Best practices for community-based overdose education and naloxone distribution programs: results from using the Delphi approach.
Best practices for community-based overdose education and naloxone distribution programs: results from using the Delphi approach.
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DOI：
10.1186/s12954-022-00639-z
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发表时间：
2022-05-28
影响因子：
4.4
通讯作者：
Lambdin, Barrot H.
中科院分区：
文献类型：
--
作者：
Wenger, Lynn D.;Doe-Simkins, Maya;Wheeler, Eliza;Ongais, Lee;Morris, Terry;Bluthenthal, Ricky N.;Kral, Alex H.;Lambdin, Barrot H.
在过去的二十年里，美国与阿片类药物有关的过量死亡人数激增。通过及时给予纳洛酮，过量死亡是可以预防的。注射器服务项目（SSP）通过过量预防和纳洛酮分发（OEND）项目开创了以社区为基础的纳洛酮分发。目前缺乏关于以社区为基础的开放式数据end的最佳做法的信息。我们利用改进的Delphi方法为OEND交付开发了一套最佳实践。从最佳实践的初始列表开始，我们聘请了27位专家，他们在OEND编程领域进行审查，提出更改建议，并为每个最佳实践分配优先级。两轮的投入产生了20个最佳做法的最终清单，分为四个类别。平均优先级评分从1.17到2.17（范围1到3）。排名前5位的最佳做法是确保SSP参与者获得低障碍、一致的、基于需求的纳洛酮，并确保社区内有充足的纳洛酮。虽然剩下的15个最佳实践被认为是重要的，但它们更多地与组织文化和实施环境有关。增加以社区为基础的OEND交付对于减少阿片类药物过量死亡至关重要；然而，如果不关注实施的质量和对证据所依据的模型的忠实度，增加项目将是不够的。这个最佳实践列表总结了OEND专家之间的共识，可以作为提供OEND编程的ssp改进服务的工具。
Opioid-related overdose deaths have surged in the USA over the last two decades. Overdose fatalities are preventable with the timely administration of naloxone. Syringe service programs (SSP) have pioneered community-based naloxone distribution through overdose prevention and naloxone distribution (OEND) programs. There is a dearth of information with regards to best practices for community-based OEND. We utilized a modified Delphi approach to develop a set of best practices for OEND delivery. Starting with an initial list of best practices, we engaged 27 experts, in the field of OEND programming who reviewed, made recommendations for changes, and assigned a priority to each best practice. Two rounds of input resulted in a final list of 20 best practices organized into four categories. The mean priority scores ranged from 1.17 to 2.17 (range 1 to 3). The top 5 ranked best practices were ensuring that SSP participants have low barrier, consistent, needs-based access to naloxone and that there is ample naloxone available within communities. While the remaining fifteen best practices were deemed important, they had more to do with organizational culture and implementation climate. Increasing community-based OEND delivery is essential to reduce opioid overdose deaths; however, it will be insufficient to add programs without an eye toward quality of implementation and fidelity to the model upon which the evidence is based. This list of best practices summarizes the consensus among OEND experts and can serve as a tool for SSPs providing OEND programming to improve services.
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影响因子：
12.7
作者：
Davis, Corey S.;Ruiz, Sarah;Walley, Alexander Y.
通讯作者：
Walley, Alexander Y.
影响因子：
4.2
作者：
Behar, Emily;Santos, Glenn-Milo;Coffin, Phillip O.
通讯作者：
Coffin, Phillip O.
旧金山阿片类药物用户的预防过量预防和纳洛酮处方。
DOI：
10.1007/s11524-010-9495-8
发表时间：
2010-12
影响因子：
6.6
作者：
Enteen, Lauren;Bauer, Joanna;McLean, Rachel;Wheeler, Eliza;Huriaux, Emalie;Kral, Alex H.;Bamberger, Joshua D.
通讯作者：
Bamberger, Joshua D.
影响因子：
4.2
作者：
Kinnard, Elizabeth N.;Bluthenthal, Ricky N.;Lambdin, Barrot H.
通讯作者：
Lambdin, Barrot H.
影响因子：
4.2
作者：
Lambdin, Barrot H.;Davis, Corey S.;Kral, Alex H.
通讯作者：
Kral, Alex H.