Naloxone Training Among Sorority-Affiliated College Students: An Observational Study
Shameka L Cody1, Christina J Ezemenaka, Cheryl B Hines
1Shameka L. Cody is an associate professor at the Capstone College of Nursing, University of Alabama, Tuscaloosa, where Cheryl B. Hines is a clinical assistant professor (retired). Christina J. Ezemenaka is an assistant professor at the University of Mississippi Medical Center, Jackson. Stella M. Rogers is a staff nurse at the Mayo Clinic Hospital, Rochester, MN. Sharlene D. Newman is a professor of psychology at the Barefield College of Arts and Sciences, University of Alabama, Tuscaloosa, and the executive director of the university's Alabama Life Research Institute. Contact author: Shameka L. Cody, slcody@ua.edu . The authors have disclosed no potential conflicts of interest, financial or otherwise.
College students, particularly sorority members, received improved opioid knowledge and overdose response skills after an educational lecture and naloxone training. This intervention demonstrated significant gains in understanding opioid toxicity and proper naloxone administration.
Area of Science:
- Public Health
- Emergency Medicine
- Addiction Science
Background:
- College students face elevated risks for substance use and opioid overdose due to academic and social pressures.
- Sorority affiliation is associated with increased substance misuse among college students.
- Many students are unaware of fentanyl's presence in illicit drugs, increasing overdose risks.
Purpose of the Study:
- To assess college-affiliated sorority students' knowledge of opioids and overdose response before and after an educational intervention.
- To evaluate the effectiveness of a lecture combined with hands-on naloxone training.
- To explore students' perceptions of the intervention's impact on their preparedness.
Main Methods:
- An observational pre-post study involving 84 participants.
- Administered pre- and post-intervention knowledge questionnaires on opioids and overdose response.
- Provided a lecture and hands-on intranasal naloxone administration training using simulation.
- Assessed participants' practical skills via a behavioral rubric and their perceptions via a survey.
Main Results:
- Significant improvements were observed in posttest scores for overall opioid knowledge, toxicity recognition, and overdose response compared to pretest scores.
- Participants who practiced demonstrated 100% proficiency in simulated opioid overdose response and naloxone administration.
- The intervention effectively enhanced participants' understanding and comfort in responding to opioid overdose events.
Conclusions:
- A combined didactic and hands-on educational approach significantly improved opioid knowledge and overdose response skills in sorority-affiliated college students.
- Implementing routine opioid education and naloxone training in college settings is recommended.
- Further research should examine long-term knowledge retention and real-world skill application.
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