Knowledge Diffusion: An Examination of Staff Attitudes and Beliefs about Opioid Overdose Response and Naloxone Distribution

• In Event: Factors Influencing Opioid Overdose Prevention Practices in Substance Abuse and Community Corrections Programs

Abstract

Front line clinical and operations staff play a central role in disseminating information about opioid overdose prevention and reversal to clients in community-based corrections and substance abuse programs. They are also integral to effective implementation of overdose prevention programs within these environments. Building on previous research, this study examines staff knowledge of naloxone and opioid overdose symptoms, perceptions of the effectiveness and acceptability of opioid overdose prevention programs, and perceptions about the acceptability of the use of naloxone for overdose reversal. The study uses a dichotomous variable to represent diffusion of knowledge for specific survey items by coding whether the respondent provided a rating for the item or endorsed a “don’t know” response. Logistic regression is then used to identify predictors of knowledge diffusion. The study also examines group differences on knowledge, attitudes, and diffusion of knowledge. Practical implications for staff education are also discussed.

Authors

• Kimberly Sperber, Center for Health and Human Services Research, Talbert House

• Erin Winstanley, University of Cincinnati

• Amber Nicole Manzo, University of Cincinnati