Evidence map›Paper›PMID 37189052›Full record

ArticleBMC public health2023

Considerations for the design of overdose education and naloxone distribution interventions: results of a multi-stakeholder workshop.

Kate Sellen, Benjamin Markowitz, Janet A Parsons, Pamela Leece, Curtis Handford, Nick Goso, Shaun Hopkins, Michelle Klaiman, Rita Shahin, Geoffrey Milos and 6 more

Abstract read
In one paragraph

Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

16 authors.

Kate SellenHealth Design Studio, OCAD University, Toronto, ON, M5T 1W1, Canada. ksellen@faculty.ocadu.ca.
Benjamin MarkowitzApplied Health Research Centre, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Canada.
Janet A ParsonsApplied Health Research Centre, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Canada.
Pamela LeecePublic Health Ontario, Toronto, Canada.
Curtis HandfordDepartment of Family and Community Medicine, University of Toronto, Toronto, Canada.
Nick GosoHealth Design Studio, OCAD University, Toronto, ON, M5T 1W1, Canada.
Shaun HopkinsToronto Public Health, Toronto, Canada.
Michelle KlaimanDepartment of Emergency Medicine, St. Michael's Hospital, Unity Health, Toronto, Canada.
Rita ShahinToronto Public Health, Toronto, Canada.
Geoffrey MilosSt. Michael's Hospital, Unity Health, Toronto, Canada.
Amy WrightSt. Michael's Hospital, Unity Health, Toronto, Canada.
Mercy CharlesApplied Health Research Centre, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Canada.
Laurie MorrisonApplied Health Research Centre, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Canada.
Carol StrikeDalla Lana School of Public Health, University of Toronto, Toronto, Canada.
Aaron OrkinInner City Health Associates, Toronto, Canada.
SOONER Investigators

Funding

CIHR 201603PJT
6 · The paper itself

Abstract

introductionOpioid overdose epidemic is a public health crisis that is impacting communities around the world. Overdose education and naloxone distribution programs equip and train lay people to respond in the event of an overdose. We aimed to understand factors to consider for the design of naloxone distribution programs in point-of-care settings from the point of view of community stakeholders.

methodsWe hosted a multi-stakeholder co-design workshop to elicit suggestions for a naloxone distribution program. We recruited people with lived experience of opioid overdose, community representatives, and other stakeholders from family practice, emergency medicine, addictions medicine, and public health to participate in a full-day facilitated co-design discussion wherein large and small group discussions were audio-recorded, transcribed and analysed using thematic approaches.

resultsA total of twenty-four participants participated in the multi-stakeholder workshop from five stakeholder groups including geographic and setting diversity. Collaborative dialogue and shared storytelling revealed seven considerations for the design of naloxone distribution programs specific to training needs and the provision of naloxone, these are: recognizing overdose, how much naloxone, impact of stigma, legal risk of responding, position as conventional first aid, friends and family as responders, support to call 911.

conclusionTo create an naloxone distribution program in emergency departments, family practice and substance use treatment services, stigma is a central design consideration for training and naloxone kits. Design choices that reference the iconography, type, and form of materials associated with first aid have the potential to satisfy the need to de-stigmatize overdose response.

Indexed as

Drug OverdoseOpiate OverdoseOpioid-Related DisordersAnalgesics, OpioidEmergency Service, HospitalHumansNaloxoneNarcotic AntagonistsAnalgesics, OpioidNaloxoneNarcotic AntagonistsCo-designHarm reductionNaloxone distributionOpioid overdoseOverdose educationStigma

Identifiers

PMID37189052
PMCPMC10183687

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.