Date of Award

Fall 2011

Degree Type


Degree Name

Master of Science (MSc)


Health Research Methodology


Lisa Dolovich


Lehana Thabane



Committee Member

Mitch Levine



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:

  1. PAD coordinator time to train pharmacists <40 >hours
  2. Average time for upskilling <20 >hours
  3. Average time for PAD session are <60 minutes and><30 minutes for initial and follow-up>visits, respectively
  4. Percentage of clinicians detailed within 3 and 6 months are >50% and >70%, respectively
  5. 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.


Please insert 2 pages into the main thesis - page 39 and page 40

- 2 separate PDF attachments will be included plus the main thesis.

McMaster University Library

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Primary Care Commons