Effect of Academic Detailing on Opioid Prescribing by Dentists to Adolescents and Young Adults
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Opioid Prescribing
- Sponsor
- University of Michigan
- Enrollment
- 63
- Locations
- 1
- Primary Endpoint
- Differential change in the number of dispensed opioid prescriptions to patients aged 13-30 years between the 8 months before and 8 months after the academic detailing intervention period ends among treatment versus control dentists
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
This randomized controlled trial will test whether an academic detailing educational outreach intervention (referred to as "academic detailing" throughout) decreases opioid prescribing to patients aged 13-30 years among high-prescribing dentists in Southeast Michigan. The primary objective is to evaluate whether an academic detailing intervention reduces the number of dispensed opioid prescriptions to patients aged 13-30 years.
Detailed Description
Using 2023 IQVIA Longitudinal Prescription Database, the study team will identify dentists in the 85th-94th percentile of dispensed opioid prescriptions to patients aged 13-30 years from January 1, 2023 through September 30, 2023 and practice in high-population counties in Southeast Michigan. The study team will randomize these dentists into two study arms. Dentists in the intervention arm will receive an academic detailing session focused on evidence-based pain management education. Dentists in the control will not receive any intervention and will not be contacted. Prescribing will be evaluated using IQVIA data for differential change in the number of dispensed opioid prescriptions to patients aged 13-30 years between the 8 months before and the 8 months after the academic detailing intervention period among intervention versus control dentists.
Investigators
Chad Brummett
Professor of Anesthesiology Research, Senior Associate Chair for Research
University of Michigan
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Differential change in the number of dispensed opioid prescriptions to patients aged 13-30 years between the 8 months before and 8 months after the academic detailing intervention period ends among treatment versus control dentists
Time Frame: 20 months (8 months prior, 4 months for detailing, 8 months after detailing)
Secondary Outcomes
- Differential change in the number of opioid prescriptions dispensed to patients aged 31 years or older between the 8 months before and 8 months after the academic detailing intervention period ends among treatment versus control dentists(20 months (8 months prior, 4 months for detailing, 8 months after detailing))
- Differential change in total morphine milligram equivalents (MMEs) dispensed to patients aged 13-30 years the 8 months before and 8 months after the academic detailing intervention period ends among treatment versus control dentists(20 months (8 months prior, 4 months for detailing, 8 months after detailing))
- Satisfaction with the detailing intervention as measured by a follow-up survey on a 5-point Likert scale(Up to three weeks following the academic detailing)
- Percentage of participants that complete the initial academic detailing session(4 months (intervention period))
- Participants willingness to change opioid prescribing practices based on the academic detailing intervention as measured by the follow-up survey on a 5-point Likert scale(Up to three weeks following the academic detailing)