Overdose Education and Naloxone Rescue Kits for Family Members of Individuals Who Use Opioids: Characteristics, Motivations, and Naloxone Use
Overdose Education and Naloxone Rescue Kits for Family Members of Individuals Who Use Opioids: Characteristics, Motivations, and Naloxone Use
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DOI：
10.1080/08897077.2014.989352
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发表时间：
2015-04-03
期刊：
影响因子：
3.5
通讯作者：
Walley, Alexander Y.
中科院分区：
文献类型：
--
作者：
Bagley, Sarah M.;Peterson, Joanne;Walley, Alexander Y.
背景资料：为了应对过量流行病，马萨诸塞州的一个家庭成员支持团体网络一直在提供过量教育和纳洛酮急救包（OEN）。本研究的目的是描述接受OEN的家庭成员的特征、动机和获益，并描述在过量抢救期间使用纳洛酮的频率。研究方法：这项横断面、多中心研究调查了阿片类药物使用者家庭成员社区支持小组的参与者，其中使用42项自我管理调查提供OEN培训，包括人口统计学、与使用阿片类药物的个人的关系、过量用药的经历、接受OEN的动机和纳洛酮急救包的使用。结果如下：在8个地点完成调查的126名与会者中，大多数与会者是白色（95%），女性（78%），已婚或有伴侣（74%），使用阿片类药物的个人的父母（85%），并为使用阿片类药物的个人提供经济支持（52%）。OEN学员（79%）比未接受培训的学员（21%）更有可能成为使用阿片类药物的个人的父母（91% vs. 65%，P <.05），为使用阿片类药物的个人提供经济支持（58% vs. 30%，P <.05），并目睹过量（35% vs. 12%，P =.07）。接受培训的主要动机是想在家里得到一个工具包（72%），在会议上提供教育（60%），以及听到别人的好处（57%）。16名家长报告称目睹了他们的孩子用药过量，5名与会者在过量抢救期间成功使用了纳洛酮。结论：使用阿片类药物的人的家庭的支持团体是进行过量预防培训的有希望的场所，因为与会者有动力接受培训，并将在目睹过量时使用纳洛酮来拯救人们。进一步的研究是必要的，以了解如何优化这种方法，以过量预防在社区设置。
Background: In response to the overdose epidemic, a network of support groups for family members in Massachusetts has been providing overdose education and naloxone rescue kits (OEN). The aims of this study were to describe the characteristics, motivations, and benefits of family members who receive OEN and to describe the frequency of naloxone used during an overdose rescue. Methods: This cross-sectional, multisite study surveyed attendees of community support groups for family members of opioid users where OEN training was offered using a 42-item self-administered survey that included demographics, relationship to the individual using opioids, experience with overdose, motivations to receive OEN, and naloxone rescue kit use. Results: Of 126 attendees who completed surveys at 8 sites, most attendees were white (95%), female (78%), married or partnered (74%), parents of an individual using opioids (85%), and providing financial support for the individual using opioids (52%). The OEN trainees (79%) were more likely than attendees not trained (21%) to be parents of an individual using opioids (91% vs. 65%, P < .05), to provide financial support to an individual using opioids (58% vs. 30%, P < .05), and to have witnessed an overdose (35% vs. 12%, P = .07). The major motivations to receive training were wanting a kit in their home (72%), education provided at the meeting (60%), and hearing about benefits from others (57%). Sixteen parents reported witnessing their child overdose, and 5 attendees had used naloxone successfully during an overdose rescue. Conclusions: Support groups for families of people who use opioids are promising venues to conduct overdose prevention trainings because attendees are motivated to receive training and will use naloxone to rescue people when witnessing an overdose. Further study is warranted to understand how to optimize this approach to overdose prevention in the community setting.