Higher Education Leaders' Perspectives of Student Opioid Misuse and Opioid Overdose Prevention Programs at U.S. Colleges and Universities: An Exploration of Implementation Facilitators and Barriers.
Background: Colleges and universities are well-positioned to implement opioid overdose prevention programs due to their role in supporting student health. However, implementation varies widely and is shaped by leadership decisions. Purpose: This study explored higher education leaders' perspectives...
| Publicado en: | American Journal of Health Education Vol. 57; no. 4; pp. 244 - 255 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Jul/Aug2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=194575153&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 194575153 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 19325037 JHL jtl: American Journal of Health Education issn: 19325037 maglogo: N pubinfo: dt: Jul/Aug2026 vid: 57 iid: 4 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 194575153 190741111 194575153 194575153 10.1080/19325037.2025.2603199 194575153 ppf: 244 ppct: 11 formats: tig: atl: Higher Education Leaders' Perspectives of Student Opioid Misuse and Opioid Overdose Prevention Programs at U.S. Colleges and Universities: An Exploration of Implementation Facilitators and Barriers. aug: au: Freibott, Christina E. Hicks, Adison Vest, Noel Stein, Michael D. Shelton, Rachel C. Lipson, Sarah Ketchen affil: Boston University sug: subj: Opiate Overdose Prevention and Control Substance Abuse Prevention and Control Substance Use Rehabilitation Programs School Administrators Psychosocial Factors Education, Masters Colleges and Universities Implementation Science Health Promotion Funding Source United States Human Students, College Conceptual Framework Student Health Services Semi-Structured Interview kappa Statistic Thematic Analysis Mental Health Services Faculty Health Policy Naloxone Opiate Overdose Education ab: Background: Colleges and universities are well-positioned to implement opioid overdose prevention programs due to their role in supporting student health. However, implementation varies widely and is shaped by leadership decisions. Purpose: This study explored higher education leaders' perspectives on opioid misuse and overdose prevention programming using an implementation science framework. Methods: We conducted semi-structured interviews with 25 U.S. college and university leaders. Guided by the Consolidated Framework for Implementation Research (CFIR 2.0), data were analyzed using thematic coding to identify implementation barriers and facilitators. Results: Four themes emerged: (1) Reframing overdose as "poisoning" and linking prevention to mental health services increased institutional support. (2) Implementation was driven by students, faculty, and external advocacy (e.g. state policy). (3) Cross-campus and community partnerships addressed resource gaps. (4) Institutions described a phased implementation process evolving from external support to "in-house" programs offering naloxone training and overdose education. Discussion: This is the first multi-campus study to examine how institutional leaders approach overdose prevention. Results highlight a common implementation pathway and underscore the importance of shifting institutional narratives, leveraging advocacy, and fostering external and internal collaboration. Translation to Health Education Practice: Findings inform strategies for developing and sustaining overdose prevention efforts tailored to college settings. A AJHE Self-Study quiz is online for this article via the SHAPE America Online Institute (SAOI) pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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