What question did this study set out to answer?

The aim is to examine college health administrators' perceptions regarding the adoption of opioid overdose education and naloxone distribution programs.

March 10, 2026Open Access

Applying the Consolidated Framework for Implementation Research (CFIR) to understand college health administrator perceptions on adopting and implementing opioid overdose education and naloxone distribution (OEND) programs among universities nationally

Key Points

The aim is to examine college health administrators' perceptions regarding the adoption of opioid overdose education and naloxone distribution programs.
Conducted qualitative interviews with college health administrators.
Analyzed responses to identify perceptions and barriers to implementation.
Assessed distinctions between universities intending to implement OEND programs and those that are not.
Identified key complexities in program implementation across different universities.
Highlighted actionable insights for supporting national scale-up of OEND programs.
Revealed a need for best practices tailored to the unique contexts of universities.

Abstract

Our findings underscore complexities of university-based OEND program implementation while providing actionable insights to support its national scale-up. Building on identified distinctions between universities in the process of implementing OEND programming and those without intention to implement, future research should identify OEND programming implementation phase among universities nationally, advance understanding of implementation determinants and strategies distinguishing each phase, and establish best practices for OEND program implementation.

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