Bagley Sarah M, Peterson Joanne, Cheng Debbie M, Jose Charles, Quinn Emily, O'Connor Patrick G, Walley Alexander Y
a Section of General Internal Medicine, Department of Medicine, Boston University School of Medicine , Boston Medical Center , Boston , Massachusetts , USA.
Subst Abus. 2015;36(2):149-54. doi: 10.1080/08897077.2014.989352. Epub 2015 Jan 7.
In response to the overdose epidemic, a network of support groups for family members in Massachusetts has been providing overdose education and naloxone rescue kits (OEN). The aims of this study were to describe the characteristics, motivations, and benefits of family members who receive OEN and to describe the frequency of naloxone used during an overdose rescue.
This cross-sectional, multisite study surveyed attendees of community support groups for family members of opioid users where OEN training was offered using a 42-item self-administered survey that included demographics, relationship to the individual using opioids, experience with overdose, motivations to receive OEN, and naloxone rescue kit use.
Of 126 attendees who completed surveys at 8 sites, most attendees were white (95%), female (78%), married or partnered (74%), parents of an individual using opioids (85%), and providing financial support for the individual using opioids (52%). The OEN trainees (79%) were more likely than attendees not trained (21%) to be parents of an individual using opioids (91% vs. 65%, P < .05), to provide financial support to an individual using opioids (58% vs. 30%, P < .05), and to have witnessed an overdose (35% vs. 12%, P = .07). The major motivations to receive training were wanting a kit in their home (72%), education provided at the meeting (60%), and hearing about benefits from others (57%). Sixteen parents reported witnessing their child overdose, and 5 attendees had used naloxone successfully during an overdose rescue.
Support groups for families of people who use opioids are promising venues to conduct overdose prevention trainings because attendees are motivated to receive training and will use naloxone to rescue people when witnessing an overdose. Further study is warranted to understand how to optimize this approach to overdose prevention in the community setting.
为应对药物过量流行问题，马萨诸塞州的一个家庭成员支持小组网络一直在提供过量用药教育和纳洛酮急救包（OEN）。本研究的目的是描述接受OEN的家庭成员的特征、动机和益处，并描述过量用药救援期间纳洛酮的使用频率。
这项横断面、多地点研究对阿片类药物使用者家庭成员社区支持小组的参与者进行了调查，这些小组提供OEN培训，采用一份42项的自填式调查问卷，内容包括人口统计学信息、与使用阿片类药物者的关系、过量用药经历、接受OEN的动机以及纳洛酮急救包的使用情况。
在8个地点完成调查的126名参与者中，大多数参与者是白人（95%）、女性（78%）、已婚或有伴侣（74%）、阿片类药物使用者的父母（85%），并且为阿片类药物使用者提供经济支持（52%）。接受OEN培训的人员（79%）比未接受培训的人员（21%）更有可能是阿片类药物使用者的父母（91%对65%，P <.05），为阿片类药物使用者提供经济支持（58%对30%，P <.05），以及目睹过过量用药情况（35%对12%，P =.07）。接受培训的主要动机是希望家里有急救包（72%）、会议上提供的教育（60%）以及听说其他人从中受益（57%）。16名父母报告目睹了他们孩子的过量用药情况，5名参与者在过量用药救援期间成功使用了纳洛酮。
阿片类药物使用者家庭的支持小组是开展过量用药预防培训的有前景的场所，因为参与者有接受培训的动机，并且在目睹过量用药情况时会使用纳洛酮来救助他人。有必要进一步研究以了解如何在社区环境中优化这种过量用药预防方法。
