Brief Opioid Overdose Knowledge (BOOK): A Questionnaire to Assess Overdose Knowledge in Individuals Who Use Illicit or Prescribed Opioids
Brief Opioid Overdose Knowledge (BOOK): A Questionnaire to Assess Overdose Knowledge in Individuals Who Use Illicit or Prescribed Opioids
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DOI：
10.1097/adm.0000000000000235
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发表时间：
2016-09-01
影响因子：
5.5
通讯作者：
Bigelow, George E.
中科院分区：
文献类型：
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作者：
Dunn, Kelly E.;Barrett, Frederick S.;Bigelow, George E.
背景：阿片类药物过量是一种公共卫生危机。本研究描述了开发和验证阿片类药物过量知识（BOOK）问卷的努力，以评估与阿片类药物过量风险相关的患者知识差距。方法：两个非法阿片类药物使用者样本和第三个接受阿片类药物治疗慢性疼痛的患者样本（共计N = 848）完成了与阿片类药物过量风险相关的自我报告项目。建立了一个3因素量表，代表阿片类药物知识（4项）、阿片类药物过量知识（4项）和阿片类药物过量反应知识（4项）。量表具有较强的内部效度和表面效度。慢性疼痛患者在几乎所有评估项目中的表现都比非法药物使用者差，这突出表明需要增加这一人群对阿片类药物过量风险的了解。本研究旨在开发一种简短的、内部有效的方法，用于快速评估非法和处方阿片类药物使用者中阿片类药物过量风险领域的不足，为评估和比较教育干预提供有效的指标，促进医生和患者之间关于过量风险的对话，并帮助正式确定其他患者群体的知识缺陷。
Background: Opioid overdose is a public health crisis. This study describes efforts to develop and validate the Brief Opioid Overdose Knowledge (BOOK) questionnaire to assess patient knowledge gaps related to opioid overdose risks.Methods: Two samples of illicit opioid users and a third sample of patients receiving an opioid for the treatment of chronic pain (total N = 848) completed self-report items pertaining to opioid overdose risks.Results: A 3-factor scale was established, representing Opioid Knowledge (4 items), Opioid Overdose Knowledge (4 items), and Opioid Overdose Response Knowledge (4 items). The scale had strong internal and face validity. Patients with chronic pain performed worse than illicit drug users in almost all items assessed, highlighting the need to increase knowledge of opioid overdose risk to this population.Conclusions: This study sought to develop a brief, internally valid method for quickly assessing deficits in opioid overdose risk areas within users of illicit and prescribed opioids, to provide an efficient metric for assessing and comparing educational interventions, facilitate conversations between physicians and patients about overdose risks, and help formally identify knowledge deficits in other patient populations.