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Delivery of Brief I...
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Anderson, PeterNewcastle University, England; Maastricht University, Netherlands
(author)
Delivery of Brief Interventions for Heavy Drinking in Primary Care: Outcomes of the ODHIN 5-Country Cluster Randomized Trial
- Article/chapterEnglish2017
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2017-07-10
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ANNALS FAMILY MEDICINE,2017
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LIBRIS-ID:oai:DiVA.org:liu-139604
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https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-139604URI
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https://doi.org/10.1370/afm.2051DOI
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Language:English
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Summary in:English
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
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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
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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.
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Coulton, SimonUniversity of Kent, England
(author)
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Kaner, EileenNewcastle University, England
(author)
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Bendtsen, PrebenLinköpings universitet,Avdelningen för samhällsmedicin,Medicinska fakulteten,Region Östergötland, Medicinska specialistkliniken(Swepub:liu)prebe15
(author)
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Kloda, KarolinaPomeranian Medical University, Poland
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Reynolds, JillianHospital Clin Barcelona, Spain
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Segura, LidiaGovt Catalonia, Spain
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Wojnar, MarcinMedical University of Warsaw, Poland
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Mierzecki, ArturPomeranian Medical University, Poland
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Deluca, PaoloKings Coll London, England
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Newbury-Birch, DorothyUniversity of Teesside, England
(author)
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Parkinson, KathrynNewcastle University, England
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Okulicz-Kozaryn, KatarzynaState Agency Prevent Alcohol Related Problems, Poland
(author)
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Drummond, ColinKings Coll London, England; South London and Maudsley NHS Fdn Trust, England
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Gual, AntoniHospital Clin Barcelona, Spain
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Newcastle University, England; Maastricht University, NetherlandsUniversity of Kent, England
(creator_code:org_t)
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In:Annals of Family Medicine: ANNALS FAMILY MEDICINE15:4, s. 335-3401544-17091544-1717
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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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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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