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

Attitudes and Learning through Practice Are Key to Delivering Brief Interventions for Heavy Drinking in Primary Health Care: Analyses from the ODHIN Five Country Cluster Randomized Factorial Trial

  • Article/chapterEnglish2017

Publisher, publication year, extent ...

  • 2017-01-26
  • MDPI AG,2017
  • electronicrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:liu-136668
  • https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-136668URI
  • https://doi.org/10.3390/ijerph14020121DOI

Supplementary language notes

  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Funding Agencies|European Union [259268]; NIHR School of Public Health Research; NIHR School of Primary Care Research; Netherlands Organization for Health Research and Development (ZonMW, Prevention Programme) [200310017, Art.II.17]; Polish science; project ODHIN
  • In this paper, we test path models that study the interrelations between primary health care provider attitudes towards working with drinkers, their screening and brief advice activity, and their receipt of training and support and financial reimbursement. Study participants were 756 primary health care providers from 120 primary health care units (PHCUs) in different locations throughout Catalonia, England, The Netherlands, Poland, and Sweden. Our interventions were training and support and financial reimbursement to providers. Our design was a randomized factorial trial with baseline measurement period, 12-week implementation period, and 9-month follow-up measurement period. Our outcome measures were: attitudes of individual providers in working with drinkers as measured by the Short Alcohol and Alcohol Problems Perception Questionnaire; and the proportion of consulting adult patients (age 18+ years) who screened positive and were given advice to reduce their alcohol consumption (intervention activity). We found that more positive attitudes were associated with higher intervention activity, and higher intervention activity was then associated with more positive attitudes. Training and support was associated with both positive changes in attitudes and higher intervention activity. Financial reimbursement was associated with more positive attitudes through its impact on higher intervention activity. We conclude that improving primary health care providers screening and brief advice activity for heavy drinking requires a combination of training and support and on-the-job experience of actually delivering screening and brief advice activity.

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  • Kaner, EileenNewcastle University, England (author)
  • Keurhorst, MyrnaRadboud University of Nijmegen, Netherlands; Saxion University of Appl Science, Netherlands (author)
  • Bendtsen, PrebenLinköpings universitet,Avdelningen för samhällsmedicin,Medicinska fakulteten,Region Östergötland, Medicinska specialistkliniken(Swepub:liu)prebe15 (author)
  • van Steenkiste, BenMaastricht University, Netherlands (author)
  • Reynolds, JillianIDIBAPS, Spain (author)
  • Segura, LidiaGovt Catalonia, Spain (author)
  • Wojnar, MarcinMedical University of Warsaw, Poland (author)
  • Kloda, KarolinaPomeranian Medical University, Poland (author)
  • Parkinson, KathrynNewcastle University, England (author)
  • Drummond, ColinKings Coll London, England; Maudsley NHS Fdn Trust, England (author)
  • Okulicz-Kozaryn, KatarzynaState Agency Prevent Alcohol Related Problems, Poland (author)
  • Mierzecki, ArturPomeranian Medical University, Poland (author)
  • Laurant, MirandaRadboud University of Nijmegen, Netherlands; HAN University of Appl Science, Netherlands (author)
  • Newbury-Birch, DorothyUniversity of Teesside, England (author)
  • Gual, AntoniIDIBAPS, Spain (author)
  • Newcastle University, England; Maastricht University, NetherlandsNewcastle University, England (creator_code:org_t)

Related titles

  • In:International Journal of Environmental Research and Public Health: MDPI AG14:21661-78271660-4601

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