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

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

Naloxone • Antidote to an opioid overdose • Take-home naloxone – administered before ambulance arrives • Training – Prevention, recognition, response

Take-home naloxone in Norway National overdose prevention strategy in 2014 – Pilot in Oslo & Bergen – Funding provided – Prescription-free – Intranasal device

INITIAL AND REFILL NALOXONE DISTRIBUTED 2014-2017 Initial Refill Total 2529 By first quarter 2018: 7000 1783 1346 1327 1183 980 803 744 729 578 583 151 2014 2015 2016 2017

Distribution centers 100 different distribution sites throughout 29 municipalities

Expansion 2018 2017 2016 2014 Oslo Drammen Fredrikstad 15 new in 2018 Bergen Asker Bodø Stavanger Tromsø Over 29 municipalities Sandnes Skien Trondheim Porsgrund 75% coverage of Tønsberg OD locations Arendal

• Expansion meant needing to re-evaluate how we were operating • Current methods somewhat unsustainable

Training User Staff 5-10 minutes 2 hours Risk factors Staff able to then train users Prevention Recognition Response

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

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

E-learning

E-learning Background Curriculum Documentation Other • Overdoses • Risk factors • Initial forms • Debriefing • Naloxone • Recognition • Refill forms • Considerations program • Response • Nettskjema • Ideas for • Opioids implemntation • HLR • Naloxone Questions throughout, final quiz, certification

Online data collection

Training User Staff 5-10 minutes 2 hours Risk factors Staff able to then train users Prevention Recognition Response

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

www.stoppoverdose.no

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