Feasibility and acceptability of virtual academic detailing on opioid prescribing.

Abstract:

INTRODUCTION:Social distancing requirements during COVID-19 pose a challenge to conducting traditional academic detailing, which typically involves in-person peer education visits to improve patient outcomes. The main alternative is to conduct virtual academic detailing delivered through web-based technology, but this approach is fraught with many challenges. This study aimed to examine the feasibility and acceptability of a virtual academic detailing program implemented among health care providers. METHODS:The academic detailing program focused on appropriate opioid prescribing and chronic non-cancer pain management among a sample of providers. An initial in-person visit was followed by a virtual visit up to 8 weeks later. Videoconferencing was used to conduct the virtual visit with telephone as a backup. Feasibility was assessed whether the virtual visits could happen, and acceptability was assessed by provider satisfaction. Validated measures of Provider Satisfaction with Academic Detailing (PSAD) and Detailer Assessment of Visit Effectiveness (DAVE) with a 5-point Likert-type scale were used. Higher scores corresponded to higher satisfaction and greater perceived effectiveness. Non-parametric and parametric statistical tests were used to compare instrument summary scores across visits and between groups. Pairwise analyses across visits only included instrument responses for providers who participated in both visits and completed both surveys in their entirety. RESULTS:There were 127 (90 %) initial in-person visits completed out of 141 visits scheduled, with a survey response rate of 96 %. Out of 120 virtual follow-up visits scheduled, 92 (77 %) were conducted, and 56 surveys (61 %) were collected. There was a high level of satisfaction with the initial and follow up virtual academic detailing visits, though, among providers who participated in both visits and had completed surveys (n = 50), initial visits had slightly higher scores (mean difference = -2.94 [95 % Confidence intervals: -4.38, -1.50], p < 0.001). There was no significant difference in detailer perception across the two visits as seen in the scale summary score (0.05 [-0.56, 0.66], p = 0.86) and two individually reported items related to feasibility (0.07 [-0.29, 0.42], p = 0.72) and conversation (-0.05 [-0.28, 0.17], p = 0.63). Forty-one (44.6 %) virtual visits were conducted using WebEx, where video and screen sharing of visit content was possible, while the remaining 51 (55.4 %) were conducted using a telephone. There was no significant difference in provider satisfaction between WebEx vs. telephone visits (-1.47 [-4.99, 2.05], p = 0.82). Provider satisfaction was also not impacted by any technical difficulties as reported by the detailer (-0.04 [-3.30, 3.38], p = 0.98). CONCLUSION:The results slightly favor in-person visits and suggest that virtual detailing visits need to incorporate strategies that minimize technical difficulties and prevent participants from defaulting to less favorable technology. Future research opportunities include evaluating the effectiveness of a virtual versus in-person delivery of AD program on outcomes such as providers' opioid prescribing behavior.

journal_name

Int J Med Inform

authors

Smart MH,Mandava MR,Lee TA,Pickard AS

doi

10.1016/j.ijmedinf.2020.104365

subject

Has Abstract

pub_date

2021-03-01 00:00:00

pages

104365

eissn

1386-5056

issn

1872-8243

pii

S1386-5056(20)31901-8

journal_volume

147

pub_type

杂志文章
  • Self-assessed health among older people in Europe and internet use.

    abstract:BACKGROUND:About ten years ago, an age-related digital divide was identified, where 'the elderly' denoted a group of people at risk of losing the benefits of a digital society. The aims of this work are to find a relationship between self-assessed health and internet use by older people in European countries and to asc...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2020.104240

    authors: Tavares AI

    更新日期:2020-09-01 00:00:00

  • An integral care telemedicine system for HIV/AIDS patients.

    abstract:OBJECTIVE:In this article we will describe a new approach to improve the quality of care of chronic HIV/AIDS patients, combining the integral care approach with a telemedicine system. METHODS:Following the integral care approach, we included the patient in a multidisciplinary care team, covering the whole process of c...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2006.04.010

    authors: Caceres C,Gomez EJ,Garcia F,Gatell JM,del Pozo F

    更新日期:2006-09-01 00:00:00

  • LinkEHR-Ed: a multi-reference model archetype editor based on formal semantics.

