Layperson Naloxone Education and Our Opioid Overdose Epidemic

POSTER

Layperson Naloxone Education And Our Opioid Overdose Epidemic Tiffany Noyes, BSN, RN, DNP-Student PURPOSE & BACKGROUND IMPLEMENTATION The purpose of this project is to provide access to, and education about, naloxone for laypeople (i.e., non-health care providers) who may come upon an individual experiencing an opioid overdose in two rural counties. Background • In 2014, Utah ranked fourth in the nation for opioid overdose death rates with approximately 29 people dying every month Development of evidence-based naloxone education and handouts for class attendees • Identification of target groups (Residents of Carbon and Emery Counties) • Coordination with Four Corners Community Behavioral Health and Southeastern Utah Health Department • Over 60% of all overdoses are unintentional • Expanding access to naloxone, a medication to reverse the effects of opioids, may be key to preventing these tragic deaths AIMS • The CDC has found, on average, the states with more layperson naloxone programs have lower overdose death rates Provide Access to Naloxone Education and naloxone kits • Advertise via social media, flyers, and handouts • Present four trainings at different locations (50 attendees, N=44) • Disseminate educational materials to the community laypersons • Provide intranasal naloxone kits (provided by the public health program not directly related to this project) EVALUATION Development of evidence-based naloxone education and handouts for class attendees. • Content experts provided critical input ensuring accuracy of to target groups RESULTS: Provide access to naloxone education and naloxone kits • The pre- and post-training questionnaires assessed effectiveness of education to increase intent to use information I am able to identify an opioid overdose if I were in that situation: • The percentage of participants stating they were confident they could identify an overdose increased from 43.2 % brefore training to 86.4 % after training I am able to administer naloxone to someone who has overdosed: • The percentage of self-perceived ability to administer naloxone in the event they witness an opioid overdose increased from 41% pretraining to 100% after training Positively transform perception of overdose and behavioral intent to use naloxone • Carbon and Emery Counties together are #1 in the state for opioid overdose death rates PROCEDURES I plan to take a naloxone kit upon leaving: • 84% of class attendees planned to take a free intranasal naloxone kit upon leaving the class, identifying intent to use of the medication CONCLUSIONS/IMPLICATIONS Positively transform perception of overdose and behavioral intent to use naloxone • Evaluate outcomes of trainings using Azjen’s Theory of Planned Behavior (Figure 1) s Significance: Layperson naloxone education and access to naloxone kits can improve individual self-efficacy, intent, and positively transform the perception of substance use and naloxone in an effort to save lives. Limitations: Target population challenges and scheduling classes • Short time-frame for advertising of each class • Small sample size • Voluntary participant bias • One geographic location that is high-risk population Recommendations: Evaluation for improved self-efficacy, intent, & attitude • Provide access to free naloxone education and naloxone kits for high-risk communities and target populations by implementing local programs