TY - JOUR
KW - Humans
KW - Naloxone/therapeutic use
KW - Practice Patterns, Physicians'
KW - Retrospective Studies
KW - Veterans Health
KW - Academic detailing
KW - Educational outreach
KW - naloxone
KW - Telemedicine
KW - Veterans
KW - Virtual academic detailing
KW - e-Detailing
AU - M. Bounthavong
AU - R. Shayegani
AU - J. M. Manning
AU - J. Marin
AU - P. Spoutz
AU - J. D. Hoffman
AU - M. A. Harvey
AU - J. E. Himstreet
AU - C. L. Kay
AU - B. A. Freeman
AU - A. Almeida
AU - M. L. D. Christopher
A1 - 
AB - INTRODUCTION: Academic detailing, an educational outreach that promotes evidence-based practices to improve the quality of care for patients, has primarily been delivered using one-on-one in-person interactions. In 2018, the U.S. Department of Veterans Affairs (VA) Pharmacy Benefits Management implemented a pilot virtual academic detailing program to increase naloxone prescribing among veterans at risk for opioid overdose or death. The aim of this evaluation was to compare virtual and in-person academic detailing on naloxone prescribing rates at VA. METHODS: A retrospective quasi-experimental pretest-posttest non-equivalent groups design was used to compare virtual academic detailing and in-person academic detailing on naloxone prescribing rates 12 months before and after providers received a naloxone-specific encounter at three VA regional networks between January 1, 2018 to May 31, 2020. Subgroup analysis was performed on rural providers. Generalized estimating equation models were constructed to compare the difference in naloxone prescribing rates before and after receiving virtual or in-person academic detailing controlling for provider-level characteristics. RESULTS: Providers who received virtual (N = 67) or in-person (N = 186) academic detailing had significant increases in naloxone prescribing, but the differences in the naloxone rates between the groups were not statistically significant (difference in changes in naloxone rates=+0.63; 95% CI: -2.23, 3.48). Similar findings were reported for rural providers. DISCUSSION: Providers who received naloxone-related in-person or virtual academic detailing had increased naloxone prescribing rates; however, there were no differences between the two types of modalities. Virtual academic detailing is a viable alternative for delivering academic detailing and allows academic detailers to expand their reach to rural providers.
AD - VA Pharmacy Benefits Management Academic Detailing Service, San Diego, CA, USA; Division of Clinical Pharmacy, Skaggs School of Pharmacy & Pharmaceutical Sciences, University of California San Diego, La Jolla, CA, USA. Electronic address: mark.bounthavong@va.gov.; VA VISN 21 Sierra Pacific Network, Las Vegas, NV, USA.; VA VISN 20 Northwest Network, Seattle, WA, USA.; VA VISN 21 Sierra Pacific Network, Pleasant Hill, CA, USA.; VA VISN 20 Northwest Network, Boise, ID, USA.; VA VISN 19 Rocky Mountain Network, Salt Lake City, UT, USA.; VA Pharmacy Benefits Management Academic Detailing Service, St Louis, MO, USA.; VA Pharmacy Benefits Management Academic Detailing Service, Eugene, OR, USA.; VA Pharmacy Benefits Management Academic Detailing Service, St Louis, MO, USA.; VA Pharmacy Benefits Management Academic Detailing Service, New York, NY, USA.; VA Pharmacy Benefits Management Academic Detailing Service, Tampa Bay, FL, USA.; VA Pharmacy Benefits Management Academic Detailing Service, San Diego, CA, USA.
BT - International journal of medical informatics
C5 - Education & Workforce; Opioids & Substance Use
CY - Ireland
DO - 10.1016/j.ijmedinf.2022.104712
JF - International journal of medical informatics
LA - eng
M1 - Journal Article
N2 - INTRODUCTION: Academic detailing, an educational outreach that promotes evidence-based practices to improve the quality of care for patients, has primarily been delivered using one-on-one in-person interactions. In 2018, the U.S. Department of Veterans Affairs (VA) Pharmacy Benefits Management implemented a pilot virtual academic detailing program to increase naloxone prescribing among veterans at risk for opioid overdose or death. The aim of this evaluation was to compare virtual and in-person academic detailing on naloxone prescribing rates at VA. METHODS: A retrospective quasi-experimental pretest-posttest non-equivalent groups design was used to compare virtual academic detailing and in-person academic detailing on naloxone prescribing rates 12 months before and after providers received a naloxone-specific encounter at three VA regional networks between January 1, 2018 to May 31, 2020. Subgroup analysis was performed on rural providers. Generalized estimating equation models were constructed to compare the difference in naloxone prescribing rates before and after receiving virtual or in-person academic detailing controlling for provider-level characteristics. RESULTS: Providers who received virtual (N = 67) or in-person (N = 186) academic detailing had significant increases in naloxone prescribing, but the differences in the naloxone rates between the groups were not statistically significant (difference in changes in naloxone rates=+0.63; 95% CI: -2.23, 3.48). Similar findings were reported for rural providers. DISCUSSION: Providers who received naloxone-related in-person or virtual academic detailing had increased naloxone prescribing rates; however, there were no differences between the two types of modalities. Virtual academic detailing is a viable alternative for delivering academic detailing and allows academic detailers to expand their reach to rural providers.
PP - Ireland
PY - 2022
SN - 1872-8243; 1386-5056
SP - 104712
T1 - Comparison of virtual to in-person academic detailing on naloxone prescribing rates at three U.S. Veterans Health Administration regional networks
T2 - International journal of medical informatics
TI - Comparison of virtual to in-person academic detailing on naloxone prescribing rates at three U.S. Veterans Health Administration regional networks
U1 - Education & Workforce; Opioids & Substance Use
U2 - 35196600
U3 - 10.1016/j.ijmedinf.2022.104712
VL - 161
VO - 1872-8243; 1386-5056
Y1 - 2022
Y2 - May
ER -