    abstract:PURPOSE:To develop a powerful archetype editing framework capable of handling multiple reference models and oriented towards the semantic description and standardization of legacy data. METHODS:The main prerequisite for implementing tools providing enhanced support for archetypes is the clear specification of archetyp...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2009.03.006

    authors: Maldonado JA,Moner D,Boscá D,Fernández-Breis JT,Angulo C,Robles M

    更新日期:2009-08-01 00:00:00

  • Identifying and eliminating inefficiencies in information system usage: A lean perspective.

    abstract:OBJECTIVES:Mismatches frequently occur between information system (IS) dictated workflows and actual workflows of IS users. The resulting impeded workflows negatively influence the efficiency with which goods or services are produced and delivered to customers. Within a healthcare context, impeded workflows can additio...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2017.08.005

    authors: Blijleven V,Koelemeijer K,Jaspers M

    更新日期:2017-11-01 00:00:00

  • Electronic diagnostic algorithms to assist mid-level health care workers in Nepal: a mixed-method exploratory study.

    abstract:INTRODUCTION:The use of mobile health applications for data collection and disease management by rural health care workers in developing countries has been shown to be accepted by patients and health care workers. However, the acceptances of diagnostic decision applications have not been studied. Moreover, verbal accep...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2015.01.011

    authors: Knoble SJ,Bhusal MR

    更新日期:2015-05-01 00:00:00

  • Internet skill-related problems in accessing online health information.

    abstract:PURPOSE:Despite the amount of health information available online, there are several barriers that limit the Internet from being adopted as a source of health information. The purpose of this study was to identify individual skill-related problems that users experience when accessing the Internet for health information...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2011.10.005

    authors: van Deursen AJ

    更新日期:2012-01-01 00:00:00

  • Quality of service provision assessment in the healthcare information and telecommunications infrastructures.

    abstract::The continuous increase in the complexity and the heterogeneity of corporate and healthcare telecommunications infrastructures will require new assessment methods of quality of service (QoS) provision that are capable of addressing all engineering and social issues with much faster speeds. Speed and accessibility to a...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2005.07.019

    authors: Babulak E

    更新日期:2006-03-01 00:00:00

  • Perceived effectiveness of clinical pathway software: A before-after study in the Netherlands.

    abstract:BACKGROUND:Clinical pathways (CPs) increase in popularity and are known to lead to several benefits in the hospital environment. Clinical pathways can be either paper-based or software-based. It is known that paper-based CPs can result in more paperwork instead of simplifying daily routines of healthcare workers. Insuf...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2019.104052

    authors: Askari M,Tam JLYY,Aarnoutse MF,Meulendijk M

    更新日期:2020-03-01 00:00:00

  • Delivering the electronic healthcare record for the 21st century.

    abstract::In spite of over four decades of research into Electronic Healthcare Record Systems, the penetration of records which incorporate more than simply basic information, into the working life of healthcare organisations is relatively small. This paper discusses some of the key impediments to progress including in particul...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/s1386-5056(01)00205-2

    authors: Grimson J

    更新日期:2001-12-01 00:00:00

  • Evaluating informatics applications--clinical decision support systems literature review.

    abstract::This paper reviews clinical decision support systems (CDSS) literature, with a focus on evaluation. The literature indicates a general consensus that clinical decision support systems are thought to have the potential to improve care. Evidence is more equivocal for guidelines and for systems to aid physicians with dia...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章,评审

    doi:10.1016/s1386-5056(01)00183-6

    authors: Kaplan B

    更新日期:2001-11-01 00:00:00

  • Analysis of topics and characteristics of user reviews on different online psychological counseling methods.

    abstract:BACKGROUND:Psychological support is available more widely supported by emerging technologies as an addition to face-to-face consultations, more and more people are accessing psychological support using online resources. OBJECTIVE:This research provides insights into the perception of the key factors that affect the ef...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2020.104367

    authors: Liu J,Gao L

    更新日期:2021-03-01 00:00:00

  • The Yale Guideline Recommendation Corpus: a representative sample of the knowledge content of guidelines.

    abstract:OBJECTIVE:To develop and characterize a large, representative sample of guideline recommendations that can be used to better understand how current recommendations are written and to test the adequacy of guideline models. We refer to this sample as the Yale Guideline Recommendation Corpus (YGRC). METHOD:To develop the...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2008.11.001

    authors: Hussain T,Michel G,Shiffman RN

    更新日期:2009-05-01 00:00:00

  • Barriers and facilitators to the use of computer-based intensive insulin therapy.

