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审视青少年定制化阿片类药物教育的迫切需求:一项全国性研究。

Examining the Critical Need for Tailored Adolescent Opioid Education: A National Study.

作者信息

Abraham Olufunmilola, Szela Lisa, Rosenberger Claire, Birstler Jen, Li Jenny, Hetzel Scott

机构信息

University of Wisconsin-Madison School of Pharmacy, Social and Administrative Sciences Division (OA, LS, CR, JL), Madison, WI.

University of Wisconsin-Madison Department of Biostatistics and Medical Informatics (JB, SH), Madison, WI.

出版信息

J Pediatr Pharmacol Ther. 2023;28(4):297-307. doi: 10.5863/1551-6776-28.4.297. Epub 2023 Aug 9.

DOI:10.5863/1551-6776-28.4.297
PMID:37795282
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10547048/
Abstract

OBJECTIVE

Prescription opioid education can be a preventative measure for opioid misuse. However, most research focuses on adult perspectives rather than adolescents. This study aimed to understand adolescents' attitudes, perceptions, knowledge about prescription opioids, and preferences and prior educational exposure to opioid safety.

METHODS

Data were collected from November to December 2020. Quota sampling through Qualtrics was used to recruit a national sample of 13- to 18-year-old adolescents who lived in the United States and could understand English.

RESULTS

A total of 774 responses were analyzed. The most frequently reported source of opioid information was speaking with parents (72%). More than half (54.7%) of participants preferred technology-based education. Participants with a personal history of opioid prescription scored no differently on safe handling and storage of opioids. There was a strong relationship between participants who reported prior knowledge of what opioids are and stopping their friend from using an opioid medication for non-medical purposes (χ (1, = 684) = 3.5; p = 0.042). Participants with prior education on opioid disposal did not know that -returning opioids to the pharmacy was correct (χ (1, = 425) = 3.8; p = 0.254).

CONCLUSIONS

Participants were less knowledgeable about safe storage and disposal of opioids, preferred technology-based education, and were extremely likely to talk to their parents about opioid information. Findings reaffirm the significance of opioid safety education and communication between adolescents and parents. Adolescent demographic characteristics, preferences, and prior knowledge should be considered when providing opioid safety education.

摘要

目的

处方阿片类药物教育可以作为预防阿片类药物滥用的一项措施。然而,大多数研究关注的是成年人的观点,而非青少年的观点。本研究旨在了解青少年对处方阿片类药物的态度、认知、知识,以及他们对阿片类药物安全的偏好和既往接受教育的情况。

方法

数据收集于2020年11月至12月。通过Qualtrics进行配额抽样,以招募居住在美国且能理解英语的13至18岁青少年的全国性样本。

结果

共分析了774份回复。最常被提及的阿片类药物信息来源是与父母交谈(72%)。超过一半(54.7%)的参与者更喜欢基于技术的教育方式。有阿片类药物处方个人史的参与者在阿片类药物的安全处理和储存方面得分无差异。报告曾了解阿片类药物是什么的参与者与阻止朋友将阿片类药物用于非医疗目的之间存在很强的关联(χ(1, = 684) = 3.5;p = 0.042)。接受过阿片类药物处置相关教育但不知道将阿片类药物返还给药房是正确做法的参与者(χ(1, = 425) = 3.8;p = 0.254)。

结论

参与者对阿片类药物的安全储存和处置了解较少,更喜欢基于技术的教育方式,并且极有可能与父母谈论阿片类药物信息。研究结果再次证实了阿片类药物安全教育以及青少年与父母之间沟通的重要性。在提供阿片类药物安全教育时,应考虑青少年的人口统计学特征、偏好和既往知识。

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本文引用的文献

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Opioid Prescribing to US Children and Young Adults in 2019.2019 年美国儿童和青年人群中阿片类药物的处方情况。
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Temporal Trends in Opioid Prescribing Practices in Children, Adolescents, and Younger Adults in the US From 2006 to 2018.2006 年至 2018 年美国儿童、青少年和年轻成年人中阿片类药物处方实践的时间趋势。
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Development of the Adolescent Opioid Safety and Learning (AOSL) scale using exploratory factor analysis.采用探索性因子分析研制青少年阿片类药物安全与学习(AOSL)量表。
Res Social Adm Pharm. 2022 May;18(5):2796-2803. doi: 10.1016/j.sapharm.2021.06.007. Epub 2021 Jun 12.
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Adolescents' Perspectives on Prescription Opioid Misuse and Medication Safety.青少年对处方阿片类药物滥用及用药安全的看法。
J Pediatr Pharmacol Ther. 2021;26(2):133-143. doi: 10.5863/1551-6776-26.2.133. Epub 2021 Feb 15.
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Pills to Powder: A 17-Year Transition From Prescription Opioids to Heroin Among US Adolescents Followed Into Adulthood.药丸变粉末:美国青少年从处方阿片类药物到海洛因的 17 年转变在成年后仍在继续。
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Adolescents' awareness about prescription opioid misuse and preferences for educational interventions.青少年对处方类阿片类药物滥用的认识及对教育干预措施的偏好。
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