Background
Methods
Study design
Participants, setting, and recruitment
Opioid Training Institute (OTI) program components
Collaborative educational conference
Web-based resources
Data collection and measures
Data analysis
Results
Conference attendance and baseline characteristics
Question | n (%) |
---|---|
Profession | |
Civic official or city servant | 4 (1.0) |
Emergency Medical Technician (EMT) | 3 (0.70) |
Guidance counselor | 4 (1.0) |
Lawyer | 2 (0.50) |
Mental health counselor | 43 (10.5) |
School nurse | 16 (3.9) |
Social worker | 105 (25.7) |
Behavioral health specialist | 10 (2.2) |
Community member | 4 (1.0) |
Faith-based organization or church official | 15 (3.7) |
Law enforcement | 14 (3.4) |
Medication Assisted Treatment (MAT) provider | 7 (1.7) |
School teacher (K-12) | 9 (2.2) |
Sex | |
Male | 56 (13.6) |
Female | 355 (86.4) |
Race | |
White/Caucasian | 266 (65.7) |
Black/African American | 126 (31.1) |
Asian or Pacific Islander | 3 (0.70) |
Native American or Alaska Native | 1 (0.20) |
Other | 9 (2.2) |
Ethnicity | |
Hispanic Origin | 16 (4.0) |
Non-Hispanic Origin | 387 (96.0) |
Participated in other opioid-related education/training in past 6 months | |
No | 319 (77.4) |
Yes | 93 (22.6) |
Do you know or have you ever known anyone in your personal or professional life who has struggled with opioid use disorder? | |
No | 104 (25.4) |
Yes | 305 (74.6) |
Offer services or programs related to opioid use disorder | |
No | 207 (51.6) |
Yes | 194 (48.4) |
Methadone program/provision | 25 (6.2) |
Buprenorphine or buprenorphine/naloxone provision | 26 (6.5) |
Needle exchange program | 1 (0.2) |
Cognitive behavioral therapy or counseling | 91 (22.7) |
Medication disposal or drug take-back | 22 (5.5) |
Education sessions or programs | 94 (23.4) |
Other | 37 (9.2) |
Mean (SD) | |
Age, years | 45.3 (12.6) |
Knowledge
Mean (SD) | ||||
Measure | KR-20 | Pre | Post | p-value b |
Percent of Knowledge Questions Answered Correctly | 0.538 | 71.00 (13.32) | 83.75 (9.91) | < 0.001* |
Question | Frequency of Correct Response, n (%)c | |||
Pre | Post | p-value d | ||
Fentanyl is the number one drug leading to opioid overdose deaths nationwide | ||||
Correct response: True | 248 (84.9) | 276 (92.3) | 0.002* | |
Multiple doses of naloxone may not be effective in reversing overdose from the following opioid | ||||
Correct response: Carfentanil | 116 (42.8) | 234 (78.3) | < 0.001* | |
Which of the following mental and social factors are shown to influence risk for opioid misuse, especially in adolescents? | ||||
Correct response: All of the following Level of self-esteem; Resiliency (coping and problem-solving skills); Stress of feelings of inadequacy; Behavioral disorders; and Bullying | 284 (96.9) | 294 (98.0) | 0.180 | |
Over time, opioid use disorder affects individuals’ ability to | ||||
Correct response: All of the following Regulate behavior; Make decisions; and Respond to stressful situations | 291 (99.3) | 297 (99.3) | 1.000 | |
Which of the following are indicators of an opioid overdose?e | ||||