    abstract:PURPOSE:Computerized clinical decision support systems (CDSSs) for intensive insulin therapy (IIT) are increasingly common. However, recent studies question IIT's safety and mortality benefit. Researchers have identified factors influencing IIT performance, but little is known about how workflow affects computer-based ...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2011.10.003

    authors: Campion TR Jr,Waitman LR,Lorenzi NM,May AK,Gadd CS

    更新日期:2011-12-01 00:00:00

  • Information on adverse drug reactions-Proof of principle for a structured database that allows customization of drug information.

    abstract:BACKGROUND:The drug information most commonly requested by patients is to learn more about potential adverse drug reactions (ADRs) of their drugs. Such information should be customizable to individual information needs. While approaches to automatically aggregate ADRs by text-mining processes and establishment of respe...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2019.103970

    authors: Kusch MKP,Zien A,Hachenberg C,Haefeli WE,Seidling HM

    更新日期:2020-01-01 00:00:00

  • Speech recognition for the anaesthesia record during crisis scenarios.

    abstract:INTRODUCTION:This article describes the evaluation of a prototype speech-input interface to an anaesthesia patient record, conducted in a full-scale anaesthesia simulator involving six doctor-nurse anaesthetist teams. OBJECTIVE:The aims of the experiment were, first, to assess the potential advantages and disadvantage...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2007.08.007

    authors: Alapetite A

    更新日期:2008-07-01 00:00:00

  • Using the critical incident technique to define a minimal data set for requirements elicitation in public health.

    abstract::The introduction of computer-based information systems (ISs) in public health provides enhanced possibilities for service improvements and hence also for improvement of the population's health. Not least, new communication systems can help in the socialization and integration process needed between the different profe...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/s1386-5056(02)00074-6

    authors: Olvingson C,Hallberg N,Timpka T,Greenes RA

    更新日期:2002-12-18 00:00:00

  • Mapping care processes within a hospital: from theory to a web-based proposal merging enterprise modelling and ISO normative principles.

    abstract::Today, the economic and regulatory environment, involving activity-based and prospective payment systems, healthcare quality and risk analysis, traceability of the acts performed and evaluation of care practices, accounts for the current interest in clinical and hospital information systems. The structured gathering o...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2004.07.003

    authors: Staccini P,Joubert M,Quaranta JF,Fieschi M

    更新日期:2005-03-01 00:00:00

  • A computer-aided design mammography screening system for detection and classification of microcalcifications.

    abstract::This paper presents a prototype of a computer-aided design (CAD) diagnostic system for mammography screening to automatically detect and classify microcalcifications (MCCs) in mammograms. It comprises four modules. The first module, called the Mammogram Preprocessing Module, inputs and digitizes mammograms into 8-bit ...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/s1386-5056(00)00067-8

    authors: Lee S,Lo C,Wang C,Chung P,Chang C,Yang C,Hsu P

    更新日期:2000-10-01 00:00:00

  • Nurses' information management across complex health care organizations.

    abstract:UNLABELLED:The purpose of this study was to describe the information management used by hospital and home care nurses for patients in need of continuing care after an episode of hospitalization. METHOD:A prospective descriptive design was used. In total 287 hospital nurses and 220 home care nurses were asked to comple...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2005.07.010

    authors: Hellesø R,Sorensen L,Lorensen M

    更新日期:2005-12-01 00:00:00

  • Theorizing the health service usage behavior of family caregivers: a qualitative study of an internet-based intervention.

    abstract:PURPOSE:The purpose of this qualitative study was to improve understanding of family caregivers' use of Web-based intervention support by integrating three theoretical models. The study applied the Anderson's model of health service utilization, Venkatesh's theory of technology acceptance, and Chatman's and Wilson's in...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2011.08.010

    authors: Chiu TM,Eysenbach G

    更新日期:2011-11-01 00:00:00

  • Medical support system for continuation of care based on XML web technology.

    abstract::In this paper, the implementation of an Internet-based telematic service for medical support is presented, which was developed and operated in pilot form within the INTRANET HEALTH CLINIC project--a 2-year project supported by the European Commission under the Health Telematics Programme. The aim of the application is...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/s1386-5056(01)00195-2

    authors: Stalidis G,Prentza A,Vlachos IN,Maglavera S,Koutsouris D

    更新日期:2001-12-01 00:00:00

  • Comparison of variable selection methods for clinical predictive modeling.

