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Would provision of Take Home Naloxone Kits by Emergency Medical Services be perceived as acceptable to people at risk of opioid overdose? A qualitative study

Jane Hughes Orcid Logo, F C Sampson Orcid Logo, Penny Buykx Orcid Logo, Jaqui Long Orcid Logo, Adrian Edwards Orcid Logo, Bridie Evans Orcid Logo, Steve Goodacre Orcid Logo, Matthew Jones, Chris Moore, Helen Snooks Orcid Logo

Prehospital Emergency Care, Pages: 1 - 15

Swansea University Authors: Bridie Evans Orcid Logo, Matthew Jones, Chris Moore, Helen Snooks Orcid Logo

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DOI (Published version): 10.1080/10903127.2024.2435034

Abstract

Take home naloxone kits can reduce mortality, but we know little about how they are perceived by people with lived experience of opioid use. Provision of naloxone in the community has been shown to significantly reduce mortality from opioid overdose. Currently, this is predominantly through drug tre...

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Published in: Prehospital Emergency Care
ISSN: 1090-3127 1545-0066
Published: Informa UK Limited 2024
Online Access: Check full text

URI: https://cronfa.swan.ac.uk/Record/cronfa68636
first_indexed 2025-01-09T20:34:02Z
last_indexed 2025-01-09T20:34:02Z
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Provision of naloxone in the community has been shown to significantly reduce mortality from opioid overdose. Currently, this is predominantly through drug treatment support services but expanding provision through other services might be effective in increasing kit take-up and mortality reduction. This study aimed to examine participants' experiences of opiate overdose and acceptability of provision of naloxone kits through ambulance/paramedic emergency services (EMS) and hospital Emergency Departments (ED). Qualitative interviews were conducted with 26 people who had direct experience of opioid use. Participants were recruited at two substance-use treatment centres and a third sector support organisation in three large cities in the United Kingdom. Interviews examined respondents' experiences of opioid use and opioid overdose, access and personal use of naloxone kits, and opinions about kit provision from EMS and hospital ED staff. Interview data were thematically analysed using a constant comparative method. Four key themes were identified during analysis: 1) High levels of overdose experience and knowledge of naloxone and naloxone kits; 2) naloxone kits were perceived as effective and easy to use 3) There were some concerns around the risks of administering naloxone, such as peer aggression during withdrawal. 4) Participants supported much wider personal, family and peer provision of naloxone kits from community support organisations as well as from EMS. Participants felt naloxone kits were an important resource and they wanted increased provision across a range of services including EMS and hospital ED staff as well as community pharmacies and needle exchange centres. Participants wanted naloxone kit provision to be extended to peers, family and friends.</abstract><type>Journal Article</type><journal>Prehospital Emergency Care</journal><volume>0</volume><journalNumber/><paginationStart>1</paginationStart><paginationEnd>15</paginationEnd><publisher>Informa UK Limited</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint>1090-3127</issnPrint><issnElectronic>1545-0066</issnElectronic><keywords>Take Home Naloxone, Opioid, Emergency Medical Services, Emergency Department, Qualitative</keywords><publishedDay>19</publishedDay><publishedMonth>12</publishedMonth><publishedYear>2024</publishedYear><publishedDate>2024-12-19</publishedDate><doi>10.1080/10903127.2024.2435034</doi><url/><notes/><college>COLLEGE NANME</college><department>Medical School</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>MEDS</DepartmentCode><institution>Swansea University</institution><apcterm>Another institution paid the OA fee</apcterm><funders>The TIME study has been funded by the NIHR HTA (Health Technology Assessment) programme (reference 16/91/04).