Correct response: All of the following | 8 (2.8) | 46 (15.4) | < 0.001* | |
Slow or shallow breathing | 246 (82.0) | 294 (98.0) | ||
Lips, hands or feet turning blue | 193 (64.3) | 277 (92.3) | ||
Loss of consciousness | 254 (84.7) | 282 (94.0) | ||
Unresponsive | 262 (87.3) | 288 (96.0) | ||
Deep snoring | 88 (29.3) | 204 (68.0) | ||
Very small pupils | 126 (42.0) | 188 (62.7) | ||
Incorrect responses: | 277 (97.2) | 253 (84.6) | ||
Having blood-shot eyes | 60 (20.0) | 69 (23.0) | ||
Seizing | 170 (56.7) | 141 (47.0) | ||
Agitated behavior | 103 (34.3) | 107 (35.7) | ||
Rapid heartbeat | 115 (38.3) | 98 (32.7) | ||
Which of the following should be done when managing a heroin / opioid overdose? e | ||||
Correct response: All of the following | 124 (42.0) | 222 (74.0) | < 0.001* | |
Call an ambulance (911) | 292 (97.3) | 297 (99.0) | ||
Give naloxone (opioid overdose antidote) | 216 (72.0) | 289 (96.3) | ||
Stay with the person until help arrives | 257 (85.7) | 292 (97.3) | ||
Check for responsiveness | 212 (70.7) | 253 (84.3) | ||
Give chest compressions and/or rescue breathing | 201 (67.0) | 267 (89.0) | ||
Incorrect responses: | 171 (58.0) | 78 (26.0) | ||
Inject the person with salt solution or milk | 2 (0.70) | 2 (0.70) | ||
Give stimulants (e.g. cocaine or black coffee) | 7 (2.3) | 2 (0.70) | ||
Put the person in a bath of cold water | 10 (3.3) | 7 (2.3) | ||
Put the person in bed to sleep it off | 3 (1.0) | 1 (0.30) | ||
What is naloxone used for? | ||||
Correct response: To reverse the effects of an opioid overdose (e.g. heroin, methadone) | 249 (86.8) | 283 (95.0) | 0.001* | |
How long does naloxone take to have an effect? | ||||
Correct response: Within 5 min | 253 (89.1) | 280 (93.6) | 0.049* | |
How long do the effects of naloxone last for? | ||||
Correct response: 30–90 min | 155 (58.5) | 211 (71.5) | < 0.001* | |
Which of the following is NOT used in medication assisted treatment (MAT) to treat opioid use disorder? | ||||
Correct response: Hydromorphone | 170 (65.4) | 229 (77.6) | < 0.001* | |
Methadone is the treatment of choice for pregnant women with opioid use disorder | ||||
Correct response: True | 167 (63.0) | 251 (84.8) | < 0.001* | |
Which of the following is a 12-step program developed to help individuals with substance use disorder? | ||||
Correct response: Narcotics Anonymous | 257 (90.5) | 270 (90.6) | 0.855 | |
Some individuals may use more opioids in an attempt to relieve depression that occurs with their chronic pain | ||||
Correct response: True | 275 (96.5) | 297 (99.3) | 0.021* |
Perceptions regarding managing an opioid overdose: abilities, concerns, and readiness
Measure | Cronbach’s Alpha | Mean (SD)b | |||||||
Pre | Post | p-valuec | |||||||
Ability Scale Score | 0.919 | 3.72 (1.55) | 5.16 (1.11) | < 0.001* | |||||
Question | n (%)d | ||||||||
Time | 1 | 2 | 3 | 4 | 5 | 6 | 7 | p-valuee | |
I already have enough information about how to manage an overdose | Pre | 126 (43.6) | 74 (25.6) | 24 (8.3) | 25 (8.7) | 24 (8.3) | 9 (3.1) | 7 (2.4) | < 0.001* |
Post | 12 (4.1) | 35 (11.9) | 26 (8.8) | 56 (19.0) | 68 (23.1) | 74 (25.1) | 24 (8.1) | ||
