Academic detailing with ambulatory pharmacists to support naloxone counseling

Kennedy, Amanda G.; Wood, Marci; Starecheski, Gary; Belcher, Roy; Cote, Elizabeth

doi:10.1016/j.japh.2021.01.031

Cited by 11 publications

(10 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Fifteen interventions captured information on the feasibility of conducting the intervention based on study characteristics, goals and outcomes. 6 , 7 , 17 – 20 , 23 , 25 , 27 , 28 , 31 , 33 , 34 , 36 …”

Section: Resultsmentioning

confidence: 99%

“…Six interventions described feasibility by reporting provider satisfaction, input and self-reported changes via provider surveys. 7 , 23 , 27 , 33 , 34 , 36 Donaldson et al found that ED providers agreed that their opioid prescribing would change after the AD session (67%), strongly agreed that that the AD session was an appropriate length of time (70%) and strongly agreed that AD was interactive (67%). 27 After a group AD intervention in Utah, Coachella et al found that providers were confident in implementing state opioid guidelines (85%) and no longer prescribing long-acting opioids (60–80%).…”

Section: Resultsmentioning

confidence: 99%

“… 7 Further, Kennedy et al found that 96% of pharmacists that received naloxone-focused AD reported that the provided information would influence their practice. 36 The investigators administered a second survey to the participating pharmacists and found that 100% of the respondents reported that AD impacted their practice. However, the pharmacists did not self-report behaviour change regarding checking the prescription drug monitoring programme, offering non-opioid alternatives and dispensing naloxone.…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Academic detailing interventions for opioid-related outcomes: a scoping review

Kulbokas¹,

Hanson²,

Smart³

et al. 2021

DIC

View full text Add to dashboard Cite

Background Academic detailing (AD) is a tailored, interactive educational outreach intervention that may improve patient outcomes. Insight into the design of AD interventions and the extent to which they are effective can help inform future AD-based programmes. The objective of this scoping review was to characterize opioid-focused AD interventions and describe their findings. Methods A scoping review focused on AD interventions for opioids was conducted in PubMed, EMBASE and CINAHL databases through July 1, 2021. Studies were eligible for inclusion if written in English, included interactive opioid-focused educational interventions, and were conducted either in person, virtually or via telephone. Four independent reviewers reviewed titles and abstracts. Data extraction from full-text publications was completed using a standardized form. Results Of 6086 articles initially identified, 22 articles met the inclusion criteria and 20 unique interventions were identified. The AD intervention was either delivered one-on-one ( n =16) or in a small, interactive group setting ( n =4). AD interventions varied in design. Effectiveness was evaluated in terms of opioid and naloxone prescribing rates, provider knowledge gaps, provider adherence to guidelines, and intervention feasibility. Sixteen (80%) interventions resulted in statistically significant improvement in one or more outcomes. Conclusion Generally, opioid-related AD was effective and programmes were primarily conducted one-on-one between pharmacists and primary care providers for 16–30 minutes. A variety of metrics and outcomes were used to assess the success/effectiveness of AD interventions, which is an important consideration in future studies as no single metric captures the effectiveness of an educational outreach-based intervention for pain management.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Academic detailing interventions for opioid-related outcomes: a scoping review

Kulbokas¹,

Hanson²,

Smart³

et al. 2021

DIC

View full text Add to dashboard Cite

show abstract

“…Several studies have demonstrated the of academic-detailing on the pharmacists' awareness of naloxone availability under a statespecific measure and/or willingness to dispense naloxone in general. [15][16][17] Additionally, some studies have shown that academic detailing does result in increased naloxone dispensing. 20,21 While awareness and willingness to dispense naloxone are important, there is little evidence to demonstrate that translates into more naloxone being dispensed into communities.…”

Section: Discussionmentioning

confidence: 99%

“…13,14 While there is evidence on education via academic detailing resulting in increased awareness of naloxone dispensing protocols and accessibility, there is limited evidence that this education results in increased naloxone in communities. [15][16][17] Though evidence behind academic detailing leading to increased naloxone distribution is positive, it is limited to certain geographic areas and to major chain pharmacies. 18 Furthermore, academic detailing requires a large investment of time.…”

Section: Introductionmentioning

confidence: 99%

Assessment of student pharmacist‐led academic detailing on independent community pharmacy naloxone orders

Franko,

Yencha,

Sayre

2023

J Am Coll Clin Pharm

View full text Add to dashboard Cite

IntroductionAcademic detailing has been used as a preferential method to increase pharmacists’ awareness of naloxone, however, its impact on actual dispensing rates is not well established.ObjectiveThe aim of this pilot study is to determine if a student‐led academic detailing on naloxone use and communication increased the amount of naloxone ordered from independent pharmacies in various geographic settings throughout Northeast Pennsylvania.Methods39 independent pharmacies which utilized a single wholesaler were randomized to receive an in‐person, student‐led training about naloxone use and communication. Students attended a train‐the‐trainer presentation to ensure a universal training was provided to all pharmacies. Students were provided with intranasal naloxone demonstration devices, handouts on effective communication, and talking points for each pharmacy visit. All academic detailing sessions were held live at each pharmacy during that pharmacy's regular business hours. Topics covered included appropriate naloxone use, what to expect after giving naloxone, and evidence‐based communication methods for engaging with patients about purchasing naloxone. Devices and handouts were left behind for pharmacists to use in daily practice. Naloxone and opioid shipping data for three months prior to and three months post‐intervention were compared.ResultsNaloxone ordered in the pre‐intervention period was 21 vs. 26 (intervention vs. control) (p = 0.59) and 31 vs. 29 post‐intervention (p = 0.25). There was no statistically significant difference in the number of pharmacies which ordered more naloxone pre vs. post‐intervention or in the total amount of opioids ordered pre vs. post‐intervention.ConclusionWhile pharmacies which received academic detailing did order more naloxone that pharmacies which did not, the difference did not rise to a level of statistical significance. As the population of this pilot study was small, expanding this approach to academic detailing to a larger population is warranted to possibly see more robust results.This article is protected by copyright. All rights reserved.

show abstract