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

Article Details

Authors
Victoria Kulbokas, Kent A Hanson, Mary H Smart, Monika Rao Mandava, Todd A Lee, A Simon Pickard

Article Type
Review

DOI
10.7573/dic.2021-7-7

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Abstract

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.

Keywords: academic detailing, continuing medical education, educational outreach, naloxone, opioids, prescribing.

Citation: Kulbokas V, Hanson KA, Smart MH, Mandava MR, Lee TA, Pickard AS. Academic detailing interventions for opioid-related outcomes: a scoping review. Drugs Context. 2021;10:2021-7-7. https://doi.org/10.7573/dic.2021-7-7

Contributions: VK, KH, MS and MM took part in the literature search and data extraction. All authors took part in writing the manuscript and approval of the final draft. All named authors meet the International Committee of Medical Journal Editors (ICMJE) criteria for authorship for this article, take responsibility for the integrity of the work as a whole and have given their approval for this version to be published.

Disclosure and potential conflicts of interest: Kent Hanson is supported by the University of Illinois, Chicago/Pfizer Inc. Health Economics and Outcomes Research (HEOR) Fellowship (2020–2022). Monika Mandava is supported by the University of Illinois, Chicago/AbbVie Health Economics and Outcomes Research (HEOR) Fellowship (2021–2023). The International Committee of Medical Journal Editors (ICMJE) Potential Conflicts of Interests form for the authors is available for download at: https://www.drugsincontext.com/wp-content/uploads/2021/11/dic.2021-7-7-COI.pdf

Acknowledgements: The authors would like to thank Kathrine Donnowitz, Ravikumar Patel, Rohan Vashi and Fatih Zecic for aiding the team in the initial literature search strategy.

Funding declaration: This publication was part of a project supported by the Centers for Disease Control and Prevention of the US Department of Health and Human Services (HHS), grant R01 CE003156, as part of a financial assistance award totaling $2.3 million, with 100% funded by CDC/HHS. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by CDC/HHS, or the US Government here.

Copyright: Copyright © 2021 Kulbokas V, Hanson KA, Smart MH, Mandava MR, Lee TA, Pickard AS. Published by Drugs in Context under Creative Commons License Deed CC BY NC ND 4.0 which allows anyone to copy, distribute and transmit the article provided it is properly attributed in the manner specified below. No commercial use without permission.

Correct attribution: Copyright © 2021 Kulbokas V, Hanson KA, Smart MH, Mandava MR, Lee TA, Pickard AS. https://doi.org/10.7573/dic.2021-7-7. Published by Drugs in Context under Creative Commons License Deed CC BY NC ND 4.0.

Article URL: https://www.drugsincontext.com/academic-detailing-interventions-for-opioid-related-outcomes:-a-scoping-review

Correspondence: A Simon Pickard, Department of Pharmacy Systems, Outcomes and Policy, College of Pharmacy, University of Illinois Chicago, 833 South Wood St, M/C 886, Chicago, IL, 60612, USA. Email: pickard1@uic.edu

Provenance: Invited; externally peer reviewed.

Submitted: 15 July 2021; Accepted: 1 October 2021; Publication date: 15 December 2021.

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