Public Perspectives on Expanding Naloxone Access to Reverse Opioid Overdoses

Rudski, Jeffrey M.

doi:10.1080/10826084.2016.1197267

Cited by 20 publications

(16 citation statements)

References 44 publications

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“…A particularly elegant set of studies has utilized MTurk to evaluate public opinion concerning interventions targeting substance use. These studies have examined public perspectives surrounding potentially controversial interventions, including the expansion of naloxone access (Rudski, 2016), the use of financial incentives to promote drug abstinence (i.e., contingency management; Wen, Higgins, Xie, & Epstein, 2016), and the use of medication-assisted therapy (i.e., agonist replacement; Huhn, Tompkins, & Dunn, 2017). One study also included an experimental manipulation evaluating the effects of educational materials on participants' opinions concerning the use of financial incentives to promote smoking cessation during pregnancy (Wen et al, 2016).…”

Section: Interventions Developmentmentioning

confidence: 99%

The use of crowdsourcing in addiction science research: Amazon Mechanical Turk.

Strickland¹,

Stoops²

2019

Experimental and Clinical Psychopharmacology

221

157

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Section: Interventions Developmentmentioning

confidence: 99%

The use of crowdsourcing in addiction science research: Amazon Mechanical Turk.

Strickland¹,

Stoops²

2019

Experimental and Clinical Psychopharmacology

221

157

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“…In many areas, community residents can also obtain naloxone at no cost and, often, anonymously (Wheeler et al, 2015). There is widespread public support for naloxone expansion (Rudski, 2016), and police chiefs have shown support for carrying naloxone (Smyser & Lubin, 2018). Still, the increasing availability of naloxone is not without controversy, and people who hold stigmatizing views toward opioid users may be less likely to support nonprescription naloxone access (Calabrese & Bell, 2019).…”

Section: Attitudes Toward Naloxone (Narcan)mentioning

confidence: 99%

Police Officers’ Views of Naloxone and Drug Treatment: Does Greater Overdose Response Lead to More Negativity?

Murphy

Russell

2020

Journal of Drug Issues

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Police officers and emergency personnel are on the frontlines of the opioid crisis. This research examines police officer attitudes about naloxone administration, drug treatment, and their role in handling drug-related incidents through an online survey. Although officers view themselves as adequately trained in administering naloxone/Narcan, almost half (43%) believe there should be a limit on how often someone who overdoses receives Narcan and the majority (83%) view naloxone/Narcan as providing an excuse to continue drug use. Officers also view drug treatment as ineffective. Negative attitudes differed as a function of frequency of overdose responses; officers who responded to more overdose calls and administered naloxone more frequently demonstrate more pessimistic attitudes toward drug treatment and the use of naloxone/Narcan. Officers more frequently exposed to drug overdoses need education and training about drug addiction issues to decrease stigma and elicit greater empathy toward people struggling with addiction.

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“…However, pharmacies are under no legal obligation to stock or dispense naloxone under these standing orders, and studies investigating whether pharmacy staff are aware of or adhering to important aspects of the standing orders are lacking. Furthermore, previous studies have demonstrated that attitudinal barriers and/or perceptions by pharmacy staff members of opioid use as immoral or undesirable negatively impact access to naloxone (Rudski, 2016;Mitchell and Higgins, 2016;Freeman et al, 2017). It remains unclear to what extent pharmacy staff are aware of the existence of standing orders and understand their implications for naloxone access.…”

mentioning

confidence: 99%

Naloxone Availability and Pharmacy Staff Knowledge of Standing Order for Naloxone in Pennsylvania Pharmacies

Graves

Andreyeva

Perrone

et al. 2019

Journal of Addiction Medicine

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Objective: To assess the availability and price of naloxone as well as pharmacy staff knowledge of the standing order for naloxone in Pennsylvania pharmacies. Methods:We conducted a telephone audit study from 12/2016 to 4/2017 in which staff from Pennsylvania pharmacies were surveyed to evaluate naloxone availability, staff understanding of the naloxone standing order, and out-of-pocket cost of naloxone.Results: Responses were obtained from 682 of 758 contacted pharmacies (90% response rate). Naloxone was stocked (i.e. available for dispensing) in 306 (45%) pharmacies surveyed. Of the 376 (55%) pharmacies that did not stock naloxone, 118 (31%) stated that they could place an order for naloxone for pickup within one business day. Responses by pharmacy staff to questions about key components of the standing order for naloxone were collected from 581 of the 682 pharmacies who participated in the survey (85%). Of the 581 pharmacy staff members who stated that they either stocked or could order naloxone, 64% correctly answered all questions pertaining to understanding of the naloxone standing order. The respective median out-of-pocket prices stated in the audit varied by formulation and ranged from $50 to $4000. Staff from national pharmacies were significantly more likely than staff from regional/local chain and non-chain pharmacies to correctly answer that a prescription was not required to obtain naloxone (68.5%, 57.7%, and 52.4% respectively, (p=0.0045). Conclusions:Multiple barriers to naloxone access exist in pharmacies across a large, diverse state, despite the presence of a standing order to facilitate such access. Limited availability of naloxone in pharmacies, lack of knowledge or understanding by pharmacy staff of the standing order, and variability in out-of-pocket cost for this drug are among these potential barriers. Regulatory or legal incentives for pharmacies or drug manufacturers, education efforts directed

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Public Perspectives on Expanding Naloxone Access to Reverse Opioid Overdoses

Cited by 20 publications

References 44 publications

The use of crowdsourcing in addiction science research: Amazon Mechanical Turk.

The use of crowdsourcing in addiction science research: Amazon Mechanical Turk.

Police Officers’ Views of Naloxone and Drug Treatment: Does Greater Overdose Response Lead to More Negativity?

Naloxone Availability and Pharmacy Staff Knowledge of Standing Order for Naloxone in Pennsylvania Pharmacies

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