American Indians in Montana experience a disproportionate amount of fatal opioid overdose, with recent data indicating that American Indian/Alaska Native individuals are 3.3 times more likely to die from opioid overdose compared with white Montanans. This disparity highlights the need for culturally responsive harm reduction strategies. The objective of this project was to evaluate changes in confidence and identify cultural adaptation needs for a student created naloxone training among staff at the Billings Urban Indian Health and Wellness Center.
Fifteen participants completed pre and post training surveys using a 5 point confidence scale. Confidence to recognize opioid overdose increased from 2.9 to 4.7 (p < 0.001), and confidence in administering naloxone increased from 3.4 to 4.9 (p = 0.005) based on paired statistical testing, demonstrating significant improvement across both domains.
A focus group discussion was conducted immediately after concluding the naloxone training. This identified the need to simplify terminology, improve visuals, integrate culturally grounded examples, and clarify naloxone use, storage, and access. Although limited by a small sample size, these quantitative and qualitative findings will serve to guide a culturally tailored overdose response training program for Native American communities in Billings, MT.
Fifteen participants completed pre and post training surveys using a 5 point confidence scale. Confidence to recognize opioid overdose increased from 2.9 to 4.7 (p < 0.001), and confidence in administering naloxone increased from 3.4 to 4.9 (p = 0.005) based on paired statistical testing, demonstrating significant improvement across both domains.
A focus group discussion was conducted immediately after concluding the naloxone training. This identified the need to simplify terminology, improve visuals, integrate culturally grounded examples, and clarify naloxone use, storage, and access. Although limited by a small sample size, these quantitative and qualitative findings will serve to guide a culturally tailored overdose response training program for Native American communities in Billings, MT.