Police/Fire/EMTs Get the SKOOP: Online Skills & Training On Overdose Prevention

警察/消防员/急救人员获取 SKOOP：在线技能

• 批准号: 8315435
• 负责人: Janie Elizabeth Simmons
• 金额: $ 18.57万
• 依托单位: SOCIAL SCIENCES INNOVATIONS CORPORATION
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-05-15 至 2014-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8315435
• 关键词: Address; Adopted; Antidotes; Area; Attitude; Belief; Boston; Centers for Disease Control and Prevention (U.S.); Cessation of life; Cities; Computer Assisted; Death Rate; Depressed mood; Drug Controls; Drug Prescriptions; Drug usage; Drug user; Education; Educational Curriculum; Educational process of instructing; Effectiveness; Emergency Medical Technicians; Emergency Situation; Epidemic; Face; Feedback; Feeling; Fire - disasters; Focus Groups; Fright; Funding; Goals; Housing; Human Resources; Immune; Individual; Intervention; Knowledge; Law Enforcement; Lead; Learning; Legal; Life; Link; Marketing; Massachusetts; Measures; Naloxone; Naloxone Hydrochloride; Nurses; Online Systems; Opioid; Outcome; Overdose; Pharmaceutical Preparations; Pharmacologic Substance; Phase; Physician Executives; Physicians; Play; Police; Police officer; Policies; Pre-Post Tests; Prevention; Prevention education; Prevention program; Property; Public Health; Recurrence; Reporting; Resolution; Resources; Respiration; Role; Safety; Small Business Innovation Research Grant; Staging; Techniques; Testing; Time; Training; United States Substance Abuse and Mental Health Services Administration; addiction; computerized; cost; design; innovation; meetings; mortality; overdose death; overdose prevention; prototype; response; satisfaction; skills; skills training; symposium; tool; usability

DESCRIPTION (provided by applicant): We propose to develop an innovative, comprehensive, easily accessible, low-cost curriculum on opioid- overdose (OD) prevention for Public Safety Personnel - Police, Firefighters and EMTs. Public Safety Personnel (PSP) have a critical role to play in effectively responding to an OD-related 911 call, yet many are not equipped with the knowledge and tools to respond effectively. This 2-track curriculum [one track for police; a second track for firefighters and emergency medical technicians (EMTs)] will provide targeted, up-to-date, lifesaving information and teach skills on how to safely and effectively respond to an OD emergency. In the U.S. fatal drug ODs, from both legal and illegal drugs, have increased dramatically. According to the CDC, in 2007, drug-induced deaths climbed to more than 38,000. This increase was driven primarily by OD deaths from the non-medical use of legal pharmaceuticals. Opioid-related deaths are especially tragic because they are largely preventable. A safe, cheap, easy to administer antidote exists - naloxone hydrochloride or Narcan. Naloxone restores respiration rates that have been depressed by the OD. It has no psychoactive properties and is not a controlled drug. Because of its effectiveness in reversing opioid ODs, the 2010 Office of National Drug Control Policy (ONDCP) Prevention Plan call for an expansion in the number of PSPs who are equipped to recognize and respond to ODs with naloxone. The Plan has been endorsed by HHS, CDC, ONDCP, HHS/OASH, and SAMHSA. The U.S. Conference of Mayors also adopted a resolution in support of the plan at their June, 2011 Annual meeting. Section 32D of the Plan states: "The Administration will seek to expand the number of physicians, nurses, emergency medical technicians, law enforcement professionals, and firefighters who are trained in how to recognize an overdose and who further know how to administer life-saving techniques and overdose reversal medications such as naloxone." This proposed curriculum will adapt and further develop a face-to-face course, Opioid Overdose Prevention for Public Safety and Law Enforcement, developed for Boston police officers into a computer-assisted instructional (CAI) format, accessible online, for all PSPs (Fire/EMTs as well as Police). This highly tailored, web-based curriculum will 1) address why PSPs need education and tools to reverse ODs, 2) teach how to respond effectively to an OD both with and without naloxone (for times when naloxone is not available), 3) address concerns and feelings raised by PSPs about learning these new skills, especially for police assuming this new role, and 4) link PSPs to additional information and resources. The 2-track design will enable us to tailor the curriculum to the needs of each group (Track 1: Police; Track 2: Fire/EMTs) to enhance relevance, acceptability and learning outcomes. The curriculum will be marketed aggressively for rapid, nationwide dissemination through numerous public health and safety channels due to its potential life-saving impact - the reduction of fatal ODs, nationwide. PUBLIC HEALTH RELEVANCE: According to the CDC, in 2007, drug-induced deaths climbed to more than 38,000 with increases driven primarily by the non-medical use of legal pharmaceuticals. This project will adapt and further develop an overdose prevention education and skills training curriculum for presentation online for police, firefighters and EMTs in keeping with the ONDCP Prevention Plan for Public Safety Personnel. The knowledge gained will allow Public Safety Personnel to intervene effectively to reduce fatal opioid-associated overdoses and will permit wide dissemination.

