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Abstract：
This article reports on the first implementation of an online opioid-overdose prevention, recognition and response training for laypeople. The training was disseminated nationally in November 2014. Between 2000 and 2014, U.S. opioid deaths increased by 200%. The importance of complementary approaches to reduce opioid overdose deaths, such as online training, cannot be overstated.
A retrospective evaluation was conducted to assess perceived knowledge, skills to intervene in an overdose, confidence to intervene, and satisfaction with the training.
Descriptive statistics were used to report sample characteristics, compare experiences with overdose and/or naloxone between subgroups, and describe participants\' satisfaction with the trainings. Z-ratios were used to compare independent proportions, and paired t-tests were used to compare participant responses to items pre- and posttraining, including perceived confidence to intervene and perceived knowledge and skills to intervene successfully.
Between January and October 2015, 2,450 laypeople took the online training; 1,464 (59.8%) agreed to be contacted. Of these, 311 (21.2% of those contacted) completed the survey. Over 80% reported high satisfaction with content, format and mode of delivery and high satisfaction with items related to confidence and overdose reversal preparedness. Notably, 89.0% of participants felt they had the knowledge and skills to intervene successfully posttraining compared to 20.3% pretraining (z = -17.2, p <.001). Similarly, posttraining, 87.8% of participants felt confident they could successfully intervene compared to 24.4% pretraining (z = -15.9, p <.001).
This study demonstrates the effectiveness of the GetNaloxoneNow.org online training for laypeople.
A retrospective evaluation was conducted to assess perceived knowledge, skills to intervene in an overdose, confidence to intervene, and satisfaction with the training.
Descriptive statistics were used to report sample characteristics, compare experiences with overdose and/or naloxone between subgroups, and describe participants\' satisfaction with the trainings. Z-ratios were used to compare independent proportions, and paired t-tests were used to compare participant responses to items pre- and posttraining, including perceived confidence to intervene and perceived knowledge and skills to intervene successfully.
Between January and October 2015, 2,450 laypeople took the online training; 1,464 (59.8%) agreed to be contacted. Of these, 311 (21.2% of those contacted) completed the survey. Over 80% reported high satisfaction with content, format and mode of delivery and high satisfaction with items related to confidence and overdose reversal preparedness. Notably, 89.0% of participants felt they had the knowledge and skills to intervene successfully posttraining compared to 20.3% pretraining (z = -17.2, p <.001). Similarly, posttraining, 87.8% of participants felt confident they could successfully intervene compared to 24.4% pretraining (z = -15.9, p <.001).
This study demonstrates the effectiveness of the GetNaloxoneNow.org online training for laypeople.
摘要：
本文报道了首次实施在线阿片类药物过量预防，外行人识别和反应培训。培训于2014年11月在全国传播。从2000年到2014年，美国阿片类药物死亡人数增加了200%。减少阿片类药物过量死亡的补充方法的重要性，例如在线培训，不能夸大。
进行了回顾性评估，以评估感知知识，干预过量的技能，有信心干预，以及对培训的满意度。
描述性统计用于报告样本特征，比较亚组之间服用过量和/或纳洛酮的经验，并描述参与者对培训的满意度。Z比率用于比较独立的比例，配对t检验用于比较参与者对训练前和训练后项目的反应，包括感知干预的信心和感知干预成功的知识和技能。
2015年1月至10月，2,450名外行人参加了在线培训；1,464人（59.8％）同意联系。其中,311（21.2％的联系人）完成了调查。超过80%的人表示对内容的满意度很高，交付的格式和模式，以及对与信心和过量逆转准备相关的项目的高度满意。值得注意的是,89.0％的参与者认为他们有知识和技能在培训后成功进行干预，而培训前的这一比例为20.3％（z=-17.2，p<.001）。同样，培训后,87.8％的参与者相信他们可以成功干预，而培训前的参与者为24.4％（z=-15.9，p<.001）。
这项研究证明了GetNaloxoneNow.org在线培训对外行人的有效性。
进行了回顾性评估，以评估感知知识，干预过量的技能，有信心干预，以及对培训的满意度。
描述性统计用于报告样本特征，比较亚组之间服用过量和/或纳洛酮的经验，并描述参与者对培训的满意度。Z比率用于比较独立的比例，配对t检验用于比较参与者对训练前和训练后项目的反应，包括感知干预的信心和感知干预成功的知识和技能。
2015年1月至10月，2,450名外行人参加了在线培训；1,464人（59.8％）同意联系。其中,311（21.2％的联系人）完成了调查。超过80%的人表示对内容的满意度很高，交付的格式和模式，以及对与信心和过量逆转准备相关的项目的高度满意。值得注意的是,89.0％的参与者认为他们有知识和技能在培训后成功进行干预，而培训前的这一比例为20.3％（z=-17.2，p<.001）。同样，培训后,87.8％的参与者相信他们可以成功干预，而培训前的参与者为24.4％（z=-15.9，p<.001）。
这项研究证明了GetNaloxoneNow.org在线培训对外行人的有效性。
