Cala M Renehan, Moriah Wiggins, Radhika Puppala, Avik Chatterjee, Aura Obando, Kathleen R Coleman, Abita Raj, Debra M Schmill, David Flynn, Sarah M Bagley
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引用次数: 0
Abstract
Objectives: Opioid overdose deaths among youth (those 24 y of age and younger) significantly increased in recent years despite a decline in the overall prevalence of substance use. The 2 key objectives of this study were (1) to identify and summarize existing youth overdose prevention interventions and (2) to delineate what is needed to refine, implement, and disseminate this critical information to prevent youth overdose.
Methods: Using the adapted PRISMA Checklist for Scoping Reviews, we searched PubMed, Embase, and Web of Science for peer-reviewed descriptions of youth overdose prevention education interventions from 2010 to 2023. We searched US government institutions and news outlets to identify youth overdose prevention interventions in the gray literature. We synthesized key characteristics of programs.
Results: We identified a total of 16 unique programs that fit our inclusion criteria, 9 from the peer-reviewed literature and 7 from the gray literature. Half of the studies (n=8) described overdose prevention interventions with some evaluation component that indicated an improvement in overdose prevention knowledge. However, most programs do not have evaluation data available on whether they are effective in reducing opioid overdoses.
Conclusions: In this scoping review, we identified a small number of youth-specific overdose prevention interventions. There is an urgent need to develop, implement, and test interventions that address gaps in the youth overdose prevention landscape.
目的:近年来,尽管药物使用的总体流行率有所下降,但青年(24岁及以下)阿片类药物过量死亡人数显著增加。本研究的两个关键目标是:(1)识别和总结现有的青少年药物过量预防干预措施;(2)描述需要改进、实施和传播这些关键信息以预防青少年药物过量。方法:使用改编的PRISMA清单进行范围审查,我们检索PubMed, Embase和Web of Science,以获取2010年至2023年青少年过量预防教育干预措施的同行评审描述。我们搜索了美国政府机构和新闻媒体,以确定灰色文献中的青少年过量预防干预措施。我们综合了程序的关键特征。结果:我们总共确定了16个符合我们纳入标准的独特项目,其中9个来自同行评议文献,7个来自灰色文献。一半的研究(n=8)描述了过量预防干预措施,其中一些评估成分表明了过量预防知识的改善。然而,大多数项目没有评估数据,以确定它们是否有效地减少阿片类药物过量。结论:在这一范围综述中,我们确定了少数针对青少年的药物过量预防干预措施。迫切需要制定、实施和测试干预措施,以解决青少年过量预防方面的差距。
期刊介绍:
The mission of Journal of Addiction Medicine, the official peer-reviewed journal of the American Society of Addiction Medicine, is to promote excellence in the practice of addiction medicine and in clinical research as well as to support Addiction Medicine as a mainstream medical sub-specialty.
Under the guidance of an esteemed Editorial Board, peer-reviewed articles published in the Journal focus on developments in addiction medicine as well as on treatment innovations and ethical, economic, forensic, and social topics including:
•addiction and substance use in pregnancy
•adolescent addiction and at-risk use
•the drug-exposed neonate
•pharmacology
•all psychoactive substances relevant to addiction, including alcohol, nicotine, caffeine, marijuana, opioids, stimulants and other prescription and illicit substances
•diagnosis
•neuroimaging techniques
•treatment of special populations
•treatment, early intervention and prevention of alcohol and drug use disorders
•methodological issues in addiction research
•pain and addiction, prescription drug use disorder
•co-occurring addiction, medical and psychiatric disorders
•pathological gambling disorder, sexual and other behavioral addictions
•pathophysiology of addiction
•behavioral and pharmacological treatments
•issues in graduate medical education
•recovery
•health services delivery
•ethical, legal and liability issues in addiction medicine practice
•drug testing
•self- and mutual-help.