Evidence map›Paper›PMID 29778772›Full record

ArticleDrug and alcohol dependence2018

Predicting pharmacy naloxone stocking and dispensing following a statewide standing order, Indiana 2016.

B E Meyerson, J D Agley, A Davis, W Jayawardene, A Hoss, D J Shannon, P T Ryder, K Ritchie, R Gassman

Abstract read
In one paragraph

Article in Drug and alcohol dependence, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  17. Naloxone availability in independent community pharmacies in Georgia, 2019.Substance abuse treatment, prevention, and policy · 2021
    Article
  18. Naloxone's role in the national opioid crisis-past struggles, current efforts, and future opportunities.Translational research : the journal of laboratory and clinical medicine · 2021
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

B E MeyersonIndiana University School of Public Health-Bloomington, 1025 E. 7th St., Bloomington, IN 47405, USA; Rural Center for AIDS/STD Prevention, Indiana University, 801 E. 7th St., Bloomington, IN 47405, USA. Electronic address: bmeyerso@indiana.edu.
J D AgleyIndiana University School of Public Health-Bloomington, 1025 E. 7th St., Bloomington, IN 47405, USA; Indiana Prevention Research Center, Indiana University,501 N. Morton St. Suite 110, Bloomington, IN 47404, USA; Institute for Research on Addictive Behavior, Indiana University, 501 N. Morton St. Suite 104, Bloomington, IN 47404, USA.
A DavisHIV Center for Clinical and Behavioral Studies, Columbia University Medical Center and New York Psychiatric Institute, 1051 Riverside Dr. #15, New York, NY 10032, USA; Social Intervention Group, Columbia University School of Social Work, 1255 Amsterdam Ave., New York, NY 10027, USA.
W JayawardeneIndiana University School of Public Health-Bloomington, 1025 E. 7th St., Bloomington, IN 47405, USA; Institute for Research on Addictive Behavior, Indiana University, 501 N. Morton St. Suite 104, Bloomington, IN 47404, USA.
A HossIndiana University Robert H. McKinney School of Law, 530 W. New York St., Indianapolis, IN 46202, USA.
D J ShannonIndiana University School of Public Health-Bloomington, 1025 E. 7th St., Bloomington, IN 47405, USA; Rural Center for AIDS/STD Prevention, Indiana University, 801 E. 7th St., Bloomington, IN 47405, USA.
P T RyderLarkin University College of Pharmacy, 18301 N. Miami Ave. Suite 1, Miami, FL 33169, USA.
K RitchieButler University College of Pharmacy and Health Sciences, 4600 Sunset Ave., Indianapolis, IN 46208, USA.
R GassmanIndiana University School of Public Health-Bloomington, 1025 E. 7th St., Bloomington, IN 47405, USA; Indiana Prevention Research Center, Indiana University,501 N. Morton St. Suite 110, Bloomington, IN 47404, USA; Institute for Research on Addictive Behavior, Indiana University, 501 N. Morton St. Suite 104, Bloomington, IN 47404, USA.

Funding

The Statistics, Data Science, and Data Management (SDM) CoreP30MH043520 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI Claude Ann Mellins · 2003 to 2026
$48.2M
Indiana Clinical and Translational Sciences InstituteUL1TR001108 · NCATS · INDIANA UNIVERSITY INDIANAPOLIS · PI DENNE, SCOTT C., SHEKHAR, ANANTHA · 2013 to 2017
$23.3M
INSPIRE : Interdisciplinary Social and Behavioral Science Prevention and Intervention REsearch in HIVT32MH019139 · NIMH · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI Claude Ann Mellins, Jae M. Sevelius · 1989 to 2026
$10.8M
Indiana Clinical and Translational Sciences InstituteTL1TR001107 · NCATS · INDIANA UNIVERSITY INDIANAPOLIS · PI DENNE, SCOTT C., SHEKHAR, ANANTHA · 2013 to 2017
$2.0M
A couple-based antiretroviral therapy adherence intervention for people who inject drugs in KazakhstanK01DA044853 · NIDA · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI DAVIS, ALISSA · 2018 to 2022
$903k
NCATS NIH HHS TL1 TR001107NCATS NIH HHS UL1 TR001108NIDA NIH HHS K01 DA044853NIMHD NIH HHS L60 MD010932NIMH NIH HHS P30 MH043520NIMH NIH HHS T32 MH019139
6 · The paper itself

Abstract

backgroundWhile naloxone, the overdose reversal medication, has been available for decades, factors associated with its availability through pharmacies remain unclear. Studies suggest that policy and pharmacist beliefs may impact availability. Indiana passed a standing order law for naloxone in 2015 to increase access to naloxone.

objectiveTo identify factors associated with community pharmacy naloxone stocking and dispensing following the enactment of a statewide naloxone standing order.

methodsA 2016 cross-sectional census of Indiana community pharmacists was conducted following a naloxone standing order. Community, pharmacy, and pharmacist characteristics, and pharmacist attitudes about naloxone dispensing, access, and perceptions of the standing order were measured. Modified Poisson and binary logistic regression models attempted to predict naloxone stocking and dispensing, respectively.

resultsOver half (58.1%) of pharmacies stocked naloxone, yet 23.6% of pharmacists dispensed it. Most (72.5%) pharmacists believed the standing order would increase naloxone stocking, and 66.5% believed it would increase dispensing. Chain pharmacies were 3.2 times as likely to stock naloxone. Naloxone stocking was 1.6 times as likely in pharmacies with more than one full-time pharmacist. Pharmacies where pharmacists received naloxone continuing education in the past two years were 1.3 times as likely to stock naloxone. The attempted dispensing model yielded no improvement over the constant-only model.

conclusionsPharmacies with larger capacity took advantage of the naloxone standing order. Predictors of pharmacist naloxone dispensing should continue to be explored to maximize naloxone access.

Indexed as

Standing OrdersAdultAgedCross-Sectional StudiesHealth Knowledge, Attitudes, PracticeHealth Services AccessibilityHumansIndianaMaleMiddle AgedNaloxonePharmaceutical ServicesPharmacistsNaloxoneNaloxone accessOpioid overdose reversalPharmacy practicePublic health law

Identifiers

PMID29778772
PMCPMC6375076

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.