Dalla Lana School of Public Health, 155 College St, Room 500, Toronto, ON M5T 3M7, Canada; Li Ka Shing Knowledge Institute, St. Michael's Hospital, 209 Victoria St, Toronto, ON M5B 1T8, Canada.
Dalla Lana School of Public Health, 155 College St, Room 500, Toronto, ON M5T 3M7, Canada; Li Ka Shing Knowledge Institute, St. Michael's Hospital, 209 Victoria St, Toronto, ON M5B 1T8, Canada.
Int J Drug Policy. 2020 Sep;83:102853. doi: 10.1016/j.drugpo.2020.102853. Epub 2020 Jul 18.
Current rates of opioid-related mortality have been increasing globally. An effective harm reduction program consists of overdose education and naloxone distribution (OEND) programs. Incorporating both education and naloxone administration, OENDs have been reported to improve knowledge, self-efficacy and have resulted in multiple overdose reversals. Similarly effective has been the incorporation of Behaviour Change Theories within harm reduction programs. Although limited, literature that does exist surrounding this intersection, explains how theories such as social cognitive theory and the transtheoretical model have proven to reduce harms relating to injection drug use. Engaging with participants at multiple levels while using a context-dependent and iterative approach have been documented strengths of behaviour change theories with respect to minimizing substance use behaviours. This commentary argues for the potential benefit, incorporating behaviour change theories in OENDs has in reducing opioid-related overdoses.
目前全球阿片类相关死亡率呈上升趋势。有效的减少伤害计划包括过量用药教育和纳洛酮分发（OEND）计划。OEND 同时结合教育和纳洛酮给药，据报道可以提高知识水平、自我效能感，并导致多次过量用药逆转。同样有效的是将行为改变理论纳入减少伤害计划中。虽然有限，但围绕这一交叉点的现有文献解释了社会认知理论和跨理论模型等理论如何被证明可以减少与注射毒品使用相关的危害。在使用基于上下文的迭代方法时，从多个层面与参与者接触已被证明是行为改变理论的优势，因为它可以最大限度地减少物质使用行为。本评论认为，将行为改变理论纳入 OEND 可能有助于减少阿片类相关的过量用药。
