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- All Subjects: Baseball
- Creators: Department of Economics
Abstract
Objective: To assess the attitudes and knowledge of behavioral health technicians (BHTs)
towards opioid overdose management and to assess the effect of online training on opioid
overdose response on BHTs’ attitudes and knowledge, and the confidence to identify and
respond to opioid overdose situations.
Design/Methods: Pre-intervention Opioid Overdose Knowledge Scale (OOKS) and Opioid
Overdose Attitude Scale (OOAS) surveys were administered electronically to five BHTs in
2020. Data obtained were de-identified. Comparisons between responses to pre-and post-surveys questions were carried out using the standardized Wilcoxon signed-rank statistical test(z). This study was conducted in a residential treatment center (RTC) with the institutional review board's approval from Arizona State University. BHTs aged 18 years and above, working at this RTC were included in the study.
Interventions: An online training was provided on opioid overdose response (OOR) and
naloxone administration and on when to refer patients with opioid use disorder (OUD) for
medication-assisted treatment.
Results: Compared to the pre-intervention surveys, the BHTs showed significant improvements
in attitudes on the overall score on the OOAS (mean= 26.4 ± 13.1; 95% CI = 10.1 - 42.7; z =
2.02; p = 0.043) and significant improvement in knowledge on the OOKS (mean= 10.6 ± 6.5;
95% CI = 2.5 – 18.7; z =2.02, p = 0.043).
Conclusions and Relevance: Training BHTs working in an RTC on opioid overdose response is
effective in increasing attitudes and knowledge related to opioid overdose management. opioid
overdose reversal in RTCs.
Keywords: Naloxone, opioid overdose, overdose education, overdose response program
In 2021-2022, MLB underwent a labor stoppage due to a failure between the league and union to sign a new collective bargaining agreement (CBA) for the 2022 season until mid-March of 2022. This failure led to a contentious debate between owners and players over economic, competitive balance, and gameplay issues. To evaluate how MLB has reached this point in labor relations and make predictions for the future, it is first important to look at the history of sports and collective bargaining and, more specifically, this history in baseball. Next, one should evaluate the history of the antitrust exemption and its impact on labor relations in MLB. It is then important to analyze the main tenets of the 2022 CBA and their implications. Following this historical and current analysis, one can make hypotheses about where baseball labor relations and antitrust laws are heading and what will be key issues to look toward in the future.