{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T18:15:43Z","timestamp":1790100943561,"version":"4.0.1"},"reference-count":35,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2019,8,25]],"date-time":"2019-08-25T00:00:00Z","timestamp":1566691200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Pharmacy Practice"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Sedative-hypnotics, including benzodiazepines (BZDs) and benzodiazepine receptor agonists (BZD-RA), are considered potentially inappropriate medications (PIMs) in older adults. Academic detailing, an educational outreach delivered by trained clinicians to other clinicians to encourage evidence-based care, can promote deprescribing of PIMs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To evaluate the impact of academic detailing on sedative-hypnotic prescribing to older veterans.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective analysis was performed to evaluate the impact of academic detailing on BZD and BZD-RA prescribing to veterans aged 75 years and older. Prescribing trends for primary care and mental health prescribers in the Veterans Health Administration (VA) Southeast Network were calculated for the 18 months before and after an initial academic detailing session for each prescriber. Pre\u2013post interrupted time series analyses (ITSAs) were conducted, and period prevalence was calculated as the number of prescriptions per 1000 older veterans.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 155 prescribers were followed for 36 months. BZD prevalence declined by 23% (69.08-53.33 per 1000 population; P &lt; .001) and by 15% for BZD-RA (18.07-15.38 per 1000 population; P &lt; .001). New starts on BZD declined by 54% (2.36-1.09 per 1000 population; P &lt; .001) and new starts on BZD-RA declined by 53% (1.02-0.48 per 1000 population; P &lt; .001). Alternative medications for insomnia increased by 23% (39.98-49.27 per 1000 population; P &lt; .001). Findings from the ITSA confirmed those of the pre\u2013post analysis with sustained effects in the postintervention period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Academic detailing was associated with reduced sedative-hypnotic prescribing in the primary care and mental health setting.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0897190019870949","type":"journal-article","created":{"date-parts":[[2019,8,26]],"date-time":"2019-08-26T00:05:00Z","timestamp":1566777900000},"page":"287-294","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["Academic Detailing to Reduce Sedative-Hypnotic Prescribing in Older Veterans"],"prefix":"10.1177","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7514-1412","authenticated-orcid":false,"given":"Addison P.","family":"Ragan","sequence":"first","affiliation":[{"name":"Department of Veterans Affairs, Atlanta Network, Duluth, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Garrett B.","family":"Aikens","sequence":"additional","affiliation":[{"name":"US Department of Veterans Affairs, Central Alabama Veterans Healthcare System, Montgomery, AL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Bounthavong","sequence":"additional","affiliation":[{"name":"Department of Veterans Affairs, Pharmacy Benefits Management, National Academic Detailing Service, San Diego, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Brittain","sequence":"additional","affiliation":[{"name":"Department of Veterans Affairs, Columbia VA Health Care System, Columbia, SC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Mirk","sequence":"additional","affiliation":[{"name":"Department of Veterans Affairs, Birmingham\/Atlanta Geriatrics Research Education and Clinical Center (GRECC), Atlanta VA Medical Center, Decatur, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,8,25]]},"reference":[{"key":"bibr1-0897190019870949","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.13702"},{"key":"bibr2-0897190019870949","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.13320"},{"key":"bibr3-0897190019870949","doi-asserted-by":"publisher","DOI":"10.1186\/1471-244X-14-S1-S1"},{"key":"bibr4-0897190019870949","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.6470"},{"key":"bibr5-0897190019870949","doi-asserted-by":"publisher","DOI":"10.1007\/s40266-013-0106-8"},{"key":"bibr6-0897190019870949","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2014-006544"},{"key":"bibr7-0897190019870949","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2015.0324"},{"key":"bibr8-0897190019870949","doi-asserted-by":"publisher","DOI":"10.2165\/11318890-000000000-00000"},{"key":"bibr9-0897190019870949","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa070502"},{"key":"bibr10-0897190019870949","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2014.949"},{"key":"bibr11-0897190019870949","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1990.03440040088034"},{"key":"bibr12-0897190019870949","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198306163082406"},{"key":"bibr13-0897190019870949","doi-asserted-by":"publisher","DOI":"10.1016\/j.japh.2016.11.003"},{"key":"bibr14-0897190019870949","doi-asserted-by":"publisher","DOI":"10.1186\/s13722-016-0063-8"},{"key":"bibr15-0897190019870949","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2710.1996.tb01141.x"},{"key":"bibr16-0897190019870949","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.322.7287.654"},{"key":"bibr17-0897190019870949","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-200105000-00003"},{"key":"bibr18-0897190019870949","doi-asserted-by":"publisher","DOI":"10.3109\/02813432.2016.1163035"},{"key":"bibr19-0897190019870949","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.161.15.1897"},{"issue":"5","key":"bibr20-0897190019870949","first-page":"66","volume":"33","author":"Wells DL","year":"2016","journal-title":"Fed Pract"},{"key":"bibr21-0897190019870949","unstructured":"Agency for Healthcare Research and Quality. Module 10. Academic Detailing as a Quality Improvement Tool [Internet]. 2013. 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