SwePub
Sök i LIBRIS databas

  Utökad sökning

onr:"20833327"
 

Sökning: onr:"20833327" > Attitudes and Learn...

Attitudes and Learning through Practice Are Key to Delivering Brief Interventions for Heavy Drinking in Primary Health Care: Analyses from the ODHIN Five Country Cluster Randomized Factorial Trial

Anderson, Peter (författare)
Kaner, Eileen (författare)
Keurhorst, Myrna (författare)
visa fler...
Bendtsen, Preben (författare)
van Steenkiste, Ben (författare)
Reynolds, Jillian (författare)
Segura, Lidia (författare)
Wojnar, Marcin (författare)
Kloda, Karolina (författare)
Parkinson, Kathryn (författare)
Drummond, Colin (författare)
Okulicz-Kozaryn, Katarzyna (författare)
Mierzecki, Artur (författare)
Laurant, Miranda (författare)
Newbury-Birch, Dorothy (författare)
Gual, Antoni (författare)
visa färre...
 (utgivare)
 (utgivare)
visa fler...
 (utgivare)
visa färre...
MDPI AG 2017
2017
Engelska.
Ingår i: International Journal of Environment and Bioenergy. - 1832-2077. ; 14:2
  • swepub:Mat__t
Abstract Ämnesord
Stäng  
  • In this paper, we test path models that study the interrelations between primary health care provider attitudes towards working with drinkers, their screening and brief advice activity, and their receipt of training and support and financial reimbursement. Study participants were 756 primary health care providers from 120 primary health care units (PHCUs) in different locations throughout Catalonia, England, The Netherlands, Poland, and Sweden. Our interventions were training and support and financial reimbursement to providers. Our design was a randomized factorial trial with baseline measurement period, 12-week implementation period, and 9-month follow-up measurement period. Our outcome measures were: attitudes of individual providers in working with drinkers as measured by the Short Alcohol and Alcohol Problems Perception Questionnaire; and the proportion of consulting adult patients (age 18+ years) who screened positive and were given advice to reduce their alcohol consumption (intervention activity). We found that more positive attitudes were associated with higher intervention activity, and higher intervention activity was then associated with more positive attitudes. Training and support was associated with both positive changes in attitudes and higher intervention activity. Financial reimbursement was associated with more positive attitudes through its impact on higher intervention activity. We conclude that improving primary health care providers screening and brief advice activity for heavy drinking requires a combination of training and support and on-the-job experience of actually delivering screening and brief advice activity.

Ämnesord

Medical and Health Sciences  (hsv)
Health Sciences  (hsv)
Public Health, Global Health, Social Medicine and Epidemiology  (hsv)
Medicin och hälsovetenskap  (hsv)
Hälsovetenskaper  (hsv)
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi  (hsv)

Nyckelord

primary health care; heavy drinking; screening and brief advice; training and support; financial reimbursement; role security; therapeutic commitment; short alcohol and alcohol problems perception questionnaire

Hitta via bibliotek

Till lärosätets databas

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

 
pil uppåt Stäng

Kopiera och spara länken för att återkomma till aktuell vy