描述（由申请人提供）：我们建议为公共安全人员（警察，消防员和急救人员）开发一种创新，全面，易于获取，低成本的阿片类药物过量（OD）预防课程。公共安全人员（PSP）在有效响应与od相关的911呼叫方面发挥着关键作用，但许多人没有配备有效响应的知识和工具。这个双轨课程[一个是警察；为消防队员和紧急医疗技术人员提供的第二条轨道将提供有针对性的、最新的救生信息，并教授如何安全有效地应对吸毒过量紧急情况的技能。在美国，来自合法和非法药物的致命药物ODs急剧增加。根据疾病预防控制中心的数据，2007年，毒品导致的死亡人数攀升至38,000多人。这一增长主要是由于非医疗使用合法药品造成的过量死亡。与阿片类药物有关的死亡尤其悲惨，因为它们在很大程度上是可以预防的。有一种安全、廉价、易于使用的解毒剂——盐酸纳洛酮或纳洛酮。纳洛酮可以恢复因吸毒过量而被抑制的呼吸速率。它没有精神活性，也不是受管制的药物。由于纳洛酮在逆转阿片类药物滥用方面的有效性，2010年国家药物管制政策办公室（ONDCP）预防计划呼吁增加有能力识别并使用纳洛酮应对阿片类药物滥用的psp数量。该计划已得到HHS、CDC、ONDCP、HHS/OASH和SAMHSA的批准。美国市长会议也在2011年6月的年会上通过了一项支持该计划的决议。该计划的第32D条规定：“政府将寻求增加医生、护士、紧急医疗技术人员、执法专业人员和消防员的人数，他们接受过如何识别过量药物的培训，并进一步了解如何使用救生技术和过量逆转药物，如纳洛酮。”这一拟议的课程将适应并进一步发展一门面对面的课程，即为波士顿警察开发的阿片类药物过量预防公共安全和执法，将其转变为计算机辅助教学（CAI）格式，供所有psp（消防/ emt以及警察）在线访问。这个高度定制的基于网络的课程将1)解释为什么警务人员需要教育和工具来逆转吸毒过量，2)教授如何有效地应对吸毒过量，包括使用和不使用纳洛酮（在没有纳洛酮的情况下），3)解决警务人员在学习这些新技能时提出的担忧和感受，特别是对于承担新角色的警察，4)将警务人员与其他信息和资源联系起来。双轨设计将使我们能够根据每个小组的需要定制课程（轨道1：警察；轨道2：消防/急救人员），以提高相关性，可接受性和学习成果。该课程将积极推广，通过众多公共卫生和安全渠道在全国范围内迅速传播，因为它可能具有挽救生命的影响——在全国范围内减少致命的消耗毒物。