Abstract：
BACKGROUND: The shift toward virtual academic detailing (AD) was accelerated by the COVID-19 pandemic.
OBJECTIVE: We aimed to examine the role of external, contextual, and intrinsic programme-specific factors in virtual engagement of healthcare providers (HCPs) and delivery of AD.
METHODS: AD groups throughout North America were contacted to participate in semistructured interviews. An interview guide was constructed by adapting the Consolidated Framework for Implementation Research (CFIR). A point of emphasis included strategies AD groups employed for provider engagement while implementing virtual AD programmes. Independent coders conducted qualitative analysis using the framework method.
RESULTS: Fifteen AD groups from Canada (n = 3) and the United States (n = 12) participated. Technological issues and training detailers and HCPs were challenges during the transition to virtual AD visits. Restrictions on in-person activities during the pandemic created difficulties engaging HCPs and fewer AD visits. Continuing education was one strategy to incentivize participation, but credits were often not claimed by HCPs. Groups with established networks and prior experience with virtual AD leveraged connections to mitigate disruptions and continue AD visits. Other facilitators included emphasizing contemporary topics, including opioid education beyond fundamental guidelines. Virtual AD had the additional benefit of expanding geographic reach and flexible scheduling with providers.
CONCLUSIONS: AD groups across North America have shifted to virtual outreach and delivery strategies. This trend toward virtual AD may aid outreach to vulnerable rural communities, improving health equity. More research is needed on the effectiveness of virtual AD and its future implications.
OBJECTIVE: We aimed to examine the role of external, contextual, and intrinsic programme-specific factors in virtual engagement of healthcare providers (HCPs) and delivery of AD.
METHODS: AD groups throughout North America were contacted to participate in semistructured interviews. An interview guide was constructed by adapting the Consolidated Framework for Implementation Research (CFIR). A point of emphasis included strategies AD groups employed for provider engagement while implementing virtual AD programmes. Independent coders conducted qualitative analysis using the framework method.
RESULTS: Fifteen AD groups from Canada (n = 3) and the United States (n = 12) participated. Technological issues and training detailers and HCPs were challenges during the transition to virtual AD visits. Restrictions on in-person activities during the pandemic created difficulties engaging HCPs and fewer AD visits. Continuing education was one strategy to incentivize participation, but credits were often not claimed by HCPs. Groups with established networks and prior experience with virtual AD leveraged connections to mitigate disruptions and continue AD visits. Other facilitators included emphasizing contemporary topics, including opioid education beyond fundamental guidelines. Virtual AD had the additional benefit of expanding geographic reach and flexible scheduling with providers.
CONCLUSIONS: AD groups across North America have shifted to virtual outreach and delivery strategies. This trend toward virtual AD may aid outreach to vulnerable rural communities, improving health equity. More research is needed on the effectiveness of virtual AD and its future implications.
摘要：
背景：COVID-19大流行加速了向虚拟学术细节(AD)的转变。
目的：我们旨在研究外部，上下文,以及医疗保健提供者(HCP)虚拟参与和AD交付中固有的特定于计划的因素。
方法：联系了整个北美的AD组，以参加半结构化访谈。通过调整实施研究综合框架（CFIR），构建了采访指南。重点包括在实施虚拟广告计划时用于提供商参与的广告小组策略。独立编码人员使用框架方法进行了定性分析。
结果：来自加拿大（n=3）和美国（n=12）的15个AD组参加。在向虚拟AD访问过渡期间，技术问题和培训详细人员以及HCP是挑战。大流行期间对亲自活动的限制造成了与HCP接触的困难和AD访问的减少。继续教育是激励参与的一种策略，但信用通常不被HCP要求。具有已建立网络和先前使用虚拟AD的经验的组利用连接来减轻中断并继续AD访问。其他促进者包括强调当代主题，包括基本指导方针之外的阿片类药物教育。虚拟AD具有扩展地理范围和与提供商的灵活安排的额外好处。
结论：北美的AD组已经转向虚拟外展和交付策略。这种虚拟广告的趋势可能有助于推广到脆弱的农村社区，改善卫生公平。需要对虚拟AD的有效性及其未来影响进行更多研究。
目的：我们旨在研究外部，上下文,以及医疗保健提供者(HCP)虚拟参与和AD交付中固有的特定于计划的因素。
方法：联系了整个北美的AD组，以参加半结构化访谈。通过调整实施研究综合框架（CFIR），构建了采访指南。重点包括在实施虚拟广告计划时用于提供商参与的广告小组策略。独立编码人员使用框架方法进行了定性分析。
结果：来自加拿大（n=3）和美国（n=12）的15个AD组参加。在向虚拟AD访问过渡期间，技术问题和培训详细人员以及HCP是挑战。大流行期间对亲自活动的限制造成了与HCP接触的困难和AD访问的减少。继续教育是激励参与的一种策略，但信用通常不被HCP要求。具有已建立网络和先前使用虚拟AD的经验的组利用连接来减轻中断并继续AD访问。其他促进者包括强调当代主题，包括基本指导方针之外的阿片类药物教育。虚拟AD具有扩展地理范围和与提供商的灵活安排的额外好处。
结论：北美的AD组已经转向虚拟外展和交付策略。这种虚拟广告的趋势可能有助于推广到脆弱的农村社区，改善卫生公平。需要对虚拟AD的有效性及其未来影响进行更多研究。