I am already able to administer naloxone to someone who has overdosed | Pre | 153 (53.3) | 51 (17.8) | 10 (3.5) | 17 (5.9) | 15 (5.2) | 22 (7.7) | 19 (6.6) | < 0.001* |
Post | 26 (8.8) | 37 (12.6) | 21 (7.1) | 39 (13.3) | 49 (16.7) | 86 (29.3) | 36 (12.2) | ||
I would be able to check that someone who has overdosed was breathing properly | Pre | 58 (20.2) | 28 (9.8) | 21 (7.3) | 23 (8.0) | 53 (18.5) | 51 (17.8) | 53 (18.5) | < 0.001* |
Post | 3 (1.0) | 12 (4.1) | 6 (2.0) | 32 (10.9) | 50 (17.0) | 121 (41.2) | 70 (23.8) | ||
I am going to need more training before I would feel confident to help someone who has overdosedf,g | Pre | 32 (11.1) | 17 (5.9) | 16 (5.6) | 25 (8.7) | 38 (13.2) | 68 (23.6) | 92 (31.9) | < 0.001* |
Post | 25 (8.5) | 63 (21.4) | 41 (12.9) | 43 (14.6) | 51 (17.3) | 46 (15.6) | 26 (8.8) | ||
I would be able to perform mouth-to-mouth resuscitation on someone who has overdosed | Pre | 40 (13.9) | 26 (9.0) | 16 (5.6) | 23 (8.0) | 59 (20.5) | 61 (21.2) | 63 (21.9) | < 0.001* |
Post | 7 (2.4) | 18 (6.1) | 22 (7.5) | 41 (13.9) | 43 (14.6) | 104 (35.3) | 60 (20.3) | ||
I would be able to perform chest compressions on someone who has overdosed | Pre | 33 (11.5) | 19 (6.6) | 11 (3.8) | 22 (7.6) | 60 (20.8) | 75 (26.0) | 68 (23.6) | < 0.001* |
Post | 5 (1.7) | 11 (3.7) | 17 (5.8) | 23 (7.8) | 48 (16.3) | 113 (38.3) | 78 (26.4) | ||
If someone overdoses, I would know what to do to help them | Pre | 39 (13.6) | 46 (16.0) | 38 (13.2) | 34 (11.8) | 66 (23.0) | 38 (13.2) | 26 (9.1) | < 0.001* |
Post | – | 4 (1.4) | 9 (3.1) | 23 (7.8) | 67 (22.7) | 124 (42.0) | 68 (23.1) | ||
I would be able to place someone who has overdosed in the recovery position | Pre | 52 (18.1) | 52 (18.1) | 35 (12.2) | 28 (9.7) | 42 (14.6) | 38 (13.2) | 41 (14.2) | < 0.001* |
Post | 4 (1.4) | 10 (3.4) | 17 (5.8) | 43 (14.7) | 52 (17.7) | 104 (35.5) | 63 (21.5) | ||
I know very little about how to help someone who has overdosedf,g | Pre | 32 (11.3) | 54 (19.0) | 33 (11.6) | 42 (14.8) | 42 (14.8) | 39 (13.7) | 42 (14.8) | < 0.001* |
Post | 59 (20.2) | 107 (36.6) | 52 (17.8) | 39 (13.4) | 15 (5.1) | 18 (6.2) | 2 (0.70) | ||
I would be able to deal effectively with an overdose | Pre | 59 (20.5) | 42 (14.6) | 29 (10.1) | 57 (19.8) | 49 (17.0) | 34 (11.8) | 18 (6.3) | < 0.001* |
Post | 5 (1.7) | 12 (4.1) | 21 (7.1) | 54 (18.3) | 72 (24.4) | 93 (31.5) | 38 (12.9) |
Mean (SD)b | |||||||||
Measure | Cronbach’s Alpha | Pre | Post | p-valuec | |||||
Concerns Scale Score | 0.842 | 3.19 (1.30) | 2.64 (1.17) | < 0.001* | |||||
Question | n (%)d | ||||||||
Time | 1 | 2 | 3 | 4 | 5 | 6 | 7 | p-valuee | |
I would be afraid of giving naloxone in case the person becomes aggressive afterwards | Pre | 44 (15.3) | 83 (28.9) | 26 (9.1) | 54 (18.8) | 35 (12.2) | 26 (9.1) | 19 (6.6) | < 0.001* |
Post | 75 (25.6) | 108 (36.9) | 39 (13.3) | 36 (12.3) | 21 (7.2) | 6 (2.0) | 8 (2.7) | ||
I would be afraid of doing something wrong in an overdose situation | Pre | 25 (8.7) | 64 (22.3) | 18 (6.3) | 38 (13.2) | 66 (23.0) | 46 (16.0) | 30 (10.5) | < 0.001* |
