TY - JOUR
T1 - Identifying Missed Clinical Opportunities in Delivery of Overdose Prevention and Naloxone Prescription to Adolescents Using Opioids
AU - Wilson, J. Deanna
AU - Berk, Justin
AU - Adger, Hoover
AU - Feldman, Leonard
N1 - Funding Information:
Dr. Wilson was supported through the Health Services and Research Administration's Maternal Child Health Bureau LEAH program ( T71MC08054 ) and the National Institutes of Health ( T32HD052459-07 ).
Funding Information:
This work was supported by the Johns Hopkins University Scholars’ program. The Scholars’ Fund had no role in the design, analysis, interpretation of the data, writing of manuscript, or decision to submit the article for publication. Preliminary data was presented at the meeting for the Association for Medical Education and Research in Substance Abuse in November 2016.
Publisher Copyright:
© 2018 Society for Adolescent Health and Medicine
PY - 2018/8
Y1 - 2018/8
N2 - Purpose: Pediatricians play a role in reducing opioid-related harms, including deaths, for patients and families. We examine knowledge, attitudes, and barriers to overdose prevention and naloxone prescribing in the clinical setting by pediatric trainees. Methods: Pediatric trainees at an academic medical center were surveyed using an adapted 17-item instrument examining knowledge, beliefs, and attitudes of naloxone and overdose prevention. Results: Eighty-two percent reported frequent exposure to patients using opioids and at risk of overdose. While 94% felt they had the responsibility to educate patients about overdose risk, only 42% ever discussed overdose prevention. The majority (71%) were aware of naloxone as a prevention measure, but only 10% ever prescribed naloxone. Conclusions: Pediatric residents frequently encountered patients using opioids, but the majority failed to deliver interventions to reduce overdose and related harms. We need concerted efforts to educate pediatric providers on delivering overdose harm prevention to opioid-using adolescents as part of routine clinical care.
AB - Purpose: Pediatricians play a role in reducing opioid-related harms, including deaths, for patients and families. We examine knowledge, attitudes, and barriers to overdose prevention and naloxone prescribing in the clinical setting by pediatric trainees. Methods: Pediatric trainees at an academic medical center were surveyed using an adapted 17-item instrument examining knowledge, beliefs, and attitudes of naloxone and overdose prevention. Results: Eighty-two percent reported frequent exposure to patients using opioids and at risk of overdose. While 94% felt they had the responsibility to educate patients about overdose risk, only 42% ever discussed overdose prevention. The majority (71%) were aware of naloxone as a prevention measure, but only 10% ever prescribed naloxone. Conclusions: Pediatric residents frequently encountered patients using opioids, but the majority failed to deliver interventions to reduce overdose and related harms. We need concerted efforts to educate pediatric providers on delivering overdose harm prevention to opioid-using adolescents as part of routine clinical care.
KW - Drug overdose
KW - Medical education
KW - Opioid-related disorders
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U2 - 10.1016/j.jadohealth.2018.05.011
DO - 10.1016/j.jadohealth.2018.05.011
M3 - Article
C2 - 30149925
AN - SCOPUS:85052107979
SN - 1054-139X
VL - 63
SP - 245
EP - 248
JO - Journal of Adolescent Health
JF - Journal of Adolescent Health
IS - 2
ER -