Evidence map›Paper›PMID 26682929›Full record

ArticleSubstance abuse2016

Barriers to implementation of opioid overdose prevention programs in Ohio.

Erin L Winstanley, Angela Clark, Judith Feinberg, Christine M Wilder

Open access · greenAbstract read
In one paragraph

Article in Substance abuse, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
5.0field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 74 citations in OpenAlex.

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  12. Technology-assisted opioid education for out-of-treatment adults with opioid use disorder.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2022
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  17. Facilitators, barriers and lessons learnt from the first state-wide naloxone distribution conducted in West Virginia.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2021
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  18. Beyond effectiveness of the Strengthening Families Program (10-14): a scoping RE-AIM-based review.Psicologia, reflexao e critica : revista semestral do Departamento de Psicologia da UFRGS · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Erin L Winstanleya James L. Winkle College of Pharmacy , University of Cincinnati , Cincinnati , Ohio , USA.
Angela Clarkb College of Nursing , University of Cincinnati , Cincinnati , Ohio , USA.
Judith Feinbergc Behavioral Medicine & Psychiatry , College of Medicine , West Virginia University, Morgantown , West Virginia , USA.
Christine M Wilderd Department of Veterans Affairs Medical Center , Cincinnati , Ohio , USA.
University of Cincinnati Medical Center · USWest Virginia University · US

Funding

West Virginia IDEA-CTRU54GM104942 · NIGMS · WEST VIRGINIA UNIVERSITY · PI Sally Lynn Hodder · 2012 to 2026
$81.0M
NIGMS NIH HHS U54 GM104942
6 · The paper itself

Abstract

backgroundNationally, overdose fatalities have reached epidemic proportions. Ohio has one of the highest overdose death rates in the country, as well as high rates of prescription opioid trafficking.

methodsA cross-sectional self-report survey of opioid overdose prevention programs (OOPPs) in Ohio was conducted between August and October 2014 to characterize programs and ascertain barriers to successful implementation. A 91% response rate was achieved with 18 programs participating in the study.

resultsThe first Ohio OOPP opened in August 2012, a second program opened in 2013, and the remaining programs began in 2014. All of the programs distribute nasal naloxone and provide overdose prevention education, and 89% (n = 16) provide overdose kits for free. Six OOPPs are funded by the Ohio Department of Health, 3 programs are funded by a local health foundation, and several other public and private funding sources were reported. The OOPPs have funding to distribute a combined total of 8,670 overdose kits and had distributed 1998 kits by October 2014. The OOPPs reported 149 overdose reversals. Fifteen programs (83%) reported implementation barriers that were categorized as stigma-, cost-, staffing-, legal, regulatory, and client-related problems. Legislative changes aimed at removing some of the obstacles to distribution and lay administration of naloxone have recently been enacted in Ohio.

conclusionsOOPPs have rapidly expanded in Ohio during the past 3 years. Although recent legislative changes have addressed some of the reported implementation barriers, stigma and the cost of naloxone remain significant problems.

Indexed as

Analgesics, OpioidCross-Sectional StudiesDrug OverdoseHealth Services AccessibilityHumansNaloxoneNarcotic AntagonistsOhioOpioid-Related DisordersProgram DevelopmentProgram EvaluationAnalgesics, OpioidNaloxoneNarcotic AntagonistsNaloxoneopioid overdoseprevention

Identifiers

PMID26682929
PMCPMC4848747
OpenAlexW2269875011

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.