Naloxone Academic Detailing: Role of Community Outreach Teaching

  • Alaa Abd-ElsayedEmail author
  • Christi Ann Albert
  • Matt Fischer
  • Brooke Anderson
Hot Topics in Pain and Headache (N Rosen, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Hot Topics in Pain and Headache


Purpose of Review

Testing the efficacy of academic detailing in improving the practice of prescribing naloxone for patients on high-dose opioids.

Recent Findings

Academic detailing has been identified as an effective method for improving health care practices through focused community education.


We found that academic detailing is an effective method in improving health care providers’ knowledge about the importance of prescribing naloxone for patients on high-dose opioids. We also found that prescribers prescribed more naloxone after our education program. This study reflects the importance of education and academic detailing in resolving health problems. Academic detailing can provide effective preventive tools that can reduce the incidence of health problems we encounter.


Naloxone Opioids Education Naloxone dispensing Academic detailing 


Compliance with Ethical Standards

Conflict of Interest

Christi Ann Albert, Matt Fischer, and Brooke Anderson declare no conflict of interest. Dr. Abd-Elsayed is a consultant for Medtronic, Halyard, Axsome, Sollis, and SpineLoop.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


Papers of particular interest, published recently, have been highlighted as: •• Of major importance

  1. 1.
    Dowell D, Haegerich TM, Chou R. CDC guideline for prescribing opioids for chronic pain — United States, 2016. MMWR Recomm Rep. 2016;65(1):1–49. Scholar
  2. 2.
    Coffin PO, Sullivan SD. Cost-effectiveness of distributing naloxone to heroin users for lay overdose reversal. Ann Intern Med. 2013;158:1–9.CrossRefPubMedGoogle Scholar
  3. 3.
    Walley AY, Xuan Z, Hackman HH, Quinn E, Doe-Simkins M, Sorensen-Alawad A, et al. Opioid overdose rates and implementation of overdose education and nasal naloxone distribution in Massachusetts: interrupted time series analysis. BMJ. 2013;346:f174. Scholar
  4. 4.
    National Resource Center for Academic Detailing [NaRCAD]. 2018. Available online. Accessed April 22, 2018.
  5. 5.
    •• Behar E, Rowe C, Santos GM, et al. Academic detailing pilot for naloxone prescribing among primary care providers in San Francisco. Fam Med. 2017;49(2):122–6. Very important resource. PubMedGoogle Scholar
  6. 6.
    •• Bounthavong M, Harvey MA, Wells DL, Popish SJ, Himstreet J, Oliva EM, et al. Trends in naloxone prescriptions prescribed after implementation of a national academic detailing service in the Veterans Health Administration: a preliminary analysis. J Am Pharm Assoc. 2017;57(2):S68–72. Very important resource. CrossRefGoogle Scholar
  7. 7.
    •• Gupta R, Shah ND, Ross JS. The rising price of naloxone — risks to efforts to stem overdose deaths. N Engl J Med. 2016;375:2213–5. Very important resource. CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Alaa Abd-Elsayed
    • 1
    Email author
  • Christi Ann Albert
    • 2
  • Matt Fischer
    • 1
  • Brooke Anderson
    • 3
  1. 1.Department of AnesthesiologyUniversity of Wisconsin School of Medicine and Public HealthMadisonUSA
  2. 2.Pharmacy DepartmentUniversity of Wisconsin School of Medicine and Public HealthMadisonUSA
  3. 3.Henry Predolin School of NursingEdgewood CollegeMadisonUSA

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