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

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dc.check.date2020-01-22
dc.contributor.authorO'Riordan, David
dc.contributor.authorHurley, Eimir
dc.contributor.authorSinnott, Carol
dc.contributor.authorGalvin, Rose
dc.contributor.authorDalton, Kieran
dc.contributor.authorKearney, Patricia M.
dc.contributor.authorHalpin, James D.
dc.contributor.authorByrne, Stephen
dc.contributor.funderHealth Research Boarden
dc.date.accessioned2019-02-08T12:50:40Z
dc.date.available2019-02-08T12:50:40Z
dc.date.issued2019-01-22
dc.date.updated2019-02-08T12:38:58Z
dc.description.abstractBackground: 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.sponsorshipHealth Research Board (SPHeRE/2013/1)en
dc.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationO'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/s11096-019-00787-6en
dc.identifier.doi10.1007/s11096-019-00787-6
dc.identifier.endpage9en
dc.identifier.issn2210-7711
dc.identifier.issn2210-7703
dc.identifier.journaltitleInternational Journal of Clinical Pharmacyen
dc.identifier.startpage1en
dc.identifier.urihttps://hdl.handle.net/10468/7470
dc.language.isoenen
dc.publisherSpringer Nature Switzerland AGen
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: http://dx.doi.org/10.1007/s11096-019-00787-6en
dc.subjectDrug prescriptionsen
dc.subjectEvidence-based education Interprofessional relationsen
dc.subjectIrelanden
dc.subjectPractice patternsen
dc.subjectPrimary careen
dc.subjectQuality improvementen
dc.titlePharmacist-led academic detailing intervention in primary care: a mixed methods feasibility studyen
dc.typeArticle (peer-reviewed)en
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