Post | 48 (16.6) | 77 (26.6) | 35 (12.1) | 47 (16.2) | 56 (19.3) | 17 (5.9) | 10 (3.4) | ||
I would be reluctant to use naloxone for fear of precipitating withdrawal symptoms | Pre | 48 (16.7) | 85 (29.6) | 39 (13.6) | 54 (18.8 | 24 (8.4) | 23 (8.0) | 14 (4.9) | < 0.001* |
Post | 85 (29.1) | 109 (37.3) | 43 (14.7) | 31 (10.6) | 12 (4.1) | 9 (3.1) | 3 (1.0) | ||
I would be concerned about calling emergency services in case the police show upg | Pre | 177 (61.7) | 79 (27.5) | 8 (2.8) | 13 (4.5) | 3 (1.0) | 3 (1.0) | 4 (1.4) | 0.925 |
Post | 168 (57.5) | 102 (34.9) | 3 (1.0) | 9 (3.1) | 3 (1.0) | 4 (1.4) | 3 (1.0) | ||
If I tried to help someone who has overdosed, I might accidentally hurt them | Pre | 50 (17.4) | 98 (34.1) | 33 (11.5) | 55 (19.2) | 29 (10.1) | 11 (3.8) | 11 (3.8) | < 0.001* |
Post | 70 (23.9) | 115 (39.2) | 43 (14.7) | 37 (12.6) | 17 (5.8) | 10 (3.4) | 1 (0.30) | ||
I would feel safer if I knew that naloxone was aroundf,g | Pre | 10 (3.5) | 12 (4.2) | 9 (3.2) | 67 (23.5) | 50 (17.5) | 78 (27.4) | 59 (20.7) | < 0.001* |
Post | 3 (1.0) | 5 (1.7) | 6 (2.0) | 48 (16.3) | 45 (15.3) | 117 (39.8) | 70 (23.8) | ||
I would be afraid of suffering a needle stick injury if I had to give someone a naloxone injection | Pre | 64 (22.3) | 82 (28.6) | 18 (6.3) | 52 (18.1) | 33 (11.5) | 23 (8.0) | 15 (5.2) | 0.009* |
Post | 56 (19.2) | 108 (37.1) | 32 (11.0) | 41 (14.1) | 29 (10.0) | 17 (5.8) | 8 (2.7) | ||
Needles frighten me, and I wouldn’t be able to give someone an injection of naloxone | Pre | 112 (39.0) | 76 (26.5) | 22 (7.7) | 39 (13.6) | 24 (8.4) | 8 (2.8) | 6 (2.1) | 0.057 |
Post | 107 (36.8) | 101 (34.7) | 25 (8.6) | 30 (10.3) | 18 (6.2) | 6 (2.1) | 4 (1.4) |
Mean (SD)b | |||||||||
Measure | Cronbach’s Alpha | Pre | Post | p-valuec | |||||
Readiness Scale Score | 0.840 | 6.51 (0.70) | 6.47 (0.66) | 0.384 | |||||
Question | n (%)d | ||||||||
Time | 1 | 2 | 3 | 4 | 5 | 6 | 7 | p-valuee | |
Everyone at risk of witnessing an overdose should have naloxoneg | Pre | 10 (3.5) | 27 (9.5) | 10 (3.5) | 69 (24.2) | 39 (13.7) | 61 (21.4) | 69 (24.2) | < 0.001* |
Post | 7 (2.4) | 2 (0.70) | 1 (0.30) | 26 (8.9) | 37 (12.7) | 113 (38.7) | 106 (36.3) | ||
I couldn’t just watch someone overdose, I would have to do something to help | Pre | 1 (0.30) | 3 (1.0) | 2 (0.70) | 10 (3.5) | 22 (7.6) | 89 (30.9) | 161 (55.9) | 0.374 |
Post | 1 (0.30) | – | 2 (0.70) | 8 (2.7) | 17 (5.8) | 108 (36.9) | 157 (53.6) | ||
If someone overdoses, I would call an ambulance, but I wouldn’t be willing to do anything elsef,g | Pre | 98 (34.0) | 93 (32.3) | 42 (14.6) | 23 (8.0) | 11 (3.8) | 8 (2.8) | 13 (4.5) | 0.170 |
Post | 109 (37.3) | 96 (32.9) | 39 (13.4) | 20 (6.8) | 9 (3.1) | 9 (3.1) | 10 (3.4) | ||
Family and friends of drug users should be prepared to deal with an overdoseg | Pre | 6 (2.1) | 6 (2.1) | 3 (1.0) | 16 (5.6) | 17 (5.9) | 82 (28.6) | 157 (54.7) | 0.008* |
Post | 4 (1.4) | – | 2 (0.70) | 9 (3.1) | 17 (5.8) | 91 (31.2) | 169 (57.9) | ||
