Academic Detailing to Advance Naloxone Prescribing in Rural Primary Care: A 2-Year Pilot Study.
Background: Opioid-related overdoses remain a critical concern in Arkansas, where Primary Care Providers (PCPs) play a key role in overdose prevention through naloxone education and prescribing. Academic Detailing (AD) is a promising strategy to improve provider knowledge, confidence, and adoption o...
| Publicado en: | Journal of Primary Care & Community Health Vol. 16; pp. 1 - 8 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
11/12/2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=189450414&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 189450414 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 21501319 AZBE jtl: Journal of Primary Care & Community Health issn: 21501319 maglogo: Y pubinfo: dt: 11/12/2025 vid: 16 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 189450414 189450414 189450414 10.1177/21501319251391284 189450414 ppf: 1 ppct: 7 formats: tig: atl: Academic Detailing to Advance Naloxone Prescribing in Rural Primary Care: A 2-Year Pilot Study. aug: au: Tobey-Moore, Leah Breckling, Meghan N. Ali, Mohab Karr, Misha Massey, Stacie Hudson, Teresa J. affil: University of Arkansas for Medical Sciences, Little Rock, USA sug: subj: Naloxone Therapeutic Use Physicians, Family Psychosocial Factors Confidence Evaluation Prescribing Patterns Evaluation Education, Medical, Continuing Primary Health Care Rural Health Services Funding Source Arkansas Human Male Female Pilot Studies Multimethod Studies Random Sample Videoconferencing Opiate Overdose Drug Therapy Opiate Overdose Prevention and Control Implementation Science Repeated Measures Multivariate Analysis of Variance Data Analysis Software Descriptive Statistics Stigma Health Care Costs Support, Social Organizational Policies Male Female ab: Background: Opioid-related overdoses remain a critical concern in Arkansas, where Primary Care Providers (PCPs) play a key role in overdose prevention through naloxone education and prescribing. Academic Detailing (AD) is a promising strategy to improve provider knowledge, confidence, and adoption of naloxone-related practices, yet feasibility in rural primary care remains underexplored. Aim: To evaluate the feasibility and impact of a brief, continuing education (CE)-accredited AD intervention on naloxone prescribing confidence and behavior among rural PCPs over 2 years. Methodology: The University of Arkansas for Medical Sciences (UAMS) delivered a 30-minute virtual AD session, "Preventing Opioid Overdose with Naloxone," to 15 PCPs within a large Federally Qualified Health Center network. A matched control group of 15 PCPs was included. Implementation service outcomes (via prescribing) were assessed using repeated measures multivariate analysis of variance (MANOVA). Immediate post-session and 2-year follow-up surveys examined confidence, practice changes, and implementation experiences. Results: Naloxone prescribing increased in both groups; however, there was no significant group-by-time interaction. All post-session respondents reported increased confidence. At 2 years, 92% indicated the AD session continued to influence their practice. Qualitative feedback identified barriers (stigma, cost, and limited patient update) and facilitators (peer support and institutional policies) shaping prescribing. Conclusion: This pilot demonstrates the feasibility of delivering AD in rural primary care and provides evidence of early penetration within an FQHC network. While prescribing increases could not be attributed solely to the intervention, AD was associated with sustained improvements in provider knowledge, confidence, and perceived relevance of naloxone prescribing. These findings highlight the limitations of brief educational sessions when implemented without complementary system-level supports, underscoring the need for multilevel approaches to expand naloxone access in underserved communities. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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