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Table 3 Sub-set of codebook pertaining to naloxone/narcan

From: “I’m not going to lay back and watch somebody die”: a qualitative study of how people who use drugs’ naloxone experiences are shaped by rural risk environment and overdose education/naloxone distribution intervention

Code name

Definition

Example

Receiving naloxone/Narcan

Refers to participant’s experience receiving naloxone/Narcan from C2H staff

“It really helped me, talking to [them]. [They] gave me Narcan.”

Carrying naloxone/Narcan

Refers to participants’ storage of naloxone/Narcan including whether they opt to carry naloxone/Narcan on their person

“I haven't had to use it yet. It's in the cabinet at the house that I usually stay at. I can't use it because I'm allergic to it.”

Utilizing naloxone/Narcan

Refers to participant’s experience utilizing naloxone/Narcan. If highlighting non-C2H naloxone/Narcan, cross-code with “before C2H”

“I would have lost those two a couple of times because they were[…] Just a squirt to get them to wake up, so that video that I watched up there probably saved their lives.”

Naloxone/Narcan used on participant

Refers to participant’s experience having naloxone/Narcan used on them

“It wasn't that I was upset that I was being resuscitated. It was the feeling that the Narcan gave me. It made my whole body go ice cold, and I started shaking. Because Narcan reverses the effects of the heroin, which made you go in sudden, rapid withdrawal times 50.”

Naloxone/Narcan perceptions/feelings

Refers to participant’s feelings, opinions, and perceptions of naloxone/Narcan

“Even if you don't need it, it's a good, people see it as a good thing to have.”

Naloxone/Narcan knowledge, existence

Refers to participant’s prior knowledge or learning of what naloxone/Narcan is

“I didn’t know what it was”

Naloxone/Narcan knowledge, effectiveness

Refers to participant’s prior knowledge or learning of naloxone/Narcan’s effectiveness in reversing overdose

“At first I was like… ain’t no way it saves somebody’s life. Yeah, it does. It works good”

Naloxone/Narcan knowledge, amnesty

Refers to participant’s knowledge or learning of Good Samaritan or medical amnesty laws/policies

“you can be arrested, you can be charged, but they can’t prosecute you and make it stick if you’re having Narcan in your pocket.”

Naloxone/Narcan, social obligation

Refers to participant’s self-imposed social role as a community helper, regarding naloxone/Narcan

“I can’t walk by somebody laying on the ground and not try to help… That’s somebody’s daddy or mother or daughter or son… I won’t walk by.”

Naloxone/Narcan, “safer”

Refers to participant feeling “safer with naloxone/Narcan” than without it

“I feel a lot safer with Narcan”

Naloxone/Narcan, unpredictable nature of overdose

Refers to participants perception of community overdose as unpredictable or chaotic, regarding naloxone/Narcan

“I know when I have [Narcan] on me, because you can't ever tell in wherever you're at, what kind of situations going on, anything can happen in the spur of a moment. And I know as long as I've got that on me, if something like that ever happens around me, it could save somebody's life.”

Naloxone/Narcan, stigma

Refers to participants perceived stigma from law enforcement and/or community members regarding naloxone/Narcan

“if I’m carrying Narcan, then that’s going to make [police] judge me or question me more and wonder why I have that.”

Naloxone/Narcan, recipient reaction

Refers to participant recounting or anticipating instances a person’s physiological or emotional reaction to receiving naloxone/Narcan

“He says that you feel rough after you get Narcan…for a day or two.”

Naloxone/Narcan, loss of high

Refers specifically to a naloxone/Narcan recipient being frustrated that they can no longer feel effect of drugs

“They didn’t want their high to go away. They were so high that it could kill them, but they didn’t want to lose their high.”

Naloxone/Narcan, economic loss

Refers specifically to naloxone/Narcan recipient being frustrated that they spent limited funds on drugs they can no longer feel the effect of

“You don’t want to lose that feeling that you paid for”

Naloxone/Narcan, prior communication

Refers to participant recounting conversations they have had with network members regarding naloxone/Narcan, prior to overdose events

“’If you nod out, and if you don’t respond to me… I will Narcan you.’ Even before they [use drugs], I’m like, ‘I do have Narcan. I will Narcan you.’”