a National Development and Research Institutes , New York , New York , USA.
b Department of Health and Behavior Studies , Teacher's College, Columbia University , New York , New York , USA.
Subst Use Misuse. 2018 Oct 15;53(12):1997-2002. doi: 10.1080/10826084.2018.1451891. Epub 2018 Apr 11.
This article reports on the first implementation of an online opioid-overdose prevention, recognition and response training for laypeople. The training was disseminated nationally in November 2014. Between 2000 and 2014, U.S. opioid deaths increased by 200%. The importance of complementary approaches to reduce opioid overdose deaths, such as online training, cannot be overstated.
A retrospective evaluation was conducted to assess perceived knowledge, skills to intervene in an overdose, confidence to intervene, and satisfaction with the training.
Descriptive statistics were used to report sample characteristics, compare experiences with overdose and/or naloxone between subgroups, and describe participants' satisfaction with the trainings. Z-ratios were used to compare independent proportions, and paired t-tests were used to compare participant responses to items pre- and posttraining, including perceived confidence to intervene and perceived knowledge and skills to intervene successfully.
Between January and October 2015, 2,450 laypeople took the online training; 1,464 (59.8%) agreed to be contacted. Of these, 311 (21.2% of those contacted) completed the survey. Over 80% reported high satisfaction with content, format and mode of delivery and high satisfaction with items related to confidence and overdose reversal preparedness. Notably, 89.0% of participants felt they had the knowledge and skills to intervene successfully posttraining compared to 20.3% pretraining (z = -17.2, p <.001). Similarly, posttraining, 87.8% of participants felt confident they could successfully intervene compared to 24.4% pretraining (z = -15.9, p <.001).
This study demonstrates the effectiveness of the GetNaloxoneNow.org online training for laypeople.
本文报道了首次为非专业人员实施的在线阿片类药物过量预防、识别和应对培训。该培训于 2014 年 11 月在全国范围内传播。2000 年至 2014 年期间，美国阿片类药物死亡人数增加了 200%。在线培训等补充方法对于降低阿片类药物过量死亡至关重要。
进行回顾性评估，以评估对知识的感知、干预过量的技能、干预的信心和对培训的满意度。
使用描述性统计来报告样本特征，比较亚组之间与过量和/或纳洛酮的经历，并描述参与者对培训的满意度。Z 比用于比较独立比例，配对 t 检验用于比较参与者对培训前后项目的反应，包括干预的感知信心和成功干预的感知知识和技能。
2015 年 1 月至 10 月期间，有 2450 名非专业人员参加了在线培训；1464 人（接触人数的 59.8%）同意接受联系。在这些人中，311 人（接触人数的 21.2%）完成了调查。超过 80%的人报告对内容、格式和交付模式非常满意，对与信心和过量逆转准备相关的项目非常满意。值得注意的是，89.0%的参与者表示，他们在培训后具有成功干预的知识和技能，而培训前为 20.3%（z = -17.2，p <.001）。同样，培训后，87.8%的参与者表示有信心能够成功干预，而培训前为 24.4%（z = -15.9，p <.001）。
这项研究表明，GetNaloxoneNow.org 在线培训对非专业人员是有效的。
