About this trial
While there is a lifesaving medication called naloxone that can reverse the deadly effects of opioid overdose, patients often fail to fill the prescription at the pharmacy when it is prescribed. This is particularly concerning and true in those at the highest risk of death-those who end up in the emergency department for opioid overdose. The goal of this study is to compare the impact of different overdose education on naloxone prescription fill rates in opioid users being discharged from our hospital emergency department. You will receive either (a) written education about naloxone through their MyChart account, or (b) a concise one-page handout and 4-minute video clip reviewed with the participant and a support individual (family/friend) prior to discharge.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
None
Disqualifiers
Patient has previously received the standard naloxone kit education or has a known allergy to naloxone and/or kit constituents
Patient or support network does not speak English
Patient is in police custody
Patient is not being discharged home from the ED.
Trial design
Parallel
Treatments tested in this trial
Enhanced Overdose Education (EOE)
BehavioralEOE was adapted by Co-I Dr. Monique Miley at HHC's premier addiction hospital-The Rushford Center. It follows the guidelines set by Co-PI Jonathan Craig Allen when working with opioid patients reluctant to obtain naloxone: * Express confidence in naloxone * Provide a clear statement about suitability (You are an excellent candidate for naloxone) * Begin discussion using presumptive language (You must be ready for an overdose)
Standard education
BehavioralWritten instructions that accompany a kit prescription in many EDs throughout the country.
Treatment groups
Trial outcomes
Primary outcomes
Prescription fill rate
Pharmacy records/survey to determine if naloxone kit prescription was filled
Secondary outcomes
Education content survey
Questionnaire measuring how much of education was retained and reasons for filling or not filling prescription
Sponsors and contacts
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Hartford Hospital
Lead sponsor
Hartford HealthCare
Collaborator