Horace Alexis E, Atawodi-Alhassan Ojochogwu
University of Louisiana at Monroe College of Pharmacy, New Orleans Campus, 478 South Johnson Street, Suite 230, New Orleans, LA, 70112, USA.
Harm Reduct J. 2025 Feb 1;22(1):12. doi: 10.1186/s12954-025-01161-8.
BACKGROUND: The state of Louisiana ranked 4th in the US for per capita overdose rates as 56 out of 100,000 persons died due to overdose and 1,300 of those deaths involved opioids. Opioid involved deaths increased 131% between 2019 and 2022. A pharmacist-led opioid overdose education and naloxone distribution (OEND) program was developed at a SSP in New Orleans during the COVID-19 pandemic. The purpose of this research is to characterize the clients who participated in the OEND and to assess their learned knowledge and behaviors over time. METHODS: A pharmacist led OEND program was created in April 2020 at a syringe service program (SSP) in New Orleans, Louisiana. OEND was provided by a licensed pharmacist and student pharmacists. OEND coincided with the SSPs activities one time a week. Participants first received harm reduction supplies through the SSP and then had the option of receiving OEND. Patients' demographic information was collected. Participants who said they received opioid overdose education from our OEND program were verbally given a knowledge and behavior assessment. Participants knowledge and behaviors were scored using a rubric. RESULTS: A total of 32 OEND sessions were held from July 2020 through February 2023 resulting in 1453 overall participant interactions. Repeat participants completed 269 visits and averaged 2.3 visits in three years. The average age of participants who received OEND was 40 years old. Additionally, participants who accessed OEND were primarily white (67.77%, n = 811/1300) and mostly male (59.15%, n = 769/1300). Among the participants who visited the OEND station more than once, 160 responses were collected for how helpful the previous education session had been. Of these responses, 75% (= 120/160) were "Very helpful". Participants who repeated the program retained knowledge and showed a positive change in their behaviors regarding opioid overdose reversal. CONCLUSIONS: OEND programs established at SSPs play an important role in providing education to PWUD. Participants knowledge sustained over time; however, refresher education sessions may be valuable to ensure participants stay accurately informed. Participants find OEND helpful. As naloxone continues to become increasingly available, OEND is necessary in preventing opioid overdose deaths.
背景：路易斯安那州的人均药物过量死亡率在美国排名第四，每10万人中有56人死于药物过量，其中1300例死亡涉及阿片类药物。2019年至2022年期间，涉及阿片类药物的死亡人数增加了131%。在新冠疫情期间，新奥尔良的一个注射器服务项目（SSP）开展了一项由药剂师主导的阿片类药物过量教育及纳洛酮分发（OEND）项目。本研究的目的是描述参与OEND项目的客户特征，并评估他们随着时间推移所学到的知识和行为。 方法：2020年4月在路易斯安那州新奥尔良的一个注射器服务项目（SSP）中创建了一个由药剂师主导的OEND项目。OEND由一名持牌药剂师和学生药剂师提供。OEND每周与SSP的活动同步进行一次。参与者首先通过SSP获得减少伤害用品，然后可以选择接受OEND。收集了患者的人口统计学信息。那些表示从我们的OEND项目中接受过阿片类药物过量教育的参与者接受了口头知识和行为评估。参与者的知识和行为使用评分标准进行评分。 结果：从2020年7月到2023年2月共举办了32次OEND课程，总共产生了1453次参与者互动。重复参与的参与者完成了269次访问，三年内平均访问2.3次。接受OEND的参与者的平均年龄为40岁。此外，使用OEND的参与者主要是白人（67.77%，n = 811/1300），且大多为男性（59.15%，n = 769/1300）。在多次访问OEND站点的参与者中，收集了160份关于之前教育课程有多大帮助的回复。在这些回复中，75%（= 120/160）为“非常有帮助”。重复参与该项目的参与者保留了知识，并在阿片类药物过量逆转行为方面表现出积极变化。 结论：在注射器服务项目中建立的OEND项目在为药物使用障碍者提供教育方面发挥着重要作用。参与者的知识随着时间的推移得以保持；然而，复习教育课程可能有助于确保参与者及时了解准确信息。参与者认为OEND很有帮助。随着纳洛酮的获取日益容易，OEND对于预防阿片类药物过量死亡是必要的。
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