ArticleSubstance abuse2018
Physicians report adopting safer opioid prescribing behaviors after academic detailing intervention.
Article in Substance abuse, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Which strategies support the effective use of clinical practice guidelines and clinical quality registry data to inform health service delivery? A systematic review.Systematic reviews · 2022Pooled it
- County-Level Opioid Prescribing Behavior Before and After the Implementation of Local Opioid Overdose Prevention and Response (LOOPR), 2017-2020.Substance use & misuse · 2025Article
- Factors Associated with Multimodal Care Practices for Cancer Cachexia among Pharmacists.Current oncology (Toronto, Ont.) · 2024Article
- Alternatives to dental opioid prescribing after tooth extraction (ADOPT): protocol for a stepped wedge cluster randomized trial.BMC oral health · 2024Article
- Understanding State-Level Variations in Implementing Academic Detailing for Prescribing Opioids: Findings from 11 States Within the United States.Pain medicine (Malden, Mass.) · 2022Article
- Evaluations of Continuing Health Provider Education Focused on Opioid Prescribing: A Scoping Review.Academic medicine : journal of the Association of American Medical Colleges · 2022Article
- Development of a measure of prescriber satisfaction with academic detailing: the PSAD.Drugs in context · 2022Article
- The impact of community-level prevention strategies on high-dose opioid dispensing rates: 2014-2019.Drug and alcohol dependence · 2021Article
- Feasibility and acceptability of virtual academic detailing on opioid prescribing.International journal of medical informatics · 2021Article
- A retrospective quantitative implementation evaluation of Safer Opioid Prescribing, a Canadian continuing education program.BMC medical education · 2021Article
- Opioid prescribing for surgical dental procedures in dental clinics of military treatment facilities.Journal of the American Dental Association (1939) · 2021Article
- Academic detailing interventions for opioid-related outcomes: a scoping review.Drugs in context · 2021Article
- The Opioid-overdose Reduction Continuum of Care Approach (ORCCA): Evidence-based practices in the HEALing Communities Study.Drug and alcohol dependence · 2020Article
- Identification of barriers to safe opioid prescribing in primary care: a qualitative analysis of field notes collected through academic detailing.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020Article
- Development of an Instrument to Assess the Perceived Effectiveness of Academic Detailing.The Journal of continuing education in the health professions · 2020Article
- Payments from drug companies to physicians are associated with higher volume and more expensive opioid analgesic prescribing.PloS one · 2018Article
- Academic detailing increases prescription drug monitoring program use among primary care practices.Journal of the American Pharmacists Association : JAPhAArticle
- Academic detailing to improve appropriate opioid prescribing: a mixed-methods process evaluation.CMAJ openArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
Background This study evaluated an educational intervention intended to increase physicians' use of patient prescription history information from the state prescription monitoring program (PMP) and their adoption of clinical behaviors consistent with opioid prescription guidelines to reduce patient risk. Methods Physician volunteers (n = 87) in community practices and Veterans Administration medical settings in South Carolina received an office-based, individualized, educational intervention (Academic Detailing) from a trained pharmacist who promoted three key messages about safer opioid prescribing. Physicians were registered for the state PMP, guided through retrieving patient information from the PMP, and given patient-centered materials. Physicians consented to completing web-surveys; 68 (78%) completed follow-up surveys on average 12.2 weeks post-intervention. Results Of 43 respondents who did not use the PMP before the intervention, 83% adopted PMP use. Self-reports also revealed a significant increase in frequency of the following behaviors: 1) using patient report information from the PMP, 2) using a standardized scale to monitor pain intensity and interference with daily functioning, and 3) issuing orders for urine toxicology screens for patients maintained long-term on opioids. Conclusions The intervention was effective in promoting physician adoption of prescribing behaviors intended to reduce risks associated with prescription opioids. The self-report findings of this study should be confirmed by analysis using data on the number of queries submitted to the state's PMP. The present study suggests that a single academic detailing visit may be an effective tool for increasing physician voluntary registration and utilization of data on patients' prescription history contained in a state PMP.
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