TY - JOUR
KW - Adult
KW - Analgesics, Opioid/administration & dosage/adverse effects
KW - Drug Overdose/prevention & control/psychology
KW - Female
KW - Harm Reduction
KW - Health Education/methods
KW - Health Knowledge, Attitudes, Practice
KW - Humans
KW - Interviews as Topic
KW - Male
KW - Multivariate Analysis
KW - Naloxone/administration & dosage
KW - Narcotic Antagonists/administration & dosage
KW - Opioid-Related Disorders/prevention & control
KW - Program Evaluation
KW - Regression Analysis
KW - Risk Factors
KW - Spain
AU - Albert Espelt
AU - Marina Bosque-Prous
AU - Cinta Folch
AU - Ana Sarasa-Renedo
AU - Xavier Majo
AU - Jordi Casabona
AU - Teresa Brugal
AU - REDAN Group
A1 - 
AB - The objectives were to analyze the knowledge about overdose prevention, the use of naloxone, and the number of fatal overdoses after the implementation of Systematic Training in Overdose Prevention (STOOP) program. We conducted a quasi-experimental study, and held face-to-face interviews before (n = 725) and after (n = 722) implementation of systematic training in two different samples of people who injected opioids attending harm reduction centers. We asked participants to list the main causes of overdose and the main actions that should be taken when witnessing an overdose. We created two dependent variables, the number of (a) correct and (b) incorrect answers. The main independent variable was Study Group: Intervention Group (IG), Comparison Group (CG), Pre-Intervention Group With Sporadic Training in Overdose Prevention (PREIGS), or Pre-Intervention Group Without Training in Overdose Prevention (PREIGW). The relationship between the dependent and independent variables was assessed using a multivariate Poisson regression analysis. Finally, we conducted an interrupted time series analysis of monthly fatal overdoses before and after the implementation of systematic program during the period 2006-2015. Knowledge of overdose prevention increased after implementing systematic training program. Compared to the PREIGW, the IG gave more correct answers (IRR = 1.40;95%CI:1.33-1.47), and fewer incorrect answers (IRR = 0.33;95%CI:0.25-0.44). Forty percent of people who injected opioids who received a naloxone kit had used the kit in response to an overdose they witnessed. These courses increase knowledge of overdose prevention in people who use opioids, give them the necessary skills to use naloxone, and slightly diminish the number of fatal opioid overdoses in the city of Barcelona.
AD - Agencia de Salut Publica de Barcelona, Placa Lesseps, Barcelona, Spain.; Centros de Investigacion Biomedica en Red. Epidemiologia y Salud Publica (CIBERESP), Calle Melchor Fernandez Almagro, Madrid, Spain.; Facultat de Ciencies de la Salut de Manresa, Universitat de Vic Universitat Central de Catalunya (UVicUCC), Av. Universitaria, Manresa, Spain.; Departament de Psicobiologia i Metodologia en Ciencies de la Salut, Universitat Autonoma de Barcelona, Campus UAB, Bellaterra, Spain.; Agencia de Salut Publica de Barcelona, Placa Lesseps, Barcelona, Spain.; Centre d'Estudis Epidemiologics sobre les Infeccions de Transmissio Sexual i Sida de Catalunya (CEEISCAT), Agencia de Salut Publica de Catalunya (ASPC), Generalitat de Catalunya, Carretera Canyet s/n, Badalona, Spain.; Agencia de Salut Publica de Barcelona, Placa Lesseps, Barcelona, Spain.; Programa de Epidemiologia Aplicada y de Campo (PEAC), Instituto de Salud Carlos III, Calle Sinesio Delgado, Madrid, Spain.; Subdireccio General de Drogodependencies, Departament de Salut de la Generalitat de Catalunya, Carrer de Roc Boronat, Barcelona, Spain.; Subdireccio General de Drogodependencies, Departament de Salut de la Generalitat de Catalunya, Carrer de Roc Boronat, Barcelona, Spain.; Agencia de Salut Publica de Barcelona, Placa Lesseps, Barcelona, Spain.
BT - PloS one
C5 - Education & Workforce; Opioids & Substance Use
CP - 10
CY - United States
DO - 10.1371/journal.pone.0186833
IS - 10
JF - PloS one
LA - eng
M1 - Journal Article
N2 - The objectives were to analyze the knowledge about overdose prevention, the use of naloxone, and the number of fatal overdoses after the implementation of Systematic Training in Overdose Prevention (STOOP) program. We conducted a quasi-experimental study, and held face-to-face interviews before (n = 725) and after (n = 722) implementation of systematic training in two different samples of people who injected opioids attending harm reduction centers. We asked participants to list the main causes of overdose and the main actions that should be taken when witnessing an overdose. We created two dependent variables, the number of (a) correct and (b) incorrect answers. The main independent variable was Study Group: Intervention Group (IG), Comparison Group (CG), Pre-Intervention Group With Sporadic Training in Overdose Prevention (PREIGS), or Pre-Intervention Group Without Training in Overdose Prevention (PREIGW). The relationship between the dependent and independent variables was assessed using a multivariate Poisson regression analysis. Finally, we conducted an interrupted time series analysis of monthly fatal overdoses before and after the implementation of systematic program during the period 2006-2015. Knowledge of overdose prevention increased after implementing systematic training program. Compared to the PREIGW, the IG gave more correct answers (IRR = 1.40;95%CI:1.33-1.47), and fewer incorrect answers (IRR = 0.33;95%CI:0.25-0.44). Forty percent of people who injected opioids who received a naloxone kit had used the kit in response to an overdose they witnessed. These courses increase knowledge of overdose prevention in people who use opioids, give them the necessary skills to use naloxone, and slightly diminish the number of fatal opioid overdoses in the city of Barcelona.
PP - United States
PY - 2017
SN - 1932-6203; 1932-6203
SP - e0186833
T1 - Is systematic training in opioid overdose prevention effective?
T2 - PloS one
TI - Is systematic training in opioid overdose prevention effective?
U1 - Education & Workforce; Opioids & Substance Use
U2 - 29088247
U3 - 10.1371/journal.pone.0186833
VL - 12
VO - 1932-6203; 1932-6203
Y1 - 2017
Y2 - Oct 31
ER -