TY - JOUR
T1 - A pilot study evaluating alternative approaches of academic detailing in rural family practice clinics.
AU - Hartung, Daniel M.
AU - Hamer, Ann
AU - Middleton, Luke
AU - Haxby, Dean
AU - Fagnan, Lyle J.
N1 - Funding Information:
We acknowledge the efforts ORPRN staff in completion of this project, especially LeAnn Michaels, Monica Goubaub, and Jo Mahler. This study was funded through a grant from the Pew Charitable Trust (Community Catalyst), and the Oregon Department of Human Services. Daniel Hartung is employed by Oregon State University and receives funding through an Agency for Healthcare Research and Quality career development award (K12-HS019456-01). Ann Hamer is employed by OptumHealth Behavioral Health. Luke Middleton is employed by Oregon State University. Dean Haxby is employed by Oregon State University. Lyle J. Fagnan is employed by Oregon Health & Science University and receives funding from the Agency for Healthcare Research and Quality and the Foundation for Informed Medical Decision Making, and Gordon and Betty Moore Foundation. The funders had no role in the study design, data collection, analysis and interpretation of the data, writing of the manuscript, or the decision to submit for publication.
PY - 2012
Y1 - 2012
N2 - Academic detailing is an interactive, convenient, and user-friendly approach to delivering non-commercial education to healthcare clinicians. While evidence suggests academic detailing is associated with improvements in prescribing behavior, uncertainty exists about generalizability and scalability in diverse settings. Our study evaluates different models of delivering academic detailing in a rural family medicine setting. We conducted a pilot project to assess the feasibility, effectiveness, and satisfaction with academic detailing delivered face-to-face as compared to a modified approach using distance-learning technology. The recipients were four family medicine clinics within the Oregon Rural Practice-based Research Network (ORPRN). Two clinics were allocated to receive face-to-face detailing and two received outreach through video conferencing or asynchronous web-based outreach. Surveys at midpoint and completion were used to assess effectiveness and satisfaction. Each clinic received four outreach visits over an eight month period. Topics included treatment-resistant depression, management of atypical antipsychotics, drugs for insomnia, and benzodiazepine tapering. Overall, 90% of participating clinicians were satisfied with the program. Respondents who received in person detailing reported a higher likelihood of changing their behavior compared to respondents in the distance detailing group for five of seven content areas. While 90%-100% of respondents indicated they would continue to participate if the program were continued, the likelihood of participation declined if only distance approaches were offered. We found strong support and satisfaction for the program among participating clinicians. Participants favored in-person approaches to distance interactions. Future efforts will be directed at quantitative methods for evaluating the economic and clinical effectiveness of detailing in rural family practice settings.
AB - Academic detailing is an interactive, convenient, and user-friendly approach to delivering non-commercial education to healthcare clinicians. While evidence suggests academic detailing is associated with improvements in prescribing behavior, uncertainty exists about generalizability and scalability in diverse settings. Our study evaluates different models of delivering academic detailing in a rural family medicine setting. We conducted a pilot project to assess the feasibility, effectiveness, and satisfaction with academic detailing delivered face-to-face as compared to a modified approach using distance-learning technology. The recipients were four family medicine clinics within the Oregon Rural Practice-based Research Network (ORPRN). Two clinics were allocated to receive face-to-face detailing and two received outreach through video conferencing or asynchronous web-based outreach. Surveys at midpoint and completion were used to assess effectiveness and satisfaction. Each clinic received four outreach visits over an eight month period. Topics included treatment-resistant depression, management of atypical antipsychotics, drugs for insomnia, and benzodiazepine tapering. Overall, 90% of participating clinicians were satisfied with the program. Respondents who received in person detailing reported a higher likelihood of changing their behavior compared to respondents in the distance detailing group for five of seven content areas. While 90%-100% of respondents indicated they would continue to participate if the program were continued, the likelihood of participation declined if only distance approaches were offered. We found strong support and satisfaction for the program among participating clinicians. Participants favored in-person approaches to distance interactions. Future efforts will be directed at quantitative methods for evaluating the economic and clinical effectiveness of detailing in rural family practice settings.
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U2 - 10.1186/1471-2296-13-129
DO - 10.1186/1471-2296-13-129
M3 - Article
C2 - 23276303
AN - SCOPUS:84871705776
SN - 0973-3698
VL - 13
SP - 129
JO - Indian Journal of Rheumatology
JF - Indian Journal of Rheumatology
M1 - 129
ER -