CDC Local Opioid Overdose Prevention and Response (LOOPR) academic detailing pilot

narcad.org

Also: LOOPR

A 2018-2020 pilot by CDC, NACCHO and the National Resource Center for Academic Detailing (NaRCAD) that trained local nurses, pharmacists, public health staff and students in high-prescribing, high-overdose counties to visit frontline clinicians one-to-one about opioid prescribing, treatment referral and patient care. First sites included Bell County (Kentucky), Boone County (West Virginia), Manchester (New Hampshire) and Dayton (Ohio); Ware County (Georgia) joined later.

Years: 2018–2020
Country: United States
Topic: Opioids
Asks people to: Start Stop
Strategy: Multi level community Trusted messenger
Channel: Clinical setting
Audience: Clinicians
Primary care and emergency clinicians in rural and small-city counties with high opioid prescribing and overdose rates.

Evidence

Quasi-experimentalMixed

Paired interrupted time series in five counties, 2017-2020 (Cremer 2025): opioid prescribing measures fell or stabilized after implementation at every site, though not always significantly.

Sponsor (who paid)

Centers for Disease Control and Prevention Federal government, funder
National Association of County and City Health Officials (NACCHO) NGO, program partner
National Resource Center for Academic Detailing (NaRCAD), Boston Medical Center Academic, training

Credits (who made it)

Not recorded yet.

Related campaigns

Sources

Opening Up the Conversation: An Interview with the Bell County, Kentucky Academic Detailing Program (NaRCAD/NACCHO, 26 Oct 2018) sponsor · 2018
NaRCAD Details Blog: LOOPR category sponsor
Cremer LJ, Wisdom AC, Legha JK et al. County-Level Opioid Prescribing Behavior Before and After the Implementation of LOOPR, 2017-2020. Subst Use Misuse evaluation · 2025 · DOI 10.1080/10826084.2025.2546505 · PMID 40795158

Research notes

Clinician-facing program. Discovered 2026-10-22 for #17 (clinician-campaigns pass). NaRCAD pages fetched 2026-10-22 (2018 pilot of CDC, NACCHO and NaRCAD; Bell County first of four sites). Boone County, Manchester, Dayton and Ware County come from search snippets of NaRCAD posts; Ware County is confirmed on the LOOPR category page only indirectly (Georgia district health director interview). End year 2020 is from the evaluation window. Sponsor role of CDC as funder inferred from "pilot program of the CDC". Procurement search 2026-10-22: no federal contract for LOOPR found in USAspending; the work ran through CDC cooperative agreements and grants (NACCHO, NaRCAD), not contracts, so no vendor appears in award records.

Record cases/cdc-loopr-academic-detailing.json, updated 2026-10-22· Link to this campaign