Pharmacist-led academic detailing intervention in primary care: a mixed methods feasibility study

Show simple item record O'Riordan, David Hurley, Eimir Sinnott, Carol Galvin, Rose Dalton, Kieran Kearney, Patricia M. Halpin, James D. Byrne, Stephen 2019-02-08T12:50:40Z 2019-02-08T12:50:40Z 2019-01-22
dc.identifier.citation O'Riordan, D., Hurley, E., Sinnott, C., Galvin, R., Dalton, K., Kearney, P. M., Halpin, J. D. and Byrne, S. (2019) 'Pharmacist-led academic detailing intervention in primary care: a mixed methods feasibility study', International Journal of Clinical Pharmacy. doi:10.1007/s11096-019-00787-6 en
dc.identifier.startpage 1 en
dc.identifier.endpage 9 en
dc.identifier.issn 2210-7711
dc.identifier.issn 2210-7703
dc.identifier.doi 10.1007/s11096-019-00787-6
dc.description.abstract Background: Academic detailing is a form of continuing medical education in which a trained health professional such as a physician or pharmacist visits prescribers in their practice to provide evidence-based information. While academic detailing has been adopted in other countries, this strategy is not routinely used in Ireland. Objective: The aim of this study was to assess the feasibility and acceptability to General Practitioners (GPs) of a pharmacist-led academic detailing intervention in Ireland. Setting: General Practice in County Cork, Ireland. Method: A mixed methods feasibility study comprising a pharmacist-led academic detailing intervention on urinary incontinence in older people, quantitative data from patient medical records, and qualitative data from focus groups with GPs. The medical records for all patients aged ≥ 65 years who were attending a participating GP with a diagnosis of urinary incontinence were analysed using a before-after approach. The measures of prescribing assessed before and after the intervention were: LUTS-FORTA criteria, Drug Burden Index, and the Anticholinergic Cognitive Burden scale. Focus groups were carried out with GPs who participated in the academic detailing intervention. Main outcome measure: The quantitative prescribing patterns of the GPs and their qualitative responses from the focus groups. Results Twenty-three GPs participated in the academic detailing intervention from a selection of different types of general practice. The medical records of 154 patients were analysed. There was minimal or no change in any of the prescribing measures used. Fourteen GPs attended focus groups. GPs considered the topic of urinary incontinence as relevant to general practice. Participants appreciated the succinct nature of the information in the educational materials but expressed a preference for a more easily retrievable format, such as an online version rather than paper-based. Conclusion: This study demonstrated that a pharmacist-led academic detailing intervention was acceptable to GPs in Ireland. Further research is needed in a larger population evaluating the impact and cost effectiveness of academic detailing to optimise patient care. en
dc.description.sponsorship Health Research Board (SPHeRE/2013/1) en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher Springer Nature Switzerland AG en
dc.rights © 2019, Springer Nature Switzerland AG. This is a post-peer-review, pre-copyedit version of an article published in International Journal of Clinical Pharmacy. The final authenticated version is available online at: en
dc.subject Drug prescriptions en
dc.subject Evidence-based education Interprofessional relations en
dc.subject Ireland en
dc.subject Practice patterns en
dc.subject Primary care en
dc.subject Quality improvement en
dc.title Pharmacist-led academic detailing intervention in primary care: a mixed methods feasibility study en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother David O'Riordan, Medical School Office, University College Cork, Cork, Ireland. +353-21-490-3000 Email: en
dc.internal.availability Full text available en 2020-01-22 2019-02-08T12:38:58Z
dc.description.version Accepted Version en
dc.internal.rssid 472823316
dc.contributor.funder Health Research Board en
dc.description.status Peer reviewed en
dc.identifier.journaltitle International Journal of Clinical Pharmacy en
dc.internal.copyrightchecked Yes en
dc.internal.licenseacceptance Yes en
dc.internal.placepublication Access to this article is restricted until 12 months after publication by request of the publisher. en
dc.internal.IRISemailaddress en
dc.internal.bibliocheck In press. Check vol / issue / page range. Amend citation as necessary.

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