Web applications for training in the use of naloxone nasal spray to - - PowerPoint PPT Presentation

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Feb 17, 2024 24 likes •208 views

Web applications for training in the use of naloxone nasal spray to prevent opioid overdoses Desiree Madah-Amiri, PhD Norwegian Centre for Addiction Research LAR conference, October 2018 Background What is naloxone? What is take home

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Web applications for training in the use of naloxone nasal spray to prevent opioid overdoses

Desiree Madah-Amiri, PhD Norwegian Centre for Addiction Research LAR conference, October 2018

SLIDE 2

Background

What is naloxone?
What is take home naloxone?
How has it been implemented in Norway
Why the need for web applications?
What digital platforms are now being used

SLIDE 3

Naloxone

Antidote to an opioid overdose
Take-home naloxone

– administered before ambulance arrives

Training

– Prevention, recognition, response

SLIDE 4

Take-home naloxone in Norway

National overdose prevention strategy in 2014

– Pilot in Oslo & Bergen – Funding provided – Prescription-free – Intranasal device

SLIDE 5

578 744 980 1346 151 583 803 1183 729 1327 1783 2529

2014 2015 2016 2017

INITIAL AND REFILL NALOXONE DISTRIBUTED 2014-2017

Initial Refill Total

By first quarter 2018: 7000

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Distribution centers

100 different distribution sites throughout 29 municipalities

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Expansion

15 new in 2018 Over 29 municipalities 75% coverage of OD locations

2018

Fredrikstad Bodø Tromsø Skien Porsgrund Tønsberg Arendal

2017

Drammen Asker Stavanger Sandnes Trondheim

2016

Oslo Bergen

2014

SLIDE 8

Expansion meant needing to re-evaluate

how we were operating

Current methods somewhat unsustainable

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Training

User

5-10 minutes Risk factors Prevention Recognition Response

Staff

2 hours Staff able to then train users

SLIDE 10

Staff training

Staff from existing low-threshold centers

Train-the-trainer model

– Began with 3 central trainers – >500 staff trained in first 18 months – Currently over 1200

Madah-Amiri, Clausen, & Lobmaier. Drug alcohol depend. 2016

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While successful, not sustainable… …Naloxone had to modernize and adapt

SLIDE 12

E-learning

SLIDE 13

E-learning

Background

Overdoses
Naloxone

program

Opioids
Naloxone

Curriculum

Risk factors
Recognition
Response
HLR

Documentation

Initial forms
Refill forms
Nettskjema

Other

Debriefing
Considerations
Ideas for

implemntation

Questions throughout, final quiz, certification

SLIDE 14

Online data collection

SLIDE 15

Training

User

5-10 minutes Risk factors Prevention Recognition Response

Staff

2 hours Staff able to then train users

SLIDE 16

Instructional video

https://vimeo.com/276069515/78e83dd2bb

SLIDE 17

www.stoppoverdose.no

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Acknowledgements

Naloxone ninjas Åse Merete Solheim (Bergen) Øystein Bruun Ericson (Oslo) Vibeke Kleveland (Trondheim) Julie Høivik SERAF Philipp Lobmaier (MD, PhD) Thomas Clausen (professor, PI) Pharmaceutical industry (DnE) Jenny Teigene and colleagues Directorate of Health Martin Blindheim Ambulance services Guttorm Brattebø (Bergen), Arne Skulberg (Oslo), and colleagues