, CA, United States;2. University of California San Francisco, San Francisco, CA, United States;3. University of Washington, Seattle, WA, United States;4. Harm Reduction Coalition, Oakland, CA, United States;1. Department of Emergency Medicine, The Warren Alpert School of Medicine, Brown University, 55 Claverick St. 2nd Floor, Providence, RI 02903, United States;2. The School of Public Health, Brown University, 121 South Main Street, Providence, RI 02912, United States;3. University of Arkansas for Medical Sciences, Fay W. Boozman College of Public Health, 4301 West Markham, Little Rock, AR, United States;1. Division of Unintentional Injury Prevention, Centers for Disease Control and Prevention, 4770 Buford Highway MS-F62, Chamblee, GA 30341, United States;2. Women and Infants’ Hospital of Rhode Island, Warrren Alpert Medical School at Brown University, United States;3. Division of Unintentional Injury Prevention, Centers for Disease Control and Prevention, 601 Sunland Park Dr. Suite 200, El Paso, TX 79912, United States;4. Division of Unintentional Injury Prevention, Centers for Disease Control and Prevention, 4770 Buford Highway MS-F62, Chamblee, GA 30341, United States;5. The University of New Mexico, 1101 Camino de Salud NE, Albuquerque, NM 87102, United States;6. The University of New Mexico, Albuquerque, NM 87131, United States;7. Center for Global Health, Centers for Disease Control and Prevention, 1600 Clifton Rd., Atlanta, GA 30329-4018, United States;8. New Mexico Department of Health, 1190 S. St. Francis Drive, Santa Fe, NM 87505, United States |
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| Abstract: | ![]()
BackgroundIn an effort to increase effective intervention following opioid overdose, the New York State Department of Health (NYSDOH) has implemented programs where bystanders are given brief education in recognizing the signs of opioid overdose and how to provide intervention, including the use of naloxone. The current study sought to assess the ability of NYSDOH training to increase accurate identification of opioid and non-opioid overdose, and naloxone use among heroin users.MethodsEighty-four participants completed a test on overdose knowledge comprised of 16 putative overdose scenarios. Forty-four individuals completed the questionnaire immediately prior to and following standard overdose prevention training. A control group (n = 40), who opted out of training, completed the questionnaire just once.ResultsOverdose training significantly increased participants’ ability to accurately identify opioid overdose (p < 0.05), and scenarios where naloxone administration was indicated (p < 0.05). Training did not alter recognition of non-opioid overdose or non-overdose situations where naloxone should not be administered.ConclusionsThe data indicate that overdose prevention training improves participants’ knowledge of opioid overdose and naloxone use, but naloxone may be administered in some situations where it is not warranted. Training curriculum could be improved by teaching individuals to recognize symptoms of non-opioid drug over-intoxication. |
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| Keywords: | Naloxone Opioid overdose Heroin Overdose prevention |
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