TY - JOUR
KW - alcohol and substance abuse
KW - Analgesics, Opioid/administration & dosage/adverse effects/therapeutic use
KW - Computer Simulation
KW - Drug Overdose/etiology/mortality/prevention & control
KW - dynamic modeling
KW - Health Personnel/education
KW - Humans
KW - modeling and simulation
KW - Models, Educational
KW - Models, Theoretical
KW - nonlinear dynamics
KW - Opioid-Related Disorders/mortality/prevention & control
KW - Patient Education as Topic
KW - Prescription Drug Diversion/prevention & control/statistics & numerical data
KW - Risk Assessment
KW - substance use
KW - Systems Analysis
KW - systems science
KW - United States/epidemiology
AU - W. Wakeland
AU - A. Nielsen
AU - T. D. Schmidt
AU - D. McCarty
AU - L. R. Webster
AU - J. Fitzgerald
AU - J. D. Haddox
A1 - 
AB - Three educational interventions were simulated in a system dynamics model of the medical use, trafficking, and nonmedical use of pharmaceutical opioids. The study relied on secondary data obtained in the literature for the period of 1995 to 2008 as well as expert panel recommendations regarding model parameters and structure. The behavior of the resulting systems-level model was tested for fit against reference behavior data. After the base model was tested, logic to represent three educational interventions was added and the impact of each intervention on simulated overdose deaths was evaluated over a 7-year evaluation period, 2008 to 2015. Principal findings were that a prescriber education intervention not only reduced total overdose deaths in the model but also reduced the total number of persons who receive opioid analgesic therapy, medical user education not only reduced overdose deaths among medical users but also resulted in increased deaths from nonmedical use, and a "popularity" intervention sharply reduced overdose deaths among nonmedical users while having no effect on medical use. System dynamics modeling shows promise for evaluating potential interventions to ameliorate the adverse outcomes associated with the complex system surrounding the use of opioid analgesics to treat pain.
BT - Health education & behavior : the official publication of the Society for Public Health Education
C5 - Opioids & Substance Use
CP - 1 Suppl
CY - United States
DO - 10.1177/1090198113492767
IS - 1 Suppl
JF - Health education & behavior : the official publication of the Society for Public Health Education
N2 - Three educational interventions were simulated in a system dynamics model of the medical use, trafficking, and nonmedical use of pharmaceutical opioids. The study relied on secondary data obtained in the literature for the period of 1995 to 2008 as well as expert panel recommendations regarding model parameters and structure. The behavior of the resulting systems-level model was tested for fit against reference behavior data. After the base model was tested, logic to represent three educational interventions was added and the impact of each intervention on simulated overdose deaths was evaluated over a 7-year evaluation period, 2008 to 2015. Principal findings were that a prescriber education intervention not only reduced total overdose deaths in the model but also reduced the total number of persons who receive opioid analgesic therapy, medical user education not only reduced overdose deaths among medical users but also resulted in increased deaths from nonmedical use, and a "popularity" intervention sharply reduced overdose deaths among nonmedical users while having no effect on medical use. System dynamics modeling shows promise for evaluating potential interventions to ameliorate the adverse outcomes associated with the complex system surrounding the use of opioid analgesics to treat pain.
PP - United States
PY - 2013
SN - 1552-6127; 1090-1981
SP - 74S
EP - 86S
EP - 
T1 - Modeling the impact of simulated educational interventions on the use and abuse of pharmaceutical opioids in the United States: a report on initial efforts
T2 - Health education & behavior : the official publication of the Society for Public Health Education
TI - Modeling the impact of simulated educational interventions on the use and abuse of pharmaceutical opioids in the United States: a report on initial efforts
U1 - Opioids & Substance Use
U2 - 24084403
U3 - 10.1177/1090198113492767
VL - 40
VO - 1552-6127; 1090-1981
Y1 - 2013
ER -