Development and process evaluation of an educational intervention for overdose prevention and naloxone distribution by general practice trainees

Files in This Item:
File Description SizeFormat 
2088785695156419_article2.pdf121.62 kBAdobe PDFDownload
Title: Development and process evaluation of an educational intervention for overdose prevention and naloxone distribution by general practice trainees
Authors: Klimas, Jan
Egan, Mairead
Tobin, Helen
Coleman, Neil
Bury, Gerard
Permanent link:
Date: Nov-2015
Abstract: Background: Overdose is the most common cause of fatalities among opioid users. Naloxone is a life-saving medication for reversing opioid overdose. In Ireland, it is currently available to ambulance and emergency care services, but General Practitioners (GP) are in regular contact with opioid users and their families. This positions them to provide naloxone themselves or to instruct patients how to use it. The new Clinical Practice Guidelines of the Pre-hospital Emergency Care Council of Ireland allows trained bystanders to administer intranasal naloxone. We describe the development and process evaluation of an educational intervention, designed to help GP trainees identify and manage opioid overdose with intranasal naloxone. Methods: Participants (N = 23) from one postgraduate training scheme in Ireland participated in a one-hour training session. The repeated-measures design, using the validated Opioid Overdose Knowledge (OOKS) and Attitudes (OOAS) Scales, examined changes immediately after training. Acceptability and satisfaction with training were measured with a self-administered questionnaire. Results: Knowledge of the risks of overdose and appropriate actions to be taken increased significantly post-training [OOKS mean difference, 3.52 (standard deviation 4.45); P < 0.001]; attitudes improved too [OOAS mean difference, 11.13 (SD 6.38); P < 0.001]. The most and least useful delivery methods were simulation and video, respectively. Conclusion: Appropriate training is a key requirement for the distribution of naloxone through general practice. In future studies, the knowledge from this pilot will be used to inform a train-the-trainer model, whereby healthcare professionals and other front-line service providers will be trained to instruct opioid users and their families in overdose prevention and naloxone use.  
Funding Details: Health Research Board
Irish Research Council
Type of material: Journal Article
Publisher: BioMed Central
Journal: BMC Medical Education
Volume: 15
Issue: 206
Start page: 1
End page: 9
Copyright (published version): 2015 the Authors
Keywords: OverdoseFeasibility studyNaloxoneEducationGeneral practice
DOI: 10.1186/s12909-015-0487-y
Language: en
Status of Item: Peer reviewed
Appears in Collections:Medicine Research Collection

Show full item record

Citations 50

Last Week
Last month
checked on Dec 12, 2018

Google ScholarTM



This item is available under the Attribution-NonCommercial-NoDerivs 3.0 Ireland. No item may be reproduced for commercial purposes. For other possible restrictions on use please refer to the publisher's URL where this is made available, or to notes contained in the item itself. Other terms may apply.