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Implementation and Evaluation of a Bystander Naloxone Training Course.
Scott G Weiner1, Scott A Goldberg1, Cheryl Lang2
1Brigham and Women's Hospital, Department of Emergency Medicine, Boston, Massachusetts.
The Western Journal of Emergency Medicine
|May 27, 2024
Summary
This study shows a brief naloxone training module significantly improved bystander knowledge and confidence in responding to opioid overdoses. The training is feasible and effective for reducing opioid overdose deaths.
Area of Science:
- Public Health
- Emergency Medicine
- Addiction Science
Background:
- Bystander naloxone administration is crucial for reducing opioid overdose fatalities.
- Existing naloxone training programs lack standardization.
- A novel, brief training module was developed to empower bystanders.
Purpose of the Study:
- To create and evaluate a brief naloxone training module for bystanders.
- To assess the module's impact on knowledge and attitudes regarding opioid overdose response.
- To determine the feasibility and effectiveness of the bystander empowerment course.
Main Methods:
- Retrospective evaluation of a naloxone training course integrated with Stop the Bleed training.
- Participants were administrative staff in a healthcare-related organization.
- Knowledge and attitudes were assessed using the Opioid Overdose Knowledge (OOKS) and Opioid Overdose Attitudes (OOAS) scales pre- and post-course.
Main Results:
- Significant improvements in objective knowledge scores (OOKS) from 73.2% to 91.5% (P < 0.001).
- Enhanced competency (P < 0.001), reduced concerns (P < 0.001), and increased readiness to intervene (P < 0.001) in opioid overdose situations.
- Twenty-eight participants completed the course, demonstrating high engagement and positive outcomes.
Conclusions:
- A brief, bystander-focused naloxone training module is feasible and effective.
- The developed training model can be adopted by hospitals and organizations to improve overdose response.
- A national consortium is recommended to standardize naloxone training content and delivery.
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