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  • Keurhorst, M.Radboud University of Nijmegen, Netherlands; Saxion University of Appl Science, Netherlands (författare)

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

  • Artikel/kapitelEngelska2016

Förlag, utgivningsår, omfång ...

  • 2016-07-16
  • Springer Science and Business Media LLC,2016

Nummerbeteckningar

  • LIBRIS-ID:oai:gup.ub.gu.se/243563
  • https://gup.ub.gu.se/publication/243563URI
  • https://doi.org/10.1186/s13012-016-0468-5DOI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-131184URI

Kompletterande språkuppgifter

  • Språk:engelska

Ingår i deldatabas

Klassifikation

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

Anmärkningar

  • Funding Agencies|European Union [259268]; Netherlands Organisation for Health Research and Development (ZonMW, Prevention Program) [200310017]; Polish science financial resources - project ODHIN [2304/7.PR-COOPERATION/11/2012/2]; National Institute for Health Research (NIHR) Biomedical Research Centre for Mental Health at South London and Maudsley NHS Foundation Trust; Kings College London; NIHR Collaborations for Leadership in Applied Health Research and Care South London at Kings College Hospital NHS Foundation Trust
  • 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 och genrebeteckningar

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

  • Anderson, P.Newcastle University, England; Maastricht University, Netherlands (författare)
  • Heinen, M.Radboud University of Nijmegen, Netherlands (författare)
  • Bendtsen, PrebenLinköpings universitet,Avdelningen för samhällsmedicin,Medicinska fakulteten,Region Östergötland, Medicinska specialistkliniken(Swepub:liu)prebe15 (författare)
  • Baena, B.Govt Catalonia, Spain (författare)
  • Brzozka, K.State Agency Prevent Alcohol Related Problems, Poland (författare)
  • Colom, J.Govt Catalonia, Spain (författare)
  • Deluca, P.Kings Coll London, England (författare)
  • Drummond, C.Kings Coll London, England (författare)
  • Kaner, E.Newcastle University, England (författare)
  • Kloda, K.Pomeranian Medical University, Poland (författare)
  • Mierzecki, A.Pomeranian Medical University, Poland (författare)
  • Newbury-Birch, D.University of Teesside, England (författare)
  • Okulicz-Kozaryn, K.State Agency Prevent Alcohol Related Problems, Poland (författare)
  • Palacio-Vieira, J.Govt Catalonia, Spain (författare)
  • Parkinson, K.Newcastle University, England (författare)
  • Reynolds, J.Hospital Clin Barcelona, Spain (författare)
  • Ronda, G.Maastricht University, Netherlands (författare)
  • Segura, L.Govt Catalonia, Spain (författare)
  • Slodownik, L.State Agency Prevent Alcohol Related Problems, Poland (författare)
  • Spak, Fredrik,1948Gothenburg 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(Swepub:gu)xspafr (författare)
  • van Steenkiste, B.Maastricht University, Netherlands (författare)
  • Wallace, P.UCL, England (författare)
  • Wolstenholme, A.Kings Coll London, England (författare)
  • Wojnar, M.Medical University of Warsaw, Poland (författare)
  • Gual, A.Hospital Clin Barcelona, Spain (författare)
  • Laurant, M.Radboud University of Nijmegen, Netherlands; HAN University of Appl Science, Netherlands (författare)
  • Wensing, M.Radboud University of Nijmegen, Netherlands; University of Heidelberg Hospital, Germany (författare)
  • Radboud University of Nijmegen, Netherlands; Saxion University of Appl Science, NetherlandsNewcastle University, England; Maastricht University, Netherlands (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:Implementation Science: Springer Science and Business Media LLC111748-5908

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