A quantitative and qualitative evaluation of the British Columbia Take Home Naloxone program.
A quantitative and qualitative evaluation of the British Columbia Take Home Naloxone program.
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DOI：
10.9778/cmajo.20140008
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发表时间：
2014-07-01
期刊：
影响因子：
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通讯作者：
Buxton, Jane A
中科院分区：
文献类型：
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作者：
Banjo, Oluwajenyo;Tzemis, Despina;Buxton, Jane A
背景技术背景：2012年8月，推出了不列颠哥伦比亚省纳洛酮带回家（BCTHN）计划，以帮助减少阿片类药物过量及其后果。本研究评估的BCTHN程序，确定的成功和挑战，实施省级计划在加拿大。方法：在这个横断面研究中，我们回顾了BCTHN行政程序的记录，报告程序的结果（参与和过量逆转）。焦点小组和个人访谈进行了40个客户在温哥华; 12个个人访谈完成了与服务提供者，警察和父母谁使用阿片类药物的人从温哥华和内陆地区的不列颠哥伦比亚省。定性数据进行了分析，使用内容分析和定性描述approach.RESULTS：截至2014年3月13日，BCTHN计划已在40个站点实施，培训1318参与者过量预防，识别和响应，分发836包给客户端，并收到85过量逆转的报告。利益相关者支持该计划，客户报告对过量用药的反应更有信心。服务提供者发现该方案的培训材料易于使用，培训提高了客户的参与度。一些挑战包括难以确定愿意开处方的医生，招募一些高危人群（例如，长期阿片类药物使用者和慢性疼痛患者），以及客户不愿拨打911。我们还发现，警方对BCTHN有一些误解。解释：BCTHN计划很容易实施，赋予客户权力，并负责在最初的20个月内扭转85过量。我们建议加拿大各地的社区应该考虑实施带回家的纳洛酮计划，并评估他们的发现。
BACKGROUND: In August 2012, the British Columbia Take Home Naloxone (BCTHN) program was introduced to help to reduce opioid overdose and its consequences. This study evaluates the BCTHN program, identifying the successes and challenges of implementing a provincial program in Canada.METHODS: In this cross-sectional study, we reviewed the records of the BCTHN administrative program to report on program outcomes (participation and overdose reversals). Focus groups and individual interviews were conducted with 40 clients in Vancouver; 12 individual interviews were completed with service providers, police officers and parents of people who use opioids from both the Vancouver and Interior regions of British Columbia. Qualitative data were analyzed using content analysis and a qualitative descriptive approach.RESULTS: As of March 13, 2014, the BCTHN program had been implemented at 40 sites, trained 1318 participants in overdose prevention, recognition and response, distributed 836 kits to clients and received reports of 85 overdose reversals. Stakeholders were supportive of the program, and clients reported greater confidence in response to overdose. Service providers found the program training materials easy to use and that training increased client engagement. Some of the challenges included difficulty in identifying physician willing to prescribe, recruitment of some at-risk populations (e.g., long-term opioid users and patients with chronic pain), and clients' reluctance to call 911. We also found that the police had some misconceptions about BCTHN.INTERPRETATION: The BCTHN program was easy to implement, empowering for clients and was responsible for reversing 85 overdoses in its first 20 months. We suggest communities across Canada should consider implementing take-home naloxone programs and evaluate their findings.