Meharry Medical College, 1005 Dr. D.B. Todd Jr. Blvd., Nashville, TN, 37208-3599, USA.
Department of Family and Community Medicine, Meharry Medical College, 1005 Dr. D.B. Todd Jr. Blvd., Nashville, TN, 37208-3599, USA.
Harm Reduct J. 2022 Oct 14;19(1):114. doi: 10.1186/s12954-022-00696-4.
Opioid overdose response training (OORT) and the need for its rapid expansion have become more significant as the opioid epidemic continues to be a health crisis in the USA. Limitation of funding and stigmatization often hinders expansion of OORT programs. Primarily due to the COVID-19 pandemic, there has been widespread transition from in-person to virtual communication. However, OORT programs may benefit from long-term use of this modality of education if it can be as effective.
To measure the change in participant attitude after a brief, virtual OORT.
A 6.5-min OORT video explained recognition of opioid overdose, appropriate response and proper administration of intranasal naloxone. Pre- and post-video scores from a 19-item survey were used to determine the video's impact on participants' self-perceived competence and readiness to administer naloxone to a person with a suspected opioid overdose. Paired t tests were used in the analysis of pre- and post-video scores. Mann-Whitney U and Kruskal-Wallis H testing were used to compare variance between several demographic subgroups of interest.
A sample of 219 participants had a significant mean difference of 15.12 (SD 9.48; 95% CI 13.86-16.39, p < 0.001) between pre- and posttest scores. Improvements were found to be greatest in content-naïve participants with lower levels of education and non-health care-related jobs than participants endorsing previous content awareness, formal naloxone training, masters, doctorate or professional degrees and health care-related jobs.
This pilot study demonstrated encouraging evidence that a brief, virtual, pre-recorded educational intervention improved participant-rated competence and readiness to administer intranasal naloxone in a suspected opioid overdose. Due to scalability and ability to overcome common healthcare accessibility barriers, short-form videos focused on key facts about naloxone and the benefits of its use could be part of a strategy for rapid expansion of OORT programs to mitigate opioid overdose fatalities.
阿片类药物过量反应培训（OORT）及其快速扩展的需求随着阿片类药物泛滥继续成为美国的健康危机而变得更加重要。资金限制和污名化常常阻碍 OORT 计划的扩展。主要由于 COVID-19 大流行，已经从面对面交流广泛转变为虚拟交流。然而，如果这种教育模式能够有效，OORT 计划可能会受益于长期使用。
测量短暂的虚拟 OORT 后参与者态度的变化。
一个 6.5 分钟的 OORT 视频解释了阿片类药物过量的识别、适当的反应和正确使用鼻腔内纳洛酮。使用 19 项调查的预和视频后得分来确定视频对参与者自我感知能力和准备向疑似阿片类药物过量的人施用纳洛酮的影响。使用配对 t 检验分析预和视频后得分。曼-惠特尼 U 检验和克鲁斯卡瓦尔 H 检验用于比较几个感兴趣的人口统计学亚组之间的方差。
219 名参与者的样本具有显著的平均差异 15.12（SD 9.48；95%CI 13.86-16.39，p < 0.001），预测试和测试后得分之间。在教育程度较低、非医疗保健相关工作的内容新手参与者中，改善最大，而不是以前对内容有了解、接受过正式纳洛酮培训、硕士、博士或专业学位以及医疗保健相关工作的参与者。
这项初步研究表明，一个简短的虚拟预录制教育干预措施可以提高参与者对管理疑似阿片类药物过量的鼻腔内纳洛酮的能力和准备程度，这是令人鼓舞的证据。由于可扩展性和克服常见医疗保健可及性障碍的能力，专注于纳洛酮关键事实及其使用益处的短视频可以成为 OORT 计划快速扩展以减轻阿片类药物过量死亡人数的策略的一部分。
