TY - JOUR
KW - Administration, Intranasal
KW - Adult
KW - Caregivers/education
KW - Drug Overdose/diagnosis/drug therapy/prevention & control
KW - Education, Medical, Graduate
KW - Family
KW - Feasibility Studies
KW - Female
KW - Friends
KW - General Practice/education
KW - Health Education/methods
KW - Health Knowledge, Attitudes, Practice
KW - Humans
KW - Ireland
KW - Male
KW - Naloxone/administration & dosage/therapeutic use
KW - Narcotic Antagonists/administration & dosage/therapeutic use
KW - Opioid-Related Disorders/diagnosis/drug therapy
KW - Pilot Projects
KW - Program Evaluation
AU - J. Klimas
AU - M. Egan
AU - H. Tobin
AU - N. Coleman
AU - G. Bury
A1 - 
AB - BACKGROUND: Overdose is the most common cause of fatalities among opioid users. Naloxone is a life-saving medication for reversing opioid overdose. In Ireland, it is currently available to ambulance and emergency care services, but General Practitioners (GP) are in regular contact with opioid users and their families. This positions them to provide naloxone themselves or to instruct patients how to use it. The new Clinical Practice Guidelines of the Pre-hospital Emergency Care Council of Ireland allows trained bystanders to administer intranasal naloxone. We describe the development and process evaluation of an educational intervention, designed to help GP trainees identify and manage opioid overdose with intranasal naloxone. METHODS: Participants (N = 23) from one postgraduate training scheme in Ireland participated in a one-hour training session. The repeated-measures design, using the validated Opioid Overdose Knowledge (OOKS) and Attitudes (OOAS) Scales, examined changes immediately after training. Acceptability and satisfaction with training were measured with a self-administered questionnaire. RESULTS: Knowledge of the risks of overdose and appropriate actions to be taken increased significantly post-training [OOKS mean difference, 3.52 (standard deviation 4.45); P < 0.001]; attitudes improved too [OOAS mean difference, 11.13 (SD 6.38); P < 0.001]. The most and least useful delivery methods were simulation and video, respectively. CONCLUSION: Appropriate training is a key requirement for the distribution of naloxone through general practice. In future studies, the knowledge from this pilot will be used to inform a train-the-trainer model, whereby healthcare professionals and other front-line service providers will be trained to instruct opioid users and their families in overdose prevention and naloxone use.
BT - BMC medical education
C5 - Opioids & Substance Use; Education & Workforce
CY - England
DO - 10.1186/s12909-015-0487-y
JF - BMC medical education
N2 - BACKGROUND: Overdose is the most common cause of fatalities among opioid users. Naloxone is a life-saving medication for reversing opioid overdose. In Ireland, it is currently available to ambulance and emergency care services, but General Practitioners (GP) are in regular contact with opioid users and their families. This positions them to provide naloxone themselves or to instruct patients how to use it. The new Clinical Practice Guidelines of the Pre-hospital Emergency Care Council of Ireland allows trained bystanders to administer intranasal naloxone. We describe the development and process evaluation of an educational intervention, designed to help GP trainees identify and manage opioid overdose with intranasal naloxone. METHODS: Participants (N = 23) from one postgraduate training scheme in Ireland participated in a one-hour training session. The repeated-measures design, using the validated Opioid Overdose Knowledge (OOKS) and Attitudes (OOAS) Scales, examined changes immediately after training. Acceptability and satisfaction with training were measured with a self-administered questionnaire. RESULTS: Knowledge of the risks of overdose and appropriate actions to be taken increased significantly post-training [OOKS mean difference, 3.52 (standard deviation 4.45); P < 0.001]; attitudes improved too [OOAS mean difference, 11.13 (SD 6.38); P < 0.001]. The most and least useful delivery methods were simulation and video, respectively. CONCLUSION: Appropriate training is a key requirement for the distribution of naloxone through general practice. In future studies, the knowledge from this pilot will be used to inform a train-the-trainer model, whereby healthcare professionals and other front-line service providers will be trained to instruct opioid users and their families in overdose prevention and naloxone use.
PP - England
PY - 2015
SN - 1472-6920; 1472-6920
SP - 206
T1 - Development and process evaluation of an educational intervention for overdose prevention and naloxone distribution by general practice trainees
T2 - BMC medical education
TI - Development and process evaluation of an educational intervention for overdose prevention and naloxone distribution by general practice trainees
U1 - Opioids & Substance Use; Education & Workforce
U2 - 26590066
U3 - 10.1186/s12909-015-0487-y
VL - 15
VO - 1472-6920; 1472-6920
Y1 - 2015
ER -