
@article{ref1,
title="Randomized controlled trial of a computerized opioid overdose education intervention",
journal="Drug and alcohol dependence",
year="2017",
author="Dunn, Kelly E. and Yepez-Laubach, Claudia and Nuzzo, Paul A. and Fingerhood, Michael and Kelly, Anne and Berman, Suzan and Bigelow, George E.",
volume="173",
number="Suppl 1",
pages="S39-S47",
abstract="BACKGROUND: Opioid overdose (OD) has become a significant public health problem in need of effective interventions. The majority of existing educational interventions target provision of naloxone and are conducted in-person; these elements present logistical barriers that may limit wide-spread implementation. This study developed and evaluated an easily disseminated opioid OD educational intervention and compared computerized versus pamphlet delivery METHODS: Participants (N=76) undergoing opioid detoxification were randomly assigned to receive OD education via a Pamphlet (N=25), Computer (N=24), or Computer+Mastery (N=27) with identical content for all delivery modalities. Primary outcomes were changes from pre- to post-intervention in knowledge of opioid effects, opioid OD symptoms, and recommended opioid OD responses, as well as intervention acceptability. Also assessed at 1 and 3-month follow-ups were retention of knowledge and change in reported OD risk behaviors. <br><br>RESULTS: Knowledge increased following all three intervention-delivery modalities with few between-group differences observed in knowledge gain or acceptability ratings. Largest gains were in the domain of opioid OD response (from 41.8% to 73.8% mean correct responses; p<0.001). Knowledge was well sustained at the 1 and 3-month follow-ups among completers, where a significant reduction was seen in the critical behavioral risk factor of using opioids while alone. <br><br>CONCLUSION: Opioid overdose education delivered by computer or written pamphlet produced sustained increases in knowledge and reduction in a key behavioral risk factor.<br><br>RESULTS support further evaluation of this educational intervention that can be used alone or to complement naloxone-training programs.<br><br>Copyright © 2017 The Authors. Published by Elsevier B.V. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="0376-8716",
doi="10.1016/j.drugalcdep.2016.12.003",
url="http://dx.doi.org/10.1016/j.drugalcdep.2016.12.003"
}