A review of performance assessment tools for rescuer response in opioid overdose simulations and training programs
Since the 1990s, more than 600 overdose response training and education programs have been implemented to train participants to respond to an opioid overdose in the United States. Given this substantial investment in overdose response training, valid assessment of a potential rescuers’ proficiency i...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2020-12-01
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| Series: | Preventive Medicine Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S221133552030190X |
| _version_ | 1818665669188648960 |
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| author | G. Franklin Edwards, III Cassandra Mierisch Brock Mutcheson Kimberly Horn Sarah Henrickson Parker |
| author_facet | G. Franklin Edwards, III Cassandra Mierisch Brock Mutcheson Kimberly Horn Sarah Henrickson Parker |
| author_sort | G. Franklin Edwards, III |
| collection | DOAJ |
| description | Since the 1990s, more than 600 overdose response training and education programs have been implemented to train participants to respond to an opioid overdose in the United States. Given this substantial investment in overdose response training, valid assessment of a potential rescuers’ proficiency in responding to an opioid overdose is important. The aim of this article is to review the current state of the literature on outcome measures utilized in opioid overdose response training. Thirty-one articles published between 2014 and 2020 met inclusion criteria. The reviewed articles targeted laypersons, healthcare providers, and first responders. The assessment tools included five validated questionnaires, fifteen non-validated questionnaires, and nine non-validated simulation-based checklists (e.g., completion of critical tasks and time to completion). Validated multiple choice knowledge assessment tools were commonly used to assess the outcomes of training programs. It is unknown how scores on these assessment tools may correlate with actual rescuer performance responding to an overdose. Seven studies reported ceiling effects most likely attributed to participants’ background medical knowledge or experience. The inclusion of simulation-based outcome measures of performance, including the commission of critical errors and the time to naloxone administration, provides better insight into rescuer skill proficiency. |
| first_indexed | 2024-12-17T05:52:18Z |
| format | Article |
| id | doaj.art-15ff599aa2494c71bcf1a97b4b08fd72 |
| institution | Directory Open Access Journal |
| issn | 2211-3355 |
| language | English |
| last_indexed | 2024-12-17T05:52:18Z |
| publishDate | 2020-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Preventive Medicine Reports |
| spelling | doaj.art-15ff599aa2494c71bcf1a97b4b08fd722022-12-21T22:01:08ZengElsevierPreventive Medicine Reports2211-33552020-12-0120101232A review of performance assessment tools for rescuer response in opioid overdose simulations and training programsG. Franklin Edwards, III0Cassandra Mierisch1Brock Mutcheson2Kimberly Horn3Sarah Henrickson Parker4Translational Biology, Medicine and Health, Virginia Tech, Blacksburg, VA, USA; Fralin Biomedical Research Institute at VTC, Roanoke, VA, USA; Carilion Clinic Center for Simulation, Research and Patient Safety, Roanoke, VA, USA; Corresponding author.Virginia Tech Carilion School of Medicine, Roanoke, VA, USA; Carilion Clinic, Department of Orthopedics and Opioid Task Force, Roanoke, VA, USAVirginia Tech Carilion School of Medicine, Roanoke, VA, USAFralin Biomedical Research Institute at VTC, Roanoke, VA, USA; Virginia-Maryland College of Veterinary Medicine, Department of Population Health Sciences Virginia Tech, Blacksburg, VA, USAFralin Biomedical Research Institute at VTC, Roanoke, VA, USA; Carilion Clinic Center for Simulation, Research and Patient Safety, Roanoke, VA, USA; Virginia Tech Carilion School of Medicine, Roanoke, VA, USASince the 1990s, more than 600 overdose response training and education programs have been implemented to train participants to respond to an opioid overdose in the United States. Given this substantial investment in overdose response training, valid assessment of a potential rescuers’ proficiency in responding to an opioid overdose is important. The aim of this article is to review the current state of the literature on outcome measures utilized in opioid overdose response training. Thirty-one articles published between 2014 and 2020 met inclusion criteria. The reviewed articles targeted laypersons, healthcare providers, and first responders. The assessment tools included five validated questionnaires, fifteen non-validated questionnaires, and nine non-validated simulation-based checklists (e.g., completion of critical tasks and time to completion). Validated multiple choice knowledge assessment tools were commonly used to assess the outcomes of training programs. It is unknown how scores on these assessment tools may correlate with actual rescuer performance responding to an overdose. Seven studies reported ceiling effects most likely attributed to participants’ background medical knowledge or experience. The inclusion of simulation-based outcome measures of performance, including the commission of critical errors and the time to naloxone administration, provides better insight into rescuer skill proficiency.http://www.sciencedirect.com/science/article/pii/S221133552030190XOverdose response trainingOutcome measuresProficiencyNaloxoneSimulation |
| spellingShingle | G. Franklin Edwards, III Cassandra Mierisch Brock Mutcheson Kimberly Horn Sarah Henrickson Parker A review of performance assessment tools for rescuer response in opioid overdose simulations and training programs Preventive Medicine Reports Overdose response training Outcome measures Proficiency Naloxone Simulation |
| title | A review of performance assessment tools for rescuer response in opioid overdose simulations and training programs |
| title_full | A review of performance assessment tools for rescuer response in opioid overdose simulations and training programs |
| title_fullStr | A review of performance assessment tools for rescuer response in opioid overdose simulations and training programs |
| title_full_unstemmed | A review of performance assessment tools for rescuer response in opioid overdose simulations and training programs |
| title_short | A review of performance assessment tools for rescuer response in opioid overdose simulations and training programs |
| title_sort | review of performance assessment tools for rescuer response in opioid overdose simulations and training programs |
| topic | Overdose response training Outcome measures Proficiency Naloxone Simulation |
| url | http://www.sciencedirect.com/science/article/pii/S221133552030190X |
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