Impact of a communication technique training on rates of naloxone dispensing

Gandhi, Nidhi; Hanes, Scott D.; Candelario, Danielle M.; Clough, Chandni; Highland, Jay

doi:10.1016/j.japh.2020.02.006

Cited by 8 publications

(12 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Another program used a pocket card reference for pharmacist communication techniques, which emphasized how to start conversations about naloxone with patients, and provided the counseling points and potential patients who would benefit from a naloxone kit [ 23 ]. The implementation of this communication pocket card reference resulted in a four-fold increase in pharmacist naloxone dispensing, when compared with the prior 3 months before pocket card implementation [ 23 ]. There have been a number of different interventions applied at various points in the pharmacy workflow as described above, and it is evident that all positively impact THN dispensing numbers.…”

Section: Resultsmentioning

confidence: 99%

“…Further training should also cover knowledge gaps found for administrative and clinical issues found in this review, where pharmacists are unfamiliar with standing orders, billing procedures, initiating conversations, and identifying eligible patients [ 36 , 53 , 55 , 61 ] . The communication technique incorporated with a THN program that was identified in this review provides a great example of how education and training can help to fill knowledge gaps and lift barriers such as stigma, to increase naloxone availability [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

“… - The pharmacist counsels every patient who is receiving naloxone and provides them with written educational materials. Gandhi [ 23 ] 2020 USA Pharmacists Intervention study I: Communication technique training (CTT) C: Baseline before training Dispensing rates of naloxone and pharmacist and pharmacy-related factors that may affect the dispensing rates of naloxone - The CTT consisted of a pocket card reference and patient-case scenario activity. - The cases emphasized the points found on the card and were taught as a teach-back method.…”

Section: Embase Search Strategy (Performed 1 June 2020)mentioning

confidence: 99%

“…Most studies were published between 2019 and 2020. Ten out of 18 studies (55%) measured the impact of the THN program on naloxone dispensing; all noted that naloxone dispensing increased after THN program implementation [19][20][21][22][23][24][25][26][27][28]. Patient outcomes were not commonly studied; however, some studies (4/18, 22%) discussed the efficacy of the THN program through opioid overdose reversal rates or the number of naloxone kit refills [18,[29][30][31].…”

Section: Take-home Naloxone Programs and Program Interventionsmentioning

confidence: 99%

“…The first THN program in Washington coupled naloxone dispensing with a standardized patient naloxone counselling checklist [29]. Programs implementing pocket-guides for pharmacists or patients have also been described [20,23]. One THN program used pharmacy claims data to identify patients at high risk of opioid overdose and provided those patients with an Opioid Safety Guide (OSG) during the dispensing of their next opioid prescription [20].…”

Section: Thn Programs: Checklists and Pocket-guidesmentioning

confidence: 99%

See 4 more Smart Citations

What Is Known about Community Pharmacy-Based Take-Home Naloxone Programs and Program Interventions? A Scoping Review

2021

View full text Add to dashboard Cite

A variety of new sources describing community pharmacy-based take-home naloxone (THN) programs have emerged recently in the literature. There is a need to define the types of take-home naloxone programs being offered to support future research designs in implementing and evaluating standardized programs that fill pharmacist and patient knowledge gaps and lift current barriers for optimal community pharmacy naloxone provision. The objective of this paper is to summarize the literature on community pharmacy-based THN programs, including specific program interventions used to increase naloxone dispensing, naloxone availability and dispensing patterns, facilitators and barriers for the THN programs, and knowledge gaps. Online databases such as PubMed, EMBASE, Scopus, and International Pharmaceutical Abstracts (IPA) and a search of the grey literature were used to identify eligible sources. Sources were screened by two reviewers for eligibility in COVIDENCE software. Both reviewers compared screening results and resolved conflicts through discussion. A data extraction form for all identified full texts was completed by both reviewers and results were compiled through reviewer discussion. Fifty-two sources met the eligibility criteria. The top three barriers identified were: cost/coverage of naloxone, stigma, and education/training for pharmacists. THN program interventions included screening tools, checklists, pocket cards, patient brochures, and utilizing the pharmacy management system to flag eligible patients. Patient knowledge gaps included naloxone misinformation and lack of awareness, while pharmacists demonstrated administrative, clinical, and counselling knowledge gaps. Naloxone availability was found to be highly variable, where independent and rural pharmacies were less likely to stock or dispense naloxone. Further, pharmacies located in districts with higher rates of opioid overdose deaths and lower household income were also less likely to have naloxone available. This review identified multiple new programs, showcasing that the implementation and evaluation of THN programs are an expanding area of research. Future research should focus on implementing and evaluating a THN program through a randomized controlled trial design that incorporates solutions for the barriers and knowledge gaps identified in this study.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Embase Search Strategy (Performed 1 June 2020)mentioning

confidence: 99%

Section: Take-home Naloxone Programs and Program Interventionsmentioning

confidence: 99%

Section: Thn Programs: Checklists and Pocket-guidesmentioning

confidence: 99%

See 3 more Smart Citations

What Is Known about Community Pharmacy-Based Take-Home Naloxone Programs and Program Interventions? A Scoping Review

2021

View full text Add to dashboard Cite

show abstract

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

Limited access to pharmacy-based naloxone in West Virginia: Results from a statewide purchase trial

Pollini

Ozga

Joyce

et al. 2022

Drug and Alcohol Dependence

View full text Add to dashboard Cite

Impact of a communication technique training on rates of naloxone dispensing

Cited by 8 publications

References 9 publications

What Is Known about Community Pharmacy-Based Take-Home Naloxone Programs and Program Interventions? A Scoping Review

What Is Known about Community Pharmacy-Based Take-Home Naloxone Programs and Program Interventions? A Scoping Review

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

Limited access to pharmacy-based naloxone in West Virginia: Results from a statewide purchase trial

Contact Info

Product

Resources

About