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Full-Text Articles in Epidemiology
Group Versus Individual Academic Detailing To Improve The Use Of Antihypertensive Medications In Primary Care: A Cluster-Randomized Controlled Trial, Steven R. Simon, Sumit R. Majumdar, Lisa A. Prosser, Susanne Salem-Schatz, Cheryl Warner, Ken Kleinman, Irina Miroshnik, Stephen B. Soumerai
Group Versus Individual Academic Detailing To Improve The Use Of Antihypertensive Medications In Primary Care: A Cluster-Randomized Controlled Trial, Steven R. Simon, Sumit R. Majumdar, Lisa A. Prosser, Susanne Salem-Schatz, Cheryl Warner, Ken Kleinman, Irina Miroshnik, Stephen B. Soumerai
Public Health Department Faculty Publication Series
Purpose
To compare group versus individual academic detailing to increase diuretic or β-blocker use in hypertension.
Methods
We conducted a cluster-randomized controlled trial in a large health maintenance organization. Subjects (N=9820) were patients with newly treated hypertension in the year preceding the intervention (N=3692), the 9 months following the intervention (N=3556), and the second year following intervention (N=2572). We randomly allocated 3 practice sites to group detailing (N=227 prescribers), 3 to individual detailing (N=235 prescribers), and 3 to usual care (N=319 prescribers). Individual detailing entailed a physician-educator meeting individually with clinicians to address barriers to prescribing guideline-recommended medications. The group …