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Area of Science:

  • Health Services Research
  • Implementation Science
  • Public Health

Background:

  • Academic detailing (AD) is a vital intervention for addressing opioid-related morbidity and mortality.
  • While effective in improving prescribing practices, optimal implementation strategies for AD remain unclear.
  • This study examines a model AD program within the Veterans Health Administration (VA) to identify implementation lessons.

Purpose of the Study:

  • To identify key lessons for implementing academic detailing (AD) programs.
  • To inform the effective integration of AD into healthcare systems for addressing the opioid epidemic.

Main Methods:

  • Qualitative process evaluation using semistructured interviews.
  • Conducted with 10 academic detailers and 20 VA providers across seven VA health care systems.
  • Analysis employed a mixed inductive and deductive approach guided by the Consolidated Framework for Implementation Research.

Main Results:

  • One-on-one, customized sessions are most effective.
  • Leadership support is crucial for provider participation.
  • Performance tracking, motivational interviewing training for detailers, and networking are important for success.
  • Detailers play a key role in motivating provider behavior change.

Conclusions:

  • Incorporating these lessons is critical for successful AD implementation.
  • Facilitating the uptake of evidence-based interventions is essential for addressing the opioid epidemic.