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Delivery of Brief I...
Delivery of Brief Interventions for Heavy Drinking in Primary Care: Outcomes of the ODHIN 5-Country Cluster Randomized Trial
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- Anderson, Peter (författare)
- Newcastle University, England; Maastricht University, Netherlands
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- Coulton, Simon (författare)
- University of Kent, England
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- Kaner, Eileen (författare)
- Newcastle University, England
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- Bendtsen, Preben (författare)
- Linköpings universitet,Avdelningen för samhällsmedicin,Medicinska fakulteten,Region Östergötland, Medicinska specialistkliniken
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- Kloda, Karolina (författare)
- Pomeranian Medical University, Poland
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- Reynolds, Jillian (författare)
- Hospital Clin Barcelona, Spain
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- Segura, Lidia (författare)
- Govt Catalonia, Spain
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- Wojnar, Marcin (författare)
- Medical University of Warsaw, Poland
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- Mierzecki, Artur (författare)
- Pomeranian Medical University, Poland
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- Deluca, Paolo (författare)
- Kings Coll London, England
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- Newbury-Birch, Dorothy (författare)
- University of Teesside, England
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- Parkinson, Kathryn (författare)
- Newcastle University, England
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- Okulicz-Kozaryn, Katarzyna (författare)
- State Agency Prevent Alcohol Related Problems, Poland
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- Drummond, Colin (författare)
- Kings Coll London, England; South London and Maudsley NHS Fdn Trust, England
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- Gual, Antoni (författare)
- Hospital Clin Barcelona, Spain
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(creator_code:org_t)
- 2017-07-10
- 2017
- Engelska.
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Ingår i: Annals of Family Medicine. - : ANNALS FAMILY MEDICINE. - 1544-1709 .- 1544-1717. ; 15:4, s. 335-340
- Relaterad länk:
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https://www.annfamme...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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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
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (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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Till lärosätets databas
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Anderson, Peter
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Coulton, Simon
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Kaner, Eileen
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Bendtsen, Preben
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Kloda, Karolina
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Reynolds, Jillia ...
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visa fler...
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Segura, Lidia
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Wojnar, Marcin
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Mierzecki, Artur
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Deluca, Paolo
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Newbury-Birch, D ...
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Parkinson, Kathr ...
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Okulicz-Kozaryn, ...
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Drummond, Colin
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Gual, Antoni
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visa färre...
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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Annals of Family ...
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Linköpings universitet