Evidence map›Paper›PMID 29625609›Full record

ArticleHarm reduction journal2018

Lay responder naloxone access and Good Samaritan law compliance: postcard survey results from 20 Indiana counties.

Dennis P Watson, Bradley Ray, Lisa Robison, Philip Huynh, Emily Sightes, La Shea Walker, Krista Brucker, Joan Duwve

Open access · goldAbstract read
In one paragraph

Article in Harm reduction journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
4.8field-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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.

  1. Pooled it
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  5. Implementation of an EMS-based naloxone distribution program: A qualitative evaluation.Journal of the American College of Emergency Physicians open · 2024
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  11. Knowledge of a Drug-Related Good Samaritan Law Among People Who Use Drugs, Vancouver, Canada.Health education & behavior : the official publication of the Society for Public Health Education · 2022
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  20. Observational
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

8 authors at 1 institution in 1 country.

Dennis P WatsonDepartment of Social and Behavioral Sciences, Center for Health Engagement and Equity Research, Indiana University Richard M. Fairbanks School of Public Health, Indiana University-Purdue University Indianapolis, 1050 Wishard Blvd, Indianapolis, IN, 46202, USA. dpwatson@iu.edu.ORCID 0000-0001-7208-5160
Bradley RaySchool of Public and Environmental Affairs, Indiana University-Purdue University Indianapolis, 801 W. Michigan St, Indianapolis, IN, 46202, USA.
Lisa RobisonDepartment of Social and Behavioral Sciences, Center for Health Engagement and Equity Research, Indiana University Richard M. Fairbanks School of Public Health, Indiana University-Purdue University Indianapolis, 1050 Wishard Blvd, Indianapolis, IN, 46202, USA.
Philip HuynhDepartment of Social and Behavioral Sciences, Center for Health Engagement and Equity Research, Indiana University Richard M. Fairbanks School of Public Health, Indiana University-Purdue University Indianapolis, 1050 Wishard Blvd, Indianapolis, IN, 46202, USA.
Emily SightesDepartment of Social and Behavioral Sciences, Center for Health Engagement and Equity Research, Indiana University Richard M. Fairbanks School of Public Health, Indiana University-Purdue University Indianapolis, 1050 Wishard Blvd, Indianapolis, IN, 46202, USA.
La Shea WalkerDepartment of Social and Behavioral Sciences, Center for Health Engagement and Equity Research, Indiana University Richard M. Fairbanks School of Public Health, Indiana University-Purdue University Indianapolis, 1050 Wishard Blvd, Indianapolis, IN, 46202, USA.
Krista BruckerDepartment of Emergency Medicine, Indiana University School of Medicine, Indiana University School of Medicine, 3930 Georgetown Rd, Indianapolis, IN, 46254, USA.
Joan DuwveDepartment of Health Policy and Management and the Center for Public Health Practice, Indiana University Richard M. Fairbanks School of Public Health, Indiana University-Purdue University Indianapolis, 1050 Wishard Blvd, Indianapolis, IN, 46202, USA.
Indiana University – Purdue University Indianapolis · US

Funding

INDIANA PRESCRIPTION DRUG OVERDOSE PREVENTION FOR STATESU17CE002721 · CE · INDIANA STATE DEPARTMENT OF HEALTH · PI CHAUHAN, REBECCA · 2016 to 2016
$1.4M
CDC HHS NU17CE002721NCIPC CDC HHS U17 CE002721
6 · The paper itself

Abstract

backgroundTo reduce fatal drug overdoses, two approaches many states have followed is to pass laws expanding naloxone access and Good Samaritan protections for lay persons with high likelihood to respond to an opioid overdose. Most prior research has examined attitudes and knowledge among lay responders in large metropolitan areas who actively use illicit substances. The present study addresses current gaps in knowledge related to this issue through an analysis of data collected from a broader group of lay responders who received naloxone kits from 20 local health departments across Indiana.

methodsPostcard surveys were included inside naloxone kits distributed in 20 Indiana counties, for which 217 returned cards indicated the person completing it was a lay responder. The survey captured demographic information and experiences with overdose, including the use of 911 and knowledge about Good Samaritan protections.

resultsFew respondents had administered naloxone before, but approximately one third had witnessed a prior overdose and the majority knew someone who had died from one. Those who knew someone who had overdosed were more likely to have obtained naloxone for someone other than themselves. Also, persons with knowledge of Good Samaritan protections or who had previously used naloxone were significantly more likely to have indicated calling 911 at the scene of a previously witnessed overdose. Primary reasons for not calling 911 included fear of the police and the person who overdosed waking up on their own.

conclusionsKnowing someone who has had a fatal or non-fatal overdose appears to be a strong motivating factor for obtaining naloxone. Clarifying and strengthening Good Samaritan protections, educating lay persons about these protections, and working to improve police interactions with the public when they are called to an overdose scene are likely to improve implementation and outcomes of naloxone distribution and opioid-related Good Samaritan laws.

Indexed as

Health Knowledge, Attitudes, PracticeSurveys and QuestionnairesAdolescentAdultAgedDrug OverdoseEmergenciesFemaleHealth Services AccessibilityHumansIndianaMaleMiddle AgedNaloxoneNarcotic AntagonistsYoung AdultNaloxoneNarcotic AntagonistsGood SamaritanLay responderNaloxoneNarcanOpioidOverdose prevention

Identifiers

PMID29625609
PMCPMC5889562
OpenAlexW2800001947

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.