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Improving screening and brief intervention activities in primary health care: Secondary analysis of professional accuracy based on the AUDIT-C

Palacio-Vieira, J. (författare)
Govt Catalonia, Spain
Segura, L. (författare)
Govt Catalonia, Spain
Anderson, P. (författare)
Newcastle Univ, England; Maastricht Univ, Netherlands
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Wolstenholme, A. (författare)
Kings Coll London, England
Drummond, C. (författare)
Kings Coll London, England; South London and Maudsley NHS Fdn Trust, England
Bendtsen, Preben (författare)
Linköpings universitet,Avdelningen för samhällsmedicin,Medicinska fakulteten,Region Östergötland, Medicinska specialistkliniken
Wojnar, M. (författare)
Med Univ Warsaw, Poland
Kaner, E. (författare)
Newcastle Univ, England
Keurhorst, M. N. (författare)
Radboud Univ Nijmegen, Netherlands
van Steenkiste, B. (författare)
Maastricht Univ, Netherlands
Kloda, K. (författare)
Pomeranian Med Univ, Poland
Mierzecki, A. (författare)
Pomeranian Med Univ, Poland
Parkinson, K. (författare)
Newcastle Univ, England
Newbury-Birch, D. (författare)
Teesside Univ, England
Okulicz-Kozaryn, K. (författare)
State Agcy Prevent Alcohol Related Problems, Poland
Deluca, P. (författare)
Kings Coll London, England
Colom, J. (författare)
Govt Catalonia, Spain
Gual, A. (författare)
Hosp Clin Barcelona, Spain; IDIBAPS, Spain; Inst Carlos III, Spain
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 (creator_code:org_t)
WILEY, 2018
2018
Engelska.
Ingår i: Journal of Evaluation In Clinical Practice. - : WILEY. - 1356-1294 .- 1365-2753. ; 24:2, s. 369-374
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
Stäng  
  • Introduction and objectiveThe ODHIN trial found that training and support and financial reimbursement increased the proportion of patients that were screened and given advice for their heavy drinking in primary health care. However, the impact of these strategies on professional accuracy in delivering screening and brief advice is underresearched and is the focus of this paper. MethodFrom 120 primary health care units (24 in each jurisdiction: Catalonia, England, the Netherlands, Poland, and Sweden), 746 providers participated in the baseline and the 12-week implementation periods. Accuracy was measured in 2 ways: correctness in completing and scoring the screening instrument, AUDIT-C; the proportion of screen-negative patients given advice, and the proportion of screen-positive patients not given advice. Odds ratios of accuracy were calculated for type of profession and for intervention group: training and support, financial reimbursement, and internet-based counselling. ResultsThirty-two of 36711 questionnaires were incorrectly completed, and 65 of 29641 screen-negative patients were falsely classified. At baseline, 27% of screen-negative patients were given advice, and 22.5% screen-positive patients were not given advice. These proportions halved during the 12-week implementation period, unaffected by training. Financial reimbursement reduced the proportion of screen-positive patients not given advice (OR=0.56; 95% CI, 0.31-0.99; Pamp;lt;.05). ConclusionAlthough the use of AUDIT-C as a screening tool was accurate, a considerable proportion of risky drinkers did not receive advice, which was reduced with financial incentives.

Ämnesord

MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskaper -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskaper (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences (hsv//eng)

Nyckelord

alcohol screening; brief interventions; primary health care

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