Evidence map›Paper›PMID 35909312›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2022

Design details for overdose education and take-home naloxone kits: Codesign with family medicine, emergency department, addictions medicine and community.

Kate Sellen, Nick Goso, Laura Halleran, Alison Mulvale-Fletcher, Felipe Sarmiento, Filipe Ligabue, Curtis Handford, Michelle Klaiman, Geoffrey Milos, Amy Wright and 13 more

Abstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Design details for overdose education and take-home naloxone kits: Codesign with family medicine, emergency department, addictions medicine and community.Health expectations : an international journal of public participation in health care and health policy · 2022
    Article
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

23 authors.

Kate SellenHealth Design Studio, OCAD University, Toronto, Ontario, Canada.ORCID 0000-0002-2434-7047
Nick GosoHealth Design Studio, OCAD University, Toronto, Ontario, Canada.
Laura HalleranHealth Design Studio, OCAD University, Toronto, Ontario, Canada.
Alison Mulvale-FletcherHealth Design Studio, OCAD University, Toronto, Ontario, Canada.
Felipe SarmientoHealth Design Studio, OCAD University, Toronto, Ontario, Canada.
Filipe LigabueHealth Design Studio, OCAD University, Toronto, Ontario, Canada.
Curtis HandfordDepartment of Family and Community Medicine, St. Michael's Hospital, Unity Health, Toronto, Ontario, Canada.
Michelle KlaimanDepartment of Emergency Medicine, St. Michael's Hospital, Unity Health, Toronto, Ontario, Canada.
Geoffrey MilosSOONER Project Community Advisory Committee, St. Michael's Hospital, Unity Health, Toronto, Ontario, Canada.
Amy WrightSOONER Project Community Advisory Committee, St. Michael's Hospital, Unity Health, Toronto, Ontario, Canada.
Mercy CharlesAllan Waters Family Simulation Centre, St. Michael's Hospital, Unity Health, Toronto, Ontario, Canada.
Ruby SnidermanApplied Health Research Centre, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada.
Richard HuntHealth Design Studio, OCAD University, Toronto, Ontario, Canada.
Janet A ParsonsApplied Health Research Centre, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada.
Pamela LeecePublic Health Ontario, Toronto, Ontario, Canada.
Shaun HopkinsToronto Public Health, Toronto, Ontario, Canada.
Rita ShahinToronto Public Health, Toronto, Ontario, Canada.
Peter JüniApplied Health Research Centre, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada.
Laurie MorrisonApplied Health Research Centre, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada.
Douglas M CampbellAllan Waters Family Simulation Centre, St. Michael's Hospital, Unity Health, Toronto, Ontario, Canada.
Carol StrikeDalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
Aaron OrkinDalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
SOONER Investigators

Funding

CIHR 365352
6 · The paper itself

Abstract

introductionOverdose education and naloxone distribution (OEND) programmes equip and train people who are likely to witness an opioid overdose to respond with effective first aid interventions. Despite OEND expansion across North America, overdose rates are increasing, raising questions about how to improve OEND programmes. We conducted an iterative series of codesign stakeholder workshops to develop a prototype for take-home naloxone (THN)-kit (i.e., two doses of intranasal naloxone and training on how to administer it).

methodsWe recruited people who use opioids, frontline healthcare providers and public health representatives to participate in codesign workshops covering questions related to THN-kit prototypes, training on how to use it, and implementation, including refinement of design artefacts using personas and journey maps. Completed over 9 months, the workshops were audio-recorded and transcribed with visible results of the workshops (i.e., sticky notes, sketches) archived. We used thematic analyses of these materials to identify design requirements for THN-kits and training.

resultsWe facilitated 13 codesign workshops to identify and address gaps in existing opioid overdose education training and THN-kits and emphasize timely response and stigma in future THN-kit design. Using an iterative process, we created 15 prototypes, 3 candidate prototypes and a final prototype THN-kit from the synthesis of the codesign workshops.

conclusionThe final prototype is available for a variety of implementation and evaluation processes. The THN-kit offers an integrated solution combining ultra-brief training animation and physical packaging of nasal naloxone to be distributed in family practice clinics, emergency departments, addiction medicine clinics and community settings. PATIENT OR PUBLIC CONTRIBUTION: The codesign process was deliberately structured to involve community members (the public), with multiple opportunities for public contribution. In addition, patient/public participation was a principle for the management and structuring of the research team.

Indexed as

Addiction MedicineDrug OverdoseOpiate OverdoseEmergency Service, HospitalFamily PracticeHumansNaloxoneNarcotic AntagonistsNaloxoneNarcotic Antagonistscodesignharm reductionnaloxone toolkitopioid overdoseoverdose education

Identifiers

PMID35909312
PMCPMC9615059

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.