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Implementing a "Naloxone Hub With Many Spokes" Model in Kentucky: Partner Agency Perspectives on Implementation

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Summary
This summary is machine-generated.

Partner organizations found resource provision, flexible overdose education delivery, and technical assistance crucial for scaling up overdose education and naloxone distribution (OEND) programs. These strategies effectively supported the expansion of this vital practice in communities.

Keywords:
implementation strategiesnaloxoneopioid epidemicoverdose education

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Area of Science:

  • Public Health
  • Implementation Science
  • Opioid Epidemic Research

Background:

  • Overdose education and naloxone distribution (OEND) is a critical evidence-based practice for combating the opioid epidemic.
  • The HEALing Communities Study in Kentucky scaled up OEND across eight counties using a "hub with many spokes" model and diverse implementation strategies.

Purpose of the Study:

  • To qualitatively explore partner organizations' perspectives on the utility of implementation strategies used to expand OEND.
  • To understand how implementation strategies facilitated or hindered OEND scale-up.

Main Methods:

  • Conducted 44 qualitative interviews (20 small-group, 24 individual) with staff from agencies implementing OEND.
  • Interviews occurred 6-8 months post-intervention to allow for reflection.
  • Utilized inductive coding and thematic analysis to identify key themes.

Main Results:

  • Partner organizations prioritized strategies providing resources, such as free naloxone and overdose education materials.
  • Flexibility in overdose education delivery enabled agencies to adapt to their workflows and recipient needs.
  • Implementation facilitation and technical assistance from study staff were perceived as valuable support.

Conclusions:

  • Multifaceted implementation strategies are essential for scaling up evidence-based practices (EBPs) in community settings.
  • Optimizing implementation strategies is crucial for diverse organizations aiming to implement OEND and mitigate opioid epidemic harms.