Preventing Opioid Overdose Deaths by Empowering Pharmacists to Dispense Naloxone

NCT ID: NCT05093309

Last Updated: 2021-10-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

55 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-09-18

Study Completion Date

2019-09-18

Brief Summary

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Objectives: The purpose of this study was to assess the impact of the Empowering Community Pharmacists program on pharmacists' knowledge, perceived barriers, attitudes, confidence, and intentions regarding naloxone services implementation, as well as change in number of naloxone prescriptions dispensed.

Methods: A 3-month pragmatic randomized controlled trial was conducted in 2018-2019. Alabama community pharmacists were recruited by email, phone, fax, and mailed postcards and randomized to intervention (monthly resources/reminders + educational webinar) or control (monthly resources/reminders + delayed educational webinar). Outcome measures were assessed via online surveys at baseline (T1), immediately post-intervention (T2), and 3-months post-intervention (T3), including: naloxone knowledge (percent correct); perceived barriers, attitudes, and confidence regarding naloxone services implementation (7-point Likert-type scale, 1=strongly disagree to 7=strongly agree); and number of naloxone prescriptions dispensed. Mean differences between control and intervention groups from T1-T3 were assessed using two-way mixed ANOVA and adjusted analyses were conducted using generalized estimating equations (GEE) with negative binomial distribution (alpha=0.05).

Detailed Description

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Conditions

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Opioid Overdose

Keywords

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naloxone community pharmacy implementation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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Intervention

The intervention group received naloxone resources + monthly reminders + educational webinar.

Group Type EXPERIMENTAL

Educational Webinar

Intervention Type BEHAVIORAL

At month 1 of the study period, the educational webinar was presented by expert speakers and consisted of 3 modules: 1) naloxone basics; 2) naloxone service implementation strategies; and 3) naloxone recommendation communication strategies. Participants were mailed naloxone nasal spray and auto-injector training devices prior to attending the online webinar so that they could follow along during demonstrations.

Resources

Intervention Type BEHAVIORAL

After completing the baseline survey, both control and intervention groups were provided with a basic publicly available flyer about naloxone dosage forms in order to ensure all participants could provide adequate patient care.

Reminders

Intervention Type BEHAVIORAL

Reminders consisted of monthly emails from investigators for the purpose of retaining study engagement.

Control

The control group received naloxone resources + monthly reminders + delayed educational webinar (after the 3-month study period).

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Educational Webinar

At month 1 of the study period, the educational webinar was presented by expert speakers and consisted of 3 modules: 1) naloxone basics; 2) naloxone service implementation strategies; and 3) naloxone recommendation communication strategies. Participants were mailed naloxone nasal spray and auto-injector training devices prior to attending the online webinar so that they could follow along during demonstrations.

Intervention Type BEHAVIORAL

Resources

After completing the baseline survey, both control and intervention groups were provided with a basic publicly available flyer about naloxone dosage forms in order to ensure all participants could provide adequate patient care.

Intervention Type BEHAVIORAL

Reminders

Reminders consisted of monthly emails from investigators for the purpose of retaining study engagement.

Intervention Type BEHAVIORAL

Other Intervention Names

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Empowering Community Pharmacists Webinar Flyers Nudge

Eligibility Criteria

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Inclusion Criteria

* Registered pharmacists.
* Employed at least 30 hours per week at a community pharmacy.
* Employed at a community pharmacy located in one of 20 Alabama priority counties with the highest opioid overdose mortality rates.

Exclusion Criteria

* Multiple pharmacists from the same pharmacy site.
* Members of the stakeholder panel (from the formative phase of the study).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Agency for Healthcare Research and Quality (AHRQ)

FED

Sponsor Role collaborator

Auburn University

OTHER

Sponsor Role lead

Responsible Party

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Lindsey Hohmann

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Lindsey Hohmann, PharmD, PhD

Role: PRINCIPAL_INVESTIGATOR

Auburn University

Locations

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Auburn University Harrison School of Pharmacy

Auburn, Alabama, United States

Site Status

Countries

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United States

References

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Hohmann LA, Fox BI, Garza KB, Wang CH, Correia C, Curran GM, Westrick SC. Impact of a Multicomponent Educational Intervention on Community Pharmacy-Based Naloxone Services Implementation: A Pragmatic Randomized Controlled Trial. Ann Pharmacother. 2023 Jun;57(6):677-695. doi: 10.1177/10600280221120405. Epub 2022 Sep 1.

Reference Type DERIVED
PMID: 36047381 (View on PubMed)

Other Identifiers

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R36HS026669-01A1

Identifier Type: AHRQ

Identifier Source: org_study_id

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