A pilot study evaluating alternative approaches of academic detailing in rural family practice clinics

<p>Abstract</p> <p>Background</p> <p>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 b...

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Main Authors: Hartung Daniel M, Hamer Ann, Middleton Luke, Haxby Dean, Fagnan Lyle J
Format: Article
Language:English
Published: BMC 2012-12-01
Series:BMC Family Practice
Online Access:http://www.biomedcentral.com/1471-2296/13/129
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spelling doaj-3cd4759fa4d14a0d9e4a2ae92e18d5d72020-11-25T03:38:41ZengBMCBMC Family Practice1471-22962012-12-0113112910.1186/1471-2296-13-129A pilot study evaluating alternative approaches of academic detailing in rural family practice clinicsHartung Daniel MHamer AnnMiddleton LukeHaxby DeanFagnan Lyle J<p>Abstract</p> <p>Background</p> <p>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.</p> <p>Methods</p> <p>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.</p> <p>Results</p> <p>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.</p> <p>Conclusions</p> <p>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.</p> http://www.biomedcentral.com/1471-2296/13/129
collection DOAJ
language English
format Article
sources DOAJ
author Hartung Daniel M
Hamer Ann
Middleton Luke
Haxby Dean
Fagnan Lyle J
spellingShingle Hartung Daniel M
Hamer Ann
Middleton Luke
Haxby Dean
Fagnan Lyle J
A pilot study evaluating alternative approaches of academic detailing in rural family practice clinics
BMC Family Practice
author_facet Hartung Daniel M
Hamer Ann
Middleton Luke
Haxby Dean
Fagnan Lyle J
author_sort Hartung Daniel M
title A pilot study evaluating alternative approaches of academic detailing in rural family practice clinics
title_short A pilot study evaluating alternative approaches of academic detailing in rural family practice clinics
title_full A pilot study evaluating alternative approaches of academic detailing in rural family practice clinics
title_fullStr A pilot study evaluating alternative approaches of academic detailing in rural family practice clinics
title_full_unstemmed A pilot study evaluating alternative approaches of academic detailing in rural family practice clinics
title_sort pilot study evaluating alternative approaches of academic detailing in rural family practice clinics
publisher BMC
series BMC Family Practice
issn 1471-2296
publishDate 2012-12-01
description <p>Abstract</p> <p>Background</p> <p>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.</p> <p>Methods</p> <p>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.</p> <p>Results</p> <p>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.</p> <p>Conclusions</p> <p>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.</p>
url http://www.biomedcentral.com/1471-2296/13/129
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