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Sökning: onr:"swepub:oai:DiVA.org:liu-139604" > Delivery of Brief I...

Delivery of Brief Interventions for Heavy Drinking in Primary Care: Outcomes of the ODHIN 5-Country Cluster Randomized Trial

Anderson, Peter (författare)
Newcastle University, England; Maastricht University, Netherlands
Coulton, Simon (författare)
University of Kent, England
Kaner, Eileen (författare)
Newcastle University, England
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Bendtsen, Preben (författare)
Linköpings universitet,Avdelningen för samhällsmedicin,Medicinska fakulteten,Region Östergötland, Medicinska specialistkliniken
Kloda, Karolina (författare)
Pomeranian Medical University, Poland
Reynolds, Jillian (författare)
Hospital Clin Barcelona, Spain
Segura, Lidia (författare)
Govt Catalonia, Spain
Wojnar, Marcin (författare)
Medical University of Warsaw, Poland
Mierzecki, Artur (författare)
Pomeranian Medical University, Poland
Deluca, Paolo (författare)
Kings Coll London, England
Newbury-Birch, Dorothy (författare)
University of Teesside, England
Parkinson, Kathryn (författare)
Newcastle University, England
Okulicz-Kozaryn, Katarzyna (författare)
State Agency Prevent Alcohol Related Problems, Poland
Drummond, Colin (författare)
Kings Coll London, England; South London and Maudsley NHS Fdn Trust, England
Gual, Antoni (författare)
Hospital Clin Barcelona, Spain
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 (creator_code:org_t)
ANNALS FAMILY MEDICINE, 2017
2017
Engelska.
Ingår i: Annals of family medicine (online). - : ANNALS FAMILY MEDICINE. - 1544-1709 .- 1544-1717. ; 15:4, s. 335-340
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
Stäng  
  • PURPOSE We aimed to test whether 3 strategies-training and support, financial reimbursement, and an option to direct screen-positive patients to an Internet-based method of giving brief advice-have a longer-term effect on primary care clinicians delivery of screening and advice to heavy drinkers operationalized with the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) tool. METHODS We undertook a cluster randomized factorial trial with a 12-week implementation period in 120 primary health care units throughout Catalonia, England, Netherlands, Poland, and Sweden. Units were randomized to 8 groups: care as usual (control); training and support alone; financial reimbursement alone; electronic brief advice alone; paired combinations of these conditions; and all 3 combined. The primary outcome was the proportion of consulting adult patients (aged 18 years and older) receiving intervention-screening and, if screen-positive, advice-at 9 months. RESULTS Based on the factorial design, the ratio of the log of the proportion of patients given intervention at the 9-month follow-up was 1.39 (95% CI, 1.03-1.88) in units that received training and support as compared with units that did not. Neither financial reimbursement nor directing screen-positive patients to electronic brief advice led to a higher proportion of patients receiving intervention. CONCLUSIONS Training and support of primary health care units has a lasting, albeit small, impact on the proportion of adult patients given an alcohol intervention at 9 months.

Ämnesord

MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Nursing (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskaper -- Omvårdnad (hsv//swe)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskaper (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences (hsv//eng)

Nyckelord

primary health care; heavy drinking; implementation study; training and support; financial reimbursement; electronic brief intervention; practice-based research

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