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Implementing training and support, financial reimbursement, and referral to an internet-based brief advice program to improve the early identification of hazardous and harmful alcohol consumption in primary care (ODHIN) : study protocol for a cluster randomized factorial trial

Keurhorst, Myrna N. (författare)
Radboud University of Nijmegen, Netherlands
Anderson, Peter (författare)
Newcastle University, United Kingdom
Spak, Fredrik (författare)
Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine,University of Gothenburg, Sweden
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Bendtsen, Preben (författare)
Östergötlands Läns Landsting,Linköpings universitet,Socialmedicin och folkhälsovetenskap,Hälsouniversitetet,Akutkliniken,Medicinska specialistkliniken
Segura, Lidia (författare)
Government of Catalonia, Barcelona, Spain
Colom, Joan (författare)
Government of Catalonia, Barcelona, Spain
Reynolds, Jillian (författare)
Hospital Clin Barcelona, Spain
Drummond, Colin (författare)
Kings Coll London, England
Deluca, Paolo (författare)
Kings Coll London, England
van Steenkiste, Ben (författare)
Maastricht University, Netherlands
Mierzecki, Artur (författare)
Pomeranian Medical University, Poland
Kloda, Karolina (författare)
Pomeranian Medical University, Poland
Wallace, Paul (författare)
UCL, England
Newbury-Birch, Dorothy (författare)
Fac Med, England
Kaner, Eileen (författare)
Fac Med, England
Gual, Toni (författare)
Hospital Clin Barcelona, Spain
Laurant, Miranda G H. (författare)
Radboud University of Nijmegen, Netherlands
Keurhorst, Myrna N (författare)
Laurant, Miranda Gh (författare)
Kłoda, Karolina (författare)
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BioMed Central, 2013
2013
Engelska.
Ingår i: Implementation Science. - : BioMed Central. - 1748-5908 .- 1748-5908. ; 8
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
Stäng  
  • BackgroundThe European level of alcohol consumption, and the subsequent burden of disease, is high compared to the rest of the world. While screening and brief interventions in primary healthcare are cost-effective, in most countries they have hardly been implemented in routine primary healthcare. In this study, we aim to examine the effectiveness and efficiency of three implementation interventions that have been chosen to address key barriers for improvement: training and support to address lack of knowledge and motivation in healthcare providers; financial reimbursement to compensate the time investment; and internet-based counselling to reduce workload for primary care providers.Methods/designIn a cluster randomized factorial trial, data from Catalan, English, Netherlands, Polish, and Swedish primary healthcare units will be collected on screening and brief advice rates for hazardous and harmful alcohol consumption. The three implementation strategies will be provided separately and in combination in a total of seven intervention groups and compared with a treatment as usual control group. Screening and brief intervention activities will be measured at baseline, during 12 weeks and after six months. Process measures include health professionals’ role security and therapeutic commitment of the participating providers (SAAPPQ questionnaire). A total of 120 primary healthcare units will be included, equally distributed over the five countries. Both intention to treat and per protocol analyses are planned to determine intervention effectiveness, using random coefficient regression modelling.DiscussionEffective interventions to implement screening and brief interventions for hazardous alcohol use are urgently required. This international multi-centre trial will provide evidence to guide decision makers.

Nyckelord

Alcohol
Screening
Brief interventions
Primary healthcare
Training and support
Financial reimbursement
Internet
Implementation
MEDICINE
MEDICIN
Alcohol
Implementation *

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