</funders><projectreference/><lastEdited>2025-01-02T15:02:13.2942018</lastEdited><Created>2025-01-02T14:48:02.5113180</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">Swansea University Medical School - Health Data Science</level></path><authors><author><firstname>Jane</firstname><surname>Hughes</surname><orcid>0000-0003-1389-3402</orcid><order>1</order></author><author><firstname>F C</firstname><surname>Sampson</surname><orcid>0000-0003-2321-0302</orcid><order>2</order></author><author><firstname>Penny</firstname><surname>Buykx</surname><orcid>0000-0003-4788-4002</orcid><order>3</order></author><author><firstname>Jaqui</firstname><surname>Long</surname><orcid>0000-0002-6889-6195</orcid><order>4</order></author><author><firstname>Adrian</firstname><surname>Edwards</surname><orcid>0000-0002-6228-4446</orcid><order>5</order></author><author><firstname>Bridie</firstname><surname>Evans</surname><orcid>0000-0003-0293-0888</orcid><order>6</order></author><author><firstname>Steve</firstname><surname>Goodacre</surname><orcid>0000-0003-0803-8444</orcid><order>7</order></author><author><firstname>Matthew</firstname><surname>Jones</surname><order>8</order></author><author><firstname>Chris</firstname><surname>Moore</surname><order>9</order></author><author><firstname>Helen</firstname><surname>Snooks</surname><orcid>0000-0003-0173-8843</orcid><order>10</order></author></authors><documents/><OutputDurs/></rfc1807>
spelling 2025-01-02T15:02:13.2942018 v2 68636 2025-01-02 Would provision of Take Home Naloxone Kits by Emergency Medical Services be perceived as acceptable to people at risk of opioid overdose? A qualitative study 6098eddc58e31ac2f3e070cb839faa6a 0000-0003-0293-0888 Bridie Evans Bridie Evans true false e3595273bb063f8694ce43326f4bd298 Matthew Jones Matthew Jones true false f1321a88018c30e9c494421f899ac0cd Chris Moore Chris Moore true false ab23c5e0111b88427a155a1f495861d9 0000-0003-0173-8843 Helen Snooks Helen Snooks true false 2025-01-02 MEDS Take home naloxone kits can reduce mortality, but we know little about how they are perceived by people with lived experience of opioid use. Provision of naloxone in the community has been shown to significantly reduce mortality from opioid overdose. Currently, this is predominantly through drug treatment support services but expanding provision through other services might be effective in increasing kit take-up and mortality reduction. This study aimed to examine participants' experiences of opiate overdose and acceptability of provision of naloxone kits through ambulance/paramedic emergency services (EMS) and hospital Emergency Departments (ED). Qualitative interviews were conducted with 26 people who had direct experience of opioid use. Participants were recruited at two substance-use treatment centres and a third sector support organisation in three large cities in the United Kingdom. Interviews examined respondents' experiences of opioid use and opioid overdose, access and personal use of naloxone kits, and opinions about kit provision from EMS and hospital ED staff. Interview data were thematically analysed using a constant comparative method. Four key themes were identified during analysis: 1) High levels of overdose experience and knowledge of naloxone and naloxone kits; 2) naloxone kits were perceived as effective and easy to use 3) There were some concerns around the risks of administering naloxone, such as peer aggression during withdrawal. 4) Participants supported much wider personal, family and peer provision of naloxone kits from community support organisations as well as from EMS. Participants felt naloxone kits were an important resource and they wanted increased provision across a range of services including EMS and hospital ED staff as well as community pharmacies and needle exchange centres. Participants wanted naloxone kit provision to be extended to peers, family and friends. Journal Article Prehospital Emergency Care 0 1 15 Informa UK Limited 1090-3127 1545-0066 Take Home Naloxone, Opioid, Emergency Medical Services, Emergency Department, Qualitative 19 12 2024 2024-12-19 10.1080/10903127.2024.2435034 COLLEGE NANME Medical School COLLEGE CODE MEDS Swansea University Another institution paid the OA fee The TIME study has been funded by the NIHR HTA (Health Technology Assessment) programme (reference 16/91/04). 2025-01-02T15:02:13.2942018 2025-01-02T14:48:02.5113180 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Health Data Science Jane Hughes 0000-0003-1389-3402 1 F C Sampson 0000-0003-2321-0302 2 Penny Buykx 0000-0003-4788-4002 3 Jaqui Long 0000-0002-6889-6195 4 Adrian Edwards 0000-0002-6228-4446 5 Bridie Evans 0000-0003-0293-0888 6 Steve Goodacre 0000-0003-0803-8444 7 Matthew Jones 8 Chris Moore 9 Helen Snooks 0000-0003-0173-8843 10