    abstract:OBJECTIVE:Modern machine learning-based modeling methods are increasingly applied to clinical problems. One such application is in variable selection methods for predictive modeling. However, there is limited research comparing the performance of classic and modern for variable selection in clinical datasets. MATERIAL...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2018.05.006

    authors: Sanchez-Pinto LN,Venable LR,Fahrenbach J,Churpek MM

    更新日期:2018-08-01 00:00:00

  • Perspectives and expectations for telemedicine opportunities from families of nursing home residents and caregivers in nursing homes.

    abstract:BACKGROUND:This study assessed current perspectives and expectations for telemedicine by nursing home caregivers and families of nursing home patients in Taipei, Taiwan. METHODS:A total of 116 interviews were conducted with family members (n=37) and caregivers (n=79) using an original, four-part questionnaire devised ...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2009.02.009

    authors: Chang JY,Chen LK,Chang CC

    更新日期:2009-07-01 00:00:00

  • Healthcare professional's demand for knowledge in informatics.

    abstract:OBJECTIVE:To develop an economic model of health care professional demand for knowledge capital in health informatics. DESIGN:Case study with application of the contingent valuation method to develop a small-scale model. SETTING:Specialized clinic at a university Hospital in Sweden. RESULTS:The model displays the ec...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/s1386-5056(98)00151-8

    authors: Vimarlund V,Timpka T,Hallberg N

    更新日期:1999-02-01 00:00:00

  • FindZebra: a search engine for rare diseases.

    abstract:BACKGROUND:The web has become a primary information resource about illnesses and treatments for both medical and non-medical users. Standard web search is by far the most common interface to this information. It is therefore of interest to find out how well web search engines work for diagnostic queries and what factor...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2013.01.005

    authors: Dragusin R,Petcu P,Lioma C,Larsen B,Jørgensen HL,Cox IJ,Hansen LK,Ingwersen P,Winther O

    更新日期:2013-06-01 00:00:00

  • Patients' perceptions of a home telecare system.

    abstract:GOAL:To identify any major factors that could affect patients' perceptions of a Home Telecare Management System (HTMS) and use the findings to contribute to development of a theoretical framework for patient acceptance of HTMS. MATERIALS AND METHODS:Ten Focus Group Interviews (FGIs) were conducted with patients suffer...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2007.10.006

    authors: Rahimpour M,Lovell NH,Celler BG,McCormick J

    更新日期:2008-07-01 00:00:00

  • Technology-mediated awareness: facilitating the handling of (un)wanted interruptions in a hospital setting.

    abstract:INTRODUCTION:Nurses' work in hospital departments is highly collaborative and includes communication with a variety of actors. To further support nurses' communications, wireless phones, on which nurses receive both nurse calls and ordinary phone calls, have been introduced. However, while they ensure high availability...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2014.06.007

    authors: Klemets J,Evjemo TE

    更新日期:2014-09-01 00:00:00

  • Organizational routines, innovation, and flexibility: the application of narrative networks to dynamic workflow.

    abstract:OBJECTIVE:The purpose of this paper is to demonstrate how current visual representations of organizational and technological processes do not fully account for the variability present in everyday practices. We further demonstrate how narrative networks can augment these representations to indicate potential areas for s...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2011.01.005

    authors: Hayes GR,Lee CP,Dourish P

    更新日期:2011-08-01 00:00:00

  • Healthcare technology management competency and its impacts on IT-healthcare partnerships development.

    abstract:OBJECTIVE:This study presents a conceptual model to investigate the healthcare technology management (HTM) competency required by healthcare IS professionals and the impact of such competency in gaining strategic advantages through information technology (IT) by development of partnerships with people from different di...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2008.05.007

    authors: Wu JH,Chen YC,Greenes RA

    更新日期:2009-02-01 00:00:00

  • Videoconference compared to telephone in healthcare delivery: A systematic review.

    abstract:INTRODUCTION:Telehealth is an important tool for ensuring accessible healthcare access particularly over geographical distances. Videoconference and telephone are two common telehealth modalities, yet little is known as to the relative advantage of these modalities. Synthesizing evidence as to the impact of these modal...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2018.07.007

    authors: Rush KL,Howlett L,Munro A,Burton L

    更新日期:2018-10-01 00:00:00