Evidence map›Paper›PMID 30149925›Full record

ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2018

Identifying Missed Clinical Opportunities in Delivery of Overdose Prevention and Naloxone Prescription to Adolescents Using Opioids.

J Deanna Wilson, Justin Berk, Hoover Adger, Leonard Feldman

Registry-linked trialAbstract read
In one paragraph

Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06843213 (Teaching Health Promotion and Resilience in Varied Environments), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.6field-weighted citation impact, top 16% 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.

NCT06843213 narecruitingnot on this mapstarted 2025, after this paper: background citation

Teaching Health Promotion and Resilience in Varied Environments: a Peer-led Intervention Following Hospital Discharge

TypeinterventionalSponsorUniversity of PennsylvaniaRan2025 to 2028Enrolled390ConditionsOpioid Use Disorder, Harm Reduction, Health PromotionArmsPeer Intervention, Enhanced Usual Care
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 23 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Responding to the Youth Fentanyl Crisis: Practical Guidance for Child Psychiatrists.Journal of the American Academy of Child and Adolescent Psychiatry · 2024
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. "People Don't Just Start Shooting Heroin on Their 18Prevention science : the official journal of the Society for Prevention Research · 2021
    Article
  10. Youth Access to Naloxone: The Next Frontier?The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2019
    Article
  11. Review
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 1 institution in 1 country.

J Deanna WilsonDepartment of Pediatrics, Division of General Pediatrics and Adolescent Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland. Electronic address: wilsonjd@pitt.edu.
Justin BerkDepartment of Pediatrics, Division of General Pediatrics and Adolescent Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland; Department of Internal Medicine, Division of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Hoover AdgerDepartment of Pediatrics, Division of General Pediatrics and Adolescent Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Leonard FeldmanDepartment of Pediatrics, Division of General Pediatrics and Adolescent Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland; Department of Internal Medicine, Division of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Johns Hopkins University · US

Funding

Adolescent Health Training ProgramT32HD052459 · NICHD · JOHNS HOPKINS UNIVERSITY · PI MARIA E. TRENT · 2006 to 2026
$4.0M
NICHD NIH HHS T32 HD052459
6 · The paper itself

Abstract

purposePediatricians play a role in reducing opioid-related harms, including deaths, for patients and families. We examine knowledge, attitudes, and barriers to overdose prevention and naloxone prescribing in the clinical setting by pediatric trainees.

methodsPediatric trainees at an academic medical center were surveyed using an adapted 17-item instrument examining knowledge, beliefs, and attitudes of naloxone and overdose prevention.

resultsEighty-two percent reported frequent exposure to patients using opioids and at risk of overdose. While 94% felt they had the responsibility to educate patients about overdose risk, only 42% ever discussed overdose prevention. The majority (71%) were aware of naloxone as a prevention measure, but only 10% ever prescribed naloxone.

conclusionsPediatric residents frequently encountered patients using opioids, but the majority failed to deliver interventions to reduce overdose and related harms. We need concerted efforts to educate pediatric providers on delivering overdose harm prevention to opioid-using adolescents as part of routine clinical care.

Indexed as

Internship and ResidencyAdolescentAdultAnalgesics, OpioidDrug OverdoseFemaleHealth Knowledge, Attitudes, PracticeHumansMaleNaloxoneOpioid-Related DisordersPediatricsSurveys and QuestionnairesAnalgesics, OpioidNaloxoneDrug overdoseMedical educationOpioid-related disorders

Identifiers

PMID30149925
PMCPMC6355245
OpenAlexW2888079021

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.