TY  - JOUR
AU  - Enich, Michael
AU  - Morton, Cory
AU  - Jermyn, Richard
PY  - 2024
DA  - 2024/10/28
TI  - Naloxone Coprescribing and the Prevention of Opioid Overdoses: Quasi-Experimental Metacognitive Assessment of a Novel Education Initiative
JO  - JMIR Med Educ
SP  - e54280
VL  - 10
KW  - naloxone
KW  - coprescribing
KW  - prescription
KW  - academic detailing
KW  - metacognition
KW  - metacognitive evaluation
KW  - pharmacotherapy
KW  - pharmaceutic
KW  - pharmaceutical
KW  - education
KW  - educational intervention
KW  - opioid
KW  - opioid overdose
KW  - harm reduction
AB  - Background: Critical evaluation of naloxone coprescription academic detailing programs has been positive, but little research has focused on how participant thinking changes during academic detailing. Objective: The dual purposes of this study were to (1) present a metacognitive evaluation of a naloxone coprescription academic detailing intervention and (2) describe the application of a metacognitive evaluation for future medical education interventions. Methods: Data were obtained from a pre-post knowledge assessment of a web-based, self-paced intervention designed to increase knowledge of clinical and organizational best practices for the coprescription of naloxone. To assess metacognition, items were designed with confidence-weighted true-false scoring. Multiple metacognitive scores were calculated: 3 content knowledge scores and 5 confidence-weighted true-false scores. Statistical analysis examined whether there were significant differences in scores before and after intervention. Analysis of overall content knowledge showed significant improvement at posttest. Results: There was a significant positive increase in absolute accuracy of participant confidence judgments, confidence in correct probability, and confidence in incorrect probability (all P values were <.05). Overall, results suggest an improvement in content knowledge scores after intervention and, metacognitively, suggest that individuals were more confident in their answer choices, regardless of correctness. Conclusions: Implications include the potential application of metacognitive evaluations to assess nuances in learner performance during academic detailing interventions and as a feedback mechanism to reinforce learning and guide curricular design. 
SN  - 2369-3762
UR  - https://mededu.jmir.org/2024/1/e54280
UR  - https://doi.org/10.2196/54280
DO  - 10.2196/54280
ID  - info:doi/10.2196/54280
ER  -