Development and process evaluation of an educational intervention for overdose prevention and naloxone distribution by general practice trainees

Hdl Handle:
http://hdl.handle.net/10147/583461
Title:
Development and process evaluation of an educational intervention for overdose prevention and naloxone distribution by general practice trainees
Authors:
Klimas, Jan; Egan, Mairead; Tobin, Helen; Coleman, Neil; Bury, Gerard
Citation:
Development and process evaluation of an educational intervention for overdose prevention and naloxone distribution by general practice trainees 2015, 15 (1) BMC Medical Education
Journal:
BMC Medical Education
Issue Date:
20-Nov-2015
URI:
http://hdl.handle.net/10147/583461
DOI:
10.1186/s12909-015-0487-y
Additional Links:
http://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-015-0487-y
Item Type:
Article
Language:
en
Description:
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 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 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.
Keywords:
ADDICTION; GENERAL PRACTICE; OVERDOSE; DRUGS MISUSE
ISSN:
1472-6920

Full metadata record

DC FieldValue Language
dc.contributor.authorKlimas, Janen
dc.contributor.authorEgan, Maireaden
dc.contributor.authorTobin, Helenen
dc.contributor.authorColeman, Neilen
dc.contributor.authorBury, Gerarden
dc.date.accessioned2015-12-09T10:12:28Zen
dc.date.available2015-12-09T10:12:28Zen
dc.date.issued2015-11-20en
dc.identifier.citationDevelopment and process evaluation of an educational intervention for overdose prevention and naloxone distribution by general practice trainees 2015, 15 (1) BMC Medical Educationen
dc.identifier.issn1472-6920en
dc.identifier.doi10.1186/s12909-015-0487-yen
dc.identifier.urihttp://hdl.handle.net/10147/583461en
dc.descriptionBackground: 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 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 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.en
dc.language.isoenen
dc.relation.urlhttp://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-015-0487-yen
dc.rightsArchived with thanks to BMC Medical Educationen
dc.subjectADDICTIONen
dc.subjectGENERAL PRACTICEen
dc.subjectOVERDOSEen
dc.subjectDRUGS MISUSEen
dc.titleDevelopment and process evaluation of an educational intervention for overdose prevention and naloxone distribution by general practice traineesen
dc.typeArticleen
dc.identifier.journalBMC Medical Educationen
dc.contributor.sponsorFunder:HRA-HSR-2012-14; Funder:ELEVATEPD/2014/6-
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