ArticleHealth services research2019
Implementation evaluation of academic detailing on naloxone prescribing trends at the United States Veterans Health Administration.
Article in Health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- Academic Detailing Interventions and Evidence-Based Prescribing: A Systematic Review.JAMA network open · 2025Pooled it
- Tracking implementation strategies in the randomized rollout of a Veterans Affairs national opioid risk management initiative.Implementation science : IS · 2020Trial
- Implementation of an academic detailing intervention to increase naloxone distribution and foster engagement in harm reduction from the community clinician.Journal of the American Pharmacists Association : JAPhATrial
- Optimizing outpatient pharmacologic treatment for veterans with alcohol use disorder using an academic detailing approach for primary care providers in the United States Department of Veterans Affairs: A retrospective quasi-experimental study.Addiction (Abingdon, England) · 2026Article
- Enhancing Naloxone Distribution for Opioid Users in the USA: A Cost-Utility Analysis of Academic Detailing to Clinicians.Applied health economics and health policy · 2025Article
- Opioid Prescriptions for Low Back Pain among Military-Connected Older Adults Across Multiple Care Systems.Drugs & aging · 2025Article
- A cross-sectional survey exploring organizational readiness to implement community pharmacy-based opioid counseling and naloxone services in rural versus urban settings in Alabama.Exploratory research in clinical and social pharmacy · 2024Article
- Naloxone Coprescribing and the Prevention of Opioid Overdoses: Quasi-Experimental Metacognitive Assessment of a Novel Education Initiative.JMIR medical education · 2024Article
- Exploring the harm reduction paradigm: the role of Board-Certified Psychiatric Pharmacists.The mental health clinician · 2024Article
- "I go out of my way to give them an extra smile now:" A study of pharmacists who participated in Respond to Prevent, a community pharmacy intervention to accelerate provision of harm reduction materials.Research in social & administrative pharmacy : RSAP · 2024Article
- Primary care management of Long-Term opioid therapy.Annals of medicine · 2022Review
- Understanding State-Level Variations in Implementing Academic Detailing for Prescribing Opioids: Findings from 11 States Within the United States.Pain medicine (Malden, Mass.) · 2022Article
- Associations between naloxone prescribing and opioid overdose among patients with acute and chronic pain conditions.Addiction (Abingdon, England) · 2022Article
- Facilitators, barriers and lessons learnt from the first state-wide naloxone distribution conducted in West Virginia.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 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
- The American Opioid Epidemic in Special Populations: Five Examples.NAM perspectives · 2020Review
- Implementation evaluation of academic detailing on naloxone prescribing trends at the United States Veterans Health Administration.Health services research · 2019Article
- Willingness to provide naloxone: Survey of the National Dental Practice-Based Research Network.Journal of opioid managementArticle
- Virtual academic detailing (e-Detailing): A vital tool during the COVID-19 pandemic.Journal of the American Pharmacists Association : JAPhAArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveAcademic detailing in partnership with the Opioid Overdose Education and Naloxone Distribution (OEND) program was implemented to increase naloxone access for the prevention of opioid overdose mortality in veterans at the U.S. Department of Veterans Affairs (VA). However, implementation was not uniform leading to varying levels of intervention exposure potentially impacting naloxone prescribing. We examined the impact of implementation strength (proportion of providers exposed to academic detailing) at each station on naloxone prescribing from September 2014 to December 2017. STUDY DESIGN AND
settingRetrospective cohort design with fixed effects models at the VA. DATA COLLECTION/EXTRACTION
methodsWe used VA Corporate Data Warehouse for data on pharmacy dispensing, station-, provider- and patient-level characteristics. OEND-specific academic detailing activities came from data recorded by academic detailers using Salesforce.com. PRINCIPAL
findingsVA stations wherein 100 percent of providers exposed to an OEND-related academic detailing educational outreach visit experienced an increased incident rate of naloxone prescribing that was 5.52 times the incident rate of stations where no providers were exposed; alternatively, this is equivalent to an average monthly increase of 2.60 naloxone prescriptions per 1000 population at risk for opioid overdose.
conclusionsOur findings highlight the importance of academic detailing's implementation strength on naloxone prescribing. Decision makers must carefully consider the implementation process to achieve the greatest effectiveness from the intervention.
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What OpenQuestion holds
Registered trials
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.