If I saw an overdose, I would panic and not be able to helpf,g | Pre | 95 (32.9) | 95 (32.9) | 34 (11.8) | 33 (11.4) | 10 (3.5) | 7 (2.4) | 15 (5.2) | < 0.001* |
Post | 115 (39.4) | 115 (39.4) | 33 (11.3) | 13 (4.5) | 10 (3.4) | 3 (1.0) | 3 (1.0) | ||
If I witnessed an overdose, I would call an ambulance immediately | Pre | 4 (1.4) | 2 (0.70) | 1 (0.30) | 6 (2.1) | 5 (1.7) | 49 (17.0) | 221 (76.7) | 0.566 |
Post | 1 (0.30) | 1 (0.30) | – | 6 (2.0) | 11 (3.8) | 76 (25.9) | 198 (67.6) | ||
I would stay with the overdose victim until help arrives | Pre | 2 (0.70) | – | – | 6 (2.1) | 8 (2.8) | 52 (18.1) | 219 (76.3) | 0.211 |
Post | – | – | – | 7 (2.4) | 7 (2.4) | 83 (28.2) | 197 (67.0) | ||
If I saw an overdose, I would feel nervous, but I would still take the necessary actions g | Pre | 5 (1.7) | 5 (1.7) | 6 (2.1) | 15 (5.2) | 24 (8.3) | 106 (36.7) | 128 (44.3) | 0.547 |
Post | 6 (2.0) | 4 (1.4) | 3 (1.0) | 18 (6.1) | 29 (9.9) | 119 (40.5) | 115 (39.1) | ||
I will do whatever is necessary to save someone’s life in an overdose situation | Pre | 2 (0.70) | 2 (0.70) | – | 12 (4.2) | 23 (8.0) | 83 (28.8) | 166 (57.6) | 0.587 |
Post | 1 (0.30) | – | – | 16 (5.5) | 19 (6.5) | 110 (37.5) | 147 (50.2) | ||
If someone overdoses, I want to be able to help them | Pre | 2 (0.70) | – | 1 (0.30) | 7 (2.4) | 6 (2.1) | 65 (22.6) | 207 (71.9) | 0.068 |
Post | 2 (0.70) | – | – | 9 (3.1) | 10 (3.4) | 92 (31.3) | 181 (61.6) |
Perceived ability to manage an opioid overdose
Concerns regarding managing an opioid overdose
Readiness to intervene in an opioid overdose situation
Actions and intended actions
Action | Timeb | Percent of Time Actions Taken When Presented with the Opportunity n (%)a | p-valued | |||||
---|---|---|---|---|---|---|---|---|
0–20% | 21–40% | 41–60% | 61–80% | 81–100% | N/Ac | |||
Screen or assess someone for potential opioid use disorder (OUD) or opioid overdose risk | Pre | 83 (29.1) | 16 (5.6) | 14 (4.9) | 12 (4.2) | 22 (7.7) | 138 (48.4) | < 0.001* |
Post | 93 (31.5) | 39 (13.2) | 17 (5.8) | 17 (5.8) | 38 (12.9) | 91 (30.8) | ||
Educate people about OUD through school or community-based programs | Pre | 86 (30.0) | 12 (4.2) | 17 (5.9) | 9 (3.0) | 24 (8.4) | 139 (48.4) | < 0.001* |
Post | 98 (33.4) | 48 (16.4) | 31 (10.6) | 18 (6.1) | 42 (14.3) | 56 (19.1) | ||
Provide education or counseling to family or caregivers regarding OUD | Pre | 86 (30.1) | 21 (7.3) | 20 (7.0) | 9 (3.1) | 15 (5.2) | 135 (47.2) | < 0.001* |
Post | 102 (35.1) | 46 (15.8) | 28 (9.6) | 20 (6.9) | 40 (13.7) | 55 (18.9) | ||
Recommend or discuss specialized treatment or rehabilitation facilities for a person with OUD | Pre | 93 (32.4) | 21 (7.3) | 23 (8.0) | 15 (5.2) | 19 (6.6) | 116 (40.4) | < 0.001* |
Post | 98 (33.6) | 33 (11.3) | 26 (8.9) | 23 (7.9) | 47 (16.1) | 65 (22.3) | ||
Recommend or discuss cognitive behavioral therapy for OUD | Pre | 79 (27.5) | 28 (9.8) | 16 (5.6) | 10 (3.5) | 16 (5.6) | 138 (48.1) | < 0.001* |
Post | 98 (33.6) | 34 (11.6) | 28 (9.6) | 21 (7.2) | 37 (12.7) | 74 (25.3) | ||
Recommend or discuss medication assisted treatment for OUD | Pre | 87 (30.5) | 19 (6.7) | 17 (6.0) | 3 (1.1) | 18 (6.3) | 141 (49.5) | < 0.001* |