title Would provision of Take Home Naloxone Kits by Emergency Medical Services be perceived as acceptable to people at risk of opioid overdose? A qualitative study
spellingShingle Would provision of Take Home Naloxone Kits by Emergency Medical Services be perceived as acceptable to people at risk of opioid overdose? A qualitative study
Bridie Evans
Matthew Jones
Chris Moore
Helen Snooks
title_short Would provision of Take Home Naloxone Kits by Emergency Medical Services be perceived as acceptable to people at risk of opioid overdose? A qualitative study
title_full Would provision of Take Home Naloxone Kits by Emergency Medical Services be perceived as acceptable to people at risk of opioid overdose? A qualitative study
title_fullStr Would provision of Take Home Naloxone Kits by Emergency Medical Services be perceived as acceptable to people at risk of opioid overdose? A qualitative study
title_full_unstemmed Would provision of Take Home Naloxone Kits by Emergency Medical Services be perceived as acceptable to people at risk of opioid overdose? A qualitative study
title_sort Would provision of Take Home Naloxone Kits by Emergency Medical Services be perceived as acceptable to people at risk of opioid overdose? A qualitative study
author_id_str_mv 6098eddc58e31ac2f3e070cb839faa6a
e3595273bb063f8694ce43326f4bd298
f1321a88018c30e9c494421f899ac0cd
ab23c5e0111b88427a155a1f495861d9
author_id_fullname_str_mv 6098eddc58e31ac2f3e070cb839faa6a_***_Bridie Evans
e3595273bb063f8694ce43326f4bd298_***_Matthew Jones
f1321a88018c30e9c494421f899ac0cd_***_Chris Moore
ab23c5e0111b88427a155a1f495861d9_***_Helen Snooks
author Bridie Evans
Matthew Jones
Chris Moore
Helen Snooks
author2 Jane Hughes
F C Sampson
Penny Buykx
Jaqui Long
Adrian Edwards
Bridie Evans
Steve Goodacre
Matthew Jones
Chris Moore
Helen Snooks
format Journal article
container_title Prehospital Emergency Care
container_volume 0
container_start_page 1
publishDate 2024
institution Swansea University
issn 1090-3127
1545-0066
doi_str_mv 10.1080/10903127.2024.2435034
publisher Informa UK Limited
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Health Data Science{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Health Data Science
document_store_str 0
active_str 0
description Take home naloxone kits can reduce mortality, but we know little about how they are perceived by people with lived experience of opioid use. Provision of naloxone in the community has been shown to significantly reduce mortality from opioid overdose. Currently, this is predominantly through drug treatment support services but expanding provision through other services might be effective in increasing kit take-up and mortality reduction. This study aimed to examine participants' experiences of opiate overdose and acceptability of provision of naloxone kits through ambulance/paramedic emergency services (EMS) and hospital Emergency Departments (ED). Qualitative interviews were conducted with 26 people who had direct experience of opioid use. Participants were recruited at two substance-use treatment centres and a third sector support organisation in three large cities in the United Kingdom. Interviews examined respondents' experiences of opioid use and opioid overdose, access and personal use of naloxone kits, and opinions about kit provision from EMS and hospital ED staff. Interview data were thematically analysed using a constant comparative method. Four key themes were identified during analysis: 1) High levels of overdose experience and knowledge of naloxone and naloxone kits; 2) naloxone kits were perceived as effective and easy to use 3) There were some concerns around the risks of administering naloxone, such as peer aggression during withdrawal. 4) Participants supported much wider personal, family and peer provision of naloxone kits from community support organisations as well as from EMS. Participants felt naloxone kits were an important resource and they wanted increased provision across a range of services including EMS and hospital ED staff as well as community pharmacies and needle exchange centres. Participants wanted naloxone kit provision to be extended to peers, family and friends.
published_date 2024-12-19T08:31:27Z
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