Lacy E Lowry, Jerusalem Merkebu, Sarah E Schall, Brian E Neubauer, Alexis Battista
Picking Apart a Program Evaluation Committee: A Multiple Case Study Characterizing Primary Care Residency Program Evaluation Committee Structure, Program Improvement, and Outcomes
Cureus
opioid overdose knowledge scale ooks widely used adjunct opioid education naloxone distribution oend assessing pre posttraining knowledge however extent ooks performs comparably bystander first responder groups well determined used exploratory structural equation modeling esem assess measurement invariance ooks item subset used oend training pretest used secondary analysis pretest data collected 446 first responders 1349 bystanders n 1795 attending oend trainings conducted two county public health departments twentyfour items selected practitionertrainer consensus original 45item ooks instrument additional 2 removed owing low response variation used exploratory factor analysis efa followed esem identify factor structure assessed configural metric scalar measurement invariance participant group using 22 dichotomous items correctincorrect factor indicators efa identified 3factor model consisting items assessing basic overdose risk information signs overdose rescue proceduresadvanced overdose risk information model fit esem estimation versus confirmatory factor analysis showed esem model afforded better fit measurement invariance analyses indicated 3factor model fit data across levels invariance per standard fit statistic metrics reduced set 22 ooks items appears offer comparable measurement pretraining knowledge opioid overdose risks signs overdose rescue procedures bystanders first responders