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

  • Anderson, PeterNewcastle University, England; Maastricht University, Netherlands (författare)

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

  • Artikel/kapitelEngelska2017

Förlag, utgivningsår, omfång ...

  • 2017-07-10
  • ANNALS FAMILY MEDICINE,2017
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:liu-139604
  • https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-139604URI
  • https://doi.org/10.1370/afm.2051DOI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • Funding Agencies|European Unions Seventh Framework Programme for Research, Technological Development, and Demonstration [259268]; Netherlands Organisation for Health Research and Development (ZonMW, Prevention Program) [200310017]; NIHR Biomedical Research Centre for Mental Health at South London; Maudsley NHS Foundation Trust; NIHR Collaborations for Leadership in Applied Health Research and Care South London at Kings College Hospital NHS Foundation Trust; Polish science; Kings College London
  • 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 och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Coulton, SimonUniversity of Kent, England (författare)
  • Kaner, EileenNewcastle University, England (författare)
  • Bendtsen, PrebenLinköpings universitet,Avdelningen för samhällsmedicin,Medicinska fakulteten,Region Östergötland, Medicinska specialistkliniken(Swepub:liu)prebe15 (författare)
  • Kloda, KarolinaPomeranian Medical University, Poland (författare)
  • Reynolds, JillianHospital Clin Barcelona, Spain (författare)
  • Segura, LidiaGovt Catalonia, Spain (författare)
  • Wojnar, MarcinMedical University of Warsaw, Poland (författare)
  • Mierzecki, ArturPomeranian Medical University, Poland (författare)
  • Deluca, PaoloKings Coll London, England (författare)
  • Newbury-Birch, DorothyUniversity of Teesside, England (författare)
  • Parkinson, KathrynNewcastle University, England (författare)
  • Okulicz-Kozaryn, KatarzynaState Agency Prevent Alcohol Related Problems, Poland (författare)
  • Drummond, ColinKings Coll London, England; South London and Maudsley NHS Fdn Trust, England (författare)
  • Gual, AntoniHospital Clin Barcelona, Spain (författare)
  • Newcastle University, England; Maastricht University, NetherlandsUniversity of Kent, England (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:Annals of Family Medicine: ANNALS FAMILY MEDICINE15:4, s. 335-3401544-17091544-1717

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