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Impact of primary h...
Impact of primary healthcare providers' initial role security and therapeutic commitment on implementing brief interventions in managing risky alcohol consumption: a cluster randomised factorial trial
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- Keurhorst, M. (författare)
- Radboud University of Nijmegen, Netherlands; Saxion University of Appl Science, Netherlands
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- Anderson, P. (författare)
- Newcastle University, England; Maastricht University, Netherlands
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- Heinen, M. (författare)
- Radboud University of Nijmegen, Netherlands
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- Bendtsen, Preben (författare)
- Linköpings universitet,Avdelningen för samhällsmedicin,Medicinska fakulteten,Region Östergötland, Medicinska specialistkliniken
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- Baena, B. (författare)
- Govt Catalonia, Spain
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- Brzozka, K. (författare)
- State Agency Prevent Alcohol Related Problems, Poland
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- Colom, J. (författare)
- Govt Catalonia, Spain
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- Deluca, P. (författare)
- Kings Coll London, England
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- Drummond, C. (författare)
- Kings Coll London, England
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- Kaner, E. (författare)
- Newcastle University, England
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- Kloda, K. (författare)
- Pomeranian Medical University, Poland
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- Mierzecki, A. (författare)
- Pomeranian Medical University, Poland
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- Newbury-Birch, D. (författare)
- University of Teesside, England
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- Okulicz-Kozaryn, K. (författare)
- State Agency Prevent Alcohol Related Problems, Poland
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- Palacio-Vieira, J. (författare)
- Govt Catalonia, Spain
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- Parkinson, K. (författare)
- Newcastle University, England
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- Reynolds, J. (författare)
- Hospital Clin Barcelona, Spain
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- Ronda, G. (författare)
- Maastricht University, Netherlands
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- Segura, L. (författare)
- Govt Catalonia, Spain
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- Slodownik, L. (författare)
- State Agency Prevent Alcohol Related Problems, Poland
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- Spak, Fredrik, 1948 (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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- van Steenkiste, B. (författare)
- Maastricht University, Netherlands
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- Wallace, P. (författare)
- UCL, England
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- Wolstenholme, A. (författare)
- Kings Coll London, England
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- Wojnar, M. (författare)
- Medical University of Warsaw, Poland
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- Gual, A. (författare)
- Hospital Clin Barcelona, Spain
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- Laurant, M. (författare)
- Radboud University of Nijmegen, Netherlands; HAN University of Appl Science, Netherlands
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- Wensing, M. (författare)
- Radboud University of Nijmegen, Netherlands; University of Heidelberg Hospital, Germany
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(creator_code:org_t)
- 2016-07-16
- 2016
- Engelska.
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Ingår i: Implementation Science. - : Springer Science and Business Media LLC. - 1748-5908. ; 11
- Relaterad länk:
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https://implementati...
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https://liu.diva-por... (primary) (Raw object)
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https://gup.ub.gu.se...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- Background: Brief interventions in primary healthcare are cost-effective in reducing drinking problems but poorly implemented in routine practice. Although evidence about implementing brief interventions is growing, knowledge is limited with regard to impact of initial role security and therapeutic commitment on brief intervention implementation. Methods: In a cluster randomised factorial trial, 120 primary healthcare units (PHCUs) were randomised to eight groups: care as usual, training and support, financial reimbursement, and the opportunity to refer patients to an internet-based brief intervention (e-BI); paired combinations of these three strategies, and all three strategies combined. To explore the impact of initial role security and therapeutic commitment on implementing brief interventions, we performed multilevel linear regression analyses adapted to the factorial design. Results: Data from 746 providers from 120 PHCUs were included in the analyses. Baseline role security and therapeutic commitment were found not to influence implementation of brief interventions. Furthermore, there were no significant interactions between these characteristics and allocated implementation groups. Conclusions: The extent to which providers changed their brief intervention delivery following experience of different implementation strategies was not determined by their initial attitudes towards alcohol problems. In future research, more attention is needed to unravel the causal relation between practitioners' attitudes, their actual behaviour and care improvement strategies to enhance implementation science.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Beroendelära (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Substance Abuse (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
Nyckelord
- Brief interventions
- Risky drinking
- Primary healthcare
- Provider influences
- Implementation research
- TAILORED IMPROVEMENT PROGRAM
- GENERAL-PRACTITIONERS
- GLOBAL BURDEN
- USE
- DISORDERS
- ATTITUDES
- STRATEGIES
- DRINKING
- DISEASE
- INJURY
- ODHIN
- Brief interventions; Risky drinking; Primary healthcare; Provider influences; Implementation research
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
Hitta via bibliotek
Till lärosätets databas
- Av författaren/redakt...
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Keurhorst, M.
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Anderson, P.
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Heinen, M.
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Bendtsen, Preben
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Baena, B.
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Brzozka, K.
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visa fler...
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Colom, J.
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Deluca, P.
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Drummond, C.
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Kaner, E.
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Kloda, K.
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Mierzecki, A.
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Newbury-Birch, D ...
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Okulicz-Kozaryn, ...
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Palacio-Vieira, ...
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Parkinson, K.
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Reynolds, J.
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Ronda, G.
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Segura, L.
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Slodownik, L.
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Spak, Fredrik, 1 ...
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van Steenkiste, ...
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Wallace, P.
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Wolstenholme, A.
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Wojnar, M.
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Gual, A.
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Laurant, M.
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Wensing, M.
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- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Hälsovetenskap
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och Beroendelära
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Hälsovetenskap
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och Hälso och sjukvå ...
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Implementation S ...
- Av lärosätet
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Göteborgs universitet
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Linköpings universitet