Date of Award
Master of Science (MSc)
Health Research Methodology
Academic detailing (AD) provides evidence-based education to healthcare professionals in their practice setting and has been found to improve knowledge and prescribing in many situations. Personalized academic detailing (PAD) is a new initiative by the Hamilton Family Health Team (FHT) in which pharmacists integrated within the FHT provide an AD service to prescribers in their office.
To describe and determine the feasibility of a smoking cessation (SC) PAD program.
Design: Descriptive retrospective cohort pilot project
Setting: Primary Care Setting
Participants: FHT pharmacists, physicians, nurse practitioners (NPs) and their patients
Pharmacists receive basic AD training and education (upskilling) on SC; and provide education to clinicians
Feasibility Criteria for success:
- PAD coordinator time to train pharmacists <40 >hours
- Average time for upskilling <20 >hours
- Average time for PAD session are <60 minutes and><30 minutes for initial and follow-up>visits, respectively
- Percentage of clinicians detailed within 3 and 6 months are >50% and >70%, respectively
- Number of new SC referrals to the pharmacist at 3 and 6 months are >5 patients/1.0 full-time equivalent (FTE) pharmacist and >10 patients/1.0 FTE pharmacist, respectively.
Eight pharmacists (5.8 FTE) received basic AD training and upskilling on SC PAD. Consent was obtained from 48/54 (88.9%) physicians and 9/10 (90.0%) NPs.
The PAD coordinator training time was 29.1 hours. The median time for upskilling was 3.1 hours. The median time for PAD session was 15 and 5 minutes for an initial visit and follow-up visit, respectively. The number of clinicians detailed within 3 and 6 months were 50/64 (78.1%) and 57/64 (89.1%), respectively. The number of new SC referrals at 3 and 6 months was 66 and 200 patients, respectively.
This pilot study showed that the main study is feasible with respect to the management, resources, process and scientific components.
Jin, Margaret, "A Study About Personalized Academic Detailing - Pilot Project on Smoking Cessation" (2011). Open Access Dissertations and Theses. Paper 6345.
McMaster University Library