Post | 99 (33.8) | 32 (10.9) | 29 (9.9) | 15 (5.1) | 36 (12.3) | 82 (28.0) | ||
Recommend or discuss naloxone | Pre | 91 (31.8) | 21 (7.3) | 16 (5.6) | 4 (1.4) | 10 (3.5) | 144 (50.3) | < 0.001* |
Post | 100 (34.4) | 36 (12.4) | 21 (7.2) | 24 (8.2) | 46 (15.8) | 64 (22.0) | ||
Speak with a healthcare provider on someone’s behalf | Pre | 93 (32.4) | 23 (8.0) | 24 (8.4) | 8 (2.8) | 17 (5.9) | 122 (42.5) | < 0.001* |
Post | 96 (33.0) | 28 (9.6) | 36 (12.4) | 24 (8.2) | 37 (12.7) | 70 (24.1) |
Satisfaction
Question | n (%) a | ||||||
---|---|---|---|---|---|---|---|
1 | 2 | 3 | 4 | 5 | 6 | 7 | |
OUD and Overdose Management Training | |||||||
All learning objectives for this educational program were met | 2 (0.60) | – | 2 (0.60) | 6 (1.9) | 24 (7.5) | 149 (46.7) | 136 (42.6) |
Content was relevant to my job | 2 (0.60) | 2 (0.60) | 8 (2.5) | 45 (14.2) | 49 (15.5) | 120 (38.0) | 90 (28.5) |
The training materials were easy to read | – | – | – | 17 (5.3) | 19 (6.0) | 152 (47.8) | 130 (40.9) |
The training adequately described strategies to prevent opioid use disorder (OUD) | 2 (0.60) | 1 (0.30) | 2 (0.60) | 19 (6.0) | 29 (9.2) | 149 (47.2) | 114 (36.1) |
The training adequately described strategies to treat OUD | – | – | 1 (0.30) | 10 (3.1) | 23 (7.2) | 150 (47.2) | 134 (42.1) |
The training adequately described strategies to communicate with individuals with OUD | – | 1 (0.30) | 2 (0.60) | 14 (4.4) | 32 (10.1) | 157 (49.5) | 111 (35.0) |
After the training, my ability to recommend resources to individuals with OUD increased | 1 (0.30) | 1 (0.30) | – | 19 (6.0) | 33 (10.4) | 157 (49.4) | 107 (33.6) |
After the training, my ability to recommend treatment to individuals with OUD increased | 1 (0.30) | 2 (0.60) | 1 (0.30) | 23 (7.3) | 41 (13.0) | 151 (47.8) | 97 (30.7) |
After the training, my ability to collaborate with others to prevent OUD increased | 1 (0.30) | 1 (0.30) | 2 (0.60) | 26 (8.2) | 44 (13.9) | 146 (46.2) | 96 (30.4) |
General Program | |||||||
The training content was clear and concise | – | – | 3 (1.0) | 5 (1.6) | 22 (7.0) | 161 (51.1) | 124 (39.4) |
Realistic time was allowed for the training | – | – | 2 (0.60) | 7 (2.2) | 26 (8.3) | 162 (51.6) | 117 (37.3) |
I was satisfied with the material presented during the program | – | – | 2 (0.60) | 9 (2.9) | 20 (6.4) | 151 (48.2) | 131 (41.9) |
I would recommend this program to others | – | – | 2 (0.60) | 7 (2.2) | 17 (5.4) | 131 (41.7) | 157 (50.0) |
The training met my educational needs | – | 1 (0.30) | 3 (1.0) | 8 (2.6) | 22 (7.1) | 150 (48.2) | 127 (40.8) |
The quality of the facility was excellent | 1 (0.30) | – | 1 (0.30) | 12 (3.8) | 17 (5.4) | 141 (45.0) | 141 (45.0) |
I have been pleased with the communication regarding the program | – | 2 (0.60) | 1 (0.30) | 13 (4.2) | 14 (4.5) | 145 (46.3) | 138 (44.1) |
I have been pleased with the registration process for the program | – | 1 (0.30) | 2 (0.60) | 8 (2.6) | 18 (5.8) | 132 (42.3) | 151 (48.4) |
The presenters were engaging | – | – | 2 (0.60) | 8 (2.6) | 29 (9.4) | 126 (40.8) | 144 (46.6) |