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Sökning: onr:"swepub:oai:DiVA.org:liu-131526" > Implementing referr...

Implementing referral to an electronic alcohol brief advice website in primary healthcare: results from the ODHIN implementation trial

Bendtsen, Preben (författare)
Linköpings universitet,Avdelningen för samhällsmedicin,Medicinska fakulteten,Region Östergötland, Medicinska specialistkliniken
Müssener, Ulrika (författare)
Linköpings universitet,Avdelningen för samhällsmedicin,Medicinska fakulteten
Karlsson, Nadine (författare)
Linköpings universitet,Avdelningen för samhällsmedicin,Medicinska fakulteten
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Lopez-Pelayo, Hugo (författare)
University of Barcelona, Spain
Palacio-Vieira, Jorge (författare)
Govt Catalonia, Spain
Colom, Joan (författare)
Govt Catalonia, Spain
Gual, Antoni (författare)
University of Barcelona, Spain
Reynolds, Jillian (författare)
University of Barcelona, Spain
Wallace, Paul (författare)
UCL, England
Segura, Lidia (författare)
Govt Catalonia, Spain
Anderson, Peter (författare)
Newcastle University, England; Maastricht University, Netherlands
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 (creator_code:org_t)
BMJ PUBLISHING GROUP, 2016
2016
Engelska.
Ingår i: BMJ Open. - : BMJ PUBLISHING GROUP. - 2044-6055 .- 2044-6055. ; 6:6
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
Stäng  
  • Objectives The objective of the present study was to explore whether the possibility of offering facilitated access to an alcohol electronic brief intervention (eBI) instead of delivering brief face-to-face advice increased the proportion of consulting adults who were screened and given brief advice. Design The study was a 12-week implementation study. Sixty primary healthcare units (PHCUs) in 5 jurisdictions (Catalonia, England, the Netherlands, Poland and Sweden) were asked to screen adults who attended the PHCU for risky drinking. Setting A total of 120 primary healthcare centres from 5 jurisdictions in Europe. Participants 746 individual providers (general practitioners, nurses or other professionals) participated in the study. Primary outcome Change in the proportion of patients screened and referred to eBI comparing a baseline 4-week preimplementation period with a 12-week implementation period. Results The possibility of referring patients to the eBI was not found to be associated with any increase in the proportion of patients screened. However, it was associated with an increase in the proportion of screen-positive patients receiving brief advice from 70% to 80% for the screen-positive sample as a whole (pamp;lt;0.05), mainly driven by a significant increase in brief intervention rates in England from 87% to 96% (pamp;lt;0.01). The study indicated that staff displayed a low level of engagement in this new technology. Staff continued to offer face-to-face advice to a larger proportion of patients (54%) than referral to eBI (38%). In addition, low engagement was seen among the referred patients; on average, 18% of the patients logged on to the website with a mean log-on rate across the different countries between 0.58% and 36.95%. Conclusions Referral to eBI takes nearly as much time as brief oral advice and might require more introduction and training before staff are comfortable with referring to eBI.

Ämnesord

MEDICAL AND HEALTH SCIENCES  -- Basic Medicine -- Social and Clinical Pharmacy (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Medicinska och farmaceutiska grundvetenskaper -- Samhällsfarmaci och klinisk farmaci (hsv//swe)
MEDICIN OCH HÄLSOVETENSKAP  -- Medicinska och farmaceutiska grundvetenskaper (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Basic Medicine (hsv//eng)

Nyckelord

Alcohol screening; brief intervention; referral to electronic brief advice; fidelity to intervention

Publikations- och innehållstyp

ref (ämneskategori)
art (ämneskategori)

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  • BMJ Open (Sök värdpublikationen i LIBRIS)

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