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> (2016)
> Keurhorst M. N. >
Improving the deliv...
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Anderson, P.Newcastle University, England; Maastricht University, Netherlands
(författare)
Improving the delivery of brief interventions for heavy drinking in primary health care: outcome results of the Optimizing Delivery of Health Care Intervention (ODHIN) five-country cluster randomized factorial trial
- Artikel/kapitelEngelska2016
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Nummerbeteckningar
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LIBRIS-ID:oai:gup.ub.gu.se/247699
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https://gup.ub.gu.se/publication/247699URI
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https://doi.org/10.1111/add.13476DOI
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https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-133116URI
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
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Funding Agencies|European Unions Seventh Framework Programme [259268]; Netherlands Organization for Health Research and Development (ZonMW, Prevention Program) [200310017-ODHIN]; NIHR Biomedical Research Centre for Mental Health at South London and Maudsley NHS Foundation Trust and Kings College London; NIHR Collaborations for Leadership in Applied Health Research and Care South London at Kings College Hospital NHS Foundation Trust
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Aim: To test if training and support, financial reimbursement and option of referring screen-positive patients to an internet-based method of giving advice (eBI) can increase primary health-care providers' delivery of Alcohol Use Disorders Identification Test (AUDIT)-C-based screening and advice to heavy drinkers. Design: Cluster randomized factorial trial with 12-week implementation and measurement period. Setting: Primary health-care units (PHCU) in different locations throughout Catalonia, England, the Netherlands, Poland and Sweden. Participants: A total of 120 PHCU, 24 in each of Catalonia, England, the Netherlands, Poland and Sweden. Interventions: PHCUs were randomized to one of eight groups: care as usual, training and support (TS), financial reimbursement (FR) and eBI; paired combinations of TS, FR and eBI, and all of FR, TS and eBI. Measurements: The primary outcome measure was the proportion of eligible adult (age 18+ years) patients screened during a 12-week implementation period. Secondary outcome measures were proportion of screen-positive patients advised; and proportion of consulting adult patients given an intervention (screening and advice to screen-positives) during the same 12-week implementation period. Findings: During a 4-week baseline measurement period, the proportion of consulting adult patients who were screened for their alcohol consumption was 0.059 per PHCU (95% CI 0.034 to 0.084). Based on the factorial design, the ratio of the logged proportion screened during the 12-week implementation period was 1.48 (95% CI=1.13–1.95) in PHCU that received TS versus PHCU that did not receive TS; for FR, the ratio was 2.00 (95% CI=1.56–2.56). The option of referral to eBI did not lead to a higher proportion of patients screened. The ratio for TS plus FR was 2.34 (95% CI=1.77–3.10), and the ratio for TS plus FR plus eBI was1.68 (95% CI=1.11–2.53). Conclusions: Providing primary health-care units with training, support and financial reimbursement for delivering Alcohol Use Disorders Identification Test-C-based screening and advice to heavy drinkers increases screening for alcohol consumption. Providing primary health-care units with the option of referring screen-positive patients to an internet-based method of giving advice does not appear to increase screening for alcohol consumption. © 2016 Society for the Study of Addiction
Ämnesord och genrebeteckningar
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Bendtsen, PrebenLinköpings universitet,Avdelningen för samhällsmedicin,Medicinska fakulteten,Region Östergötland, Medicinska specialistkliniken(Swepub:liu)prebe15
(författare)
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Spak, Fredrik,1948Gothenburg University,Göteborgs universitet,Enheten för socialmedicin,Social Medicine unit,University of Gothenburg, Sweden(Swepub:gu)xspafr
(författare)
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Reynolds, J.Hospital Clin Barcelona, Spain
(författare)
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Drummond, C.Kings Coll London, England; South London and Maudsley NHS Fdn Trust, England
(författare)
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Segura, L.Govt Catalonia, Spain
(författare)
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Keurhorst, M. N.Radboud University of Nijmegen, Netherlands
(författare)
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Palacio-Vieira, J.Govt Catalonia, Spain
(författare)
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Wojnar, M.Medical University of Warsaw, Poland
(författare)
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Parkinson, K.Newcastle University, England
(författare)
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Colom, J.Govt Catalonia, Spain
(författare)
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Kłoda, K.Pomeranian Medical University, Poland
(författare)
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Deluca, P.Kings Coll London, England
(författare)
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Baena, B.Govