UNASSIGNED: A systematic review across 4 databases identified interventions that expand access to naloxone at colleges in the United States from 2015-2023. Three reviewers extracted the following data to create a narrative synthesis and summary of program elements: setting, rationale for intervention, timeline, intervention components, study size, collaboration, sustainability, outcomes and results.
UNASSIGNED: Seven articles met inclusion criteria. Institutions\' implemented naloxone interventions due to concerns for student safety and/or student overdose fatalities. Three universities collaborated with their School of Pharmacy for program design and/or dissemination, while two partnered with state-based naloxone distribution programs. Most programs combined opioid-overdose/naloxone training; four distributed naloxone kits. Three studies included pre/post-outcomes, and all reported increases in participant knowledge, attitudes, and/or ability to respond to an overdose.
UNASSIGNED: Our results indicates an opportunity for wide-scale implementation of undergraduate naloxone programs within US colleges. However, more rigorous implementation research is needed to identify barriers and facilitators to program feasibility, acceptability, and participation.
■对4个数据库的系统审查确定了从2015年至2023年在美国大学扩大对纳洛酮的访问的干预措施。三位审稿人提取了以下数据,以创建节目元素的叙事综合和总结:设置,干预的理由,时间轴,干预组件,研究规模,合作,可持续性结果和结果。
■七篇文章符合纳入标准。由于担心学生安全和/或学生过量死亡,机构实施了纳洛酮干预措施。三所大学与他们的药学院合作进行方案设计和/或传播,而两个人与基于州的纳洛酮分销计划合作。大多数计划结合了阿片类药物过量/纳洛酮培训;四个分布式纳洛酮试剂盒。三项研究包括前/后结果,所有报告的参与者知识增加,态度,和/或对过量的反应能力。
■我们的研究结果表明,在美国高校内大规模实施本科纳洛酮课程的机会。然而,需要进行更严格的实施研究,以确定计划可行性的障碍和促进者,可接受性,和参与。