Panther Shannon G, Bray Brenda S, White John R
J Am Pharm Assoc (2003). 2017 Mar-Apr;57(2S):S107-S112.e2. doi: 10.1016/j.japh.2016.11.002. Epub 2017 Jan 4.
Responding to the nationwide opioid overdose epidemic, Washington State University initiated a naloxone safety net project intending to increase awareness of opioid overdose, increase the availability of naloxone, and examine university students' perceptions regarding the usefulness of a novel, large-group audience-training model.
A Washington State University campus.
In September 2014, university students were recruited to attended a large-group audience training event which included opioid overdose prevention, recognition, and first response. All trained participants received an intranasal naloxone reversal kit.
Student pharmacists, who previously received naloxone rescue training and overdose education from the pharmacist lead researcher, acted as trainers. The training consisted of a large-group audience delivery with small-group practice sessions facilitated by the student pharmacists.
Participants who attended the recruitment event completed a pre-training survey to assess knowledge and perceptions about opioid use disorder and overdose. The following week, participants attended the training event. Participants were asked to complete a post-training survey to evaluate the usefulness of the program.
Forty-three percent of the participants (65/150) who attended the recruitment event reported knowing someone who used prescription opioids to get "high." Seventy-four participants attended the training, and 92% of them (68/74) completed the post-training survey. The majority of respondents agreed that the training program met their expectations and the skills they learned could be used to intervene in an overdose situation.
Before training, survey responses from recruited participates indicated the need to discuss opioid use disorder among university students is important. Use of a training model involving large-group audiences followed by small-group practice sessions offers an acceptable educational solution regarding opioid overdose and prevention. Our experience suggests using this training model to educate university students to recognize and provide first response is a feasible and acceptable approach.
为应对全国范围的阿片类药物过量流行问题,华盛顿州立大学启动了一项纳洛酮安全网项目,旨在提高对阿片类药物过量的认识,增加纳洛酮的可及性,并研究大学生对一种新颖的、面向大群体受众的培训模式实用性的看法。
华盛顿州立大学校园。
2014年9月,招募大学生参加一场面向大群体受众的培训活动,内容包括阿片类药物过量的预防、识别及急救措施。所有接受培训的参与者都获得了一套鼻内用纳洛酮急救试剂盒。
曾接受药剂师首席研究员的纳洛酮急救培训和过量用药教育的学生药剂师担任培训人员。培训包括面向大群体受众的授课以及由学生药剂师协助开展的小组实践课程。
参加招募活动的参与者完成了一项培训前调查,以评估对阿片类药物使用障碍和过量用药的知识及看法。接下来的一周,参与者参加了培训活动。要求参与者完成一项培训后调查,以评估该项目的实用性。
参加招募活动的参与者中有43%(65/150)报告称认识使用处方阿片类药物来“寻求快感”的人。74名参与者参加了培训,其中92%(68/74)完成了培训后调查。大多数受访者认为培训项目达到了他们的期望,并且他们学到的技能可用于干预过量用药情况。
在培训前,招募参与者的调查反馈表明,在大学生中讨论阿片类药物使用障碍很重要。采用先面向大群体受众授课、再进行小组实践课程的培训模式,在阿片类药物过量及预防方面提供了一种可接受的教育解决方案。我们的经验表明,使用这种培训模式来教育大学生识别并提供急救措施是一种可行且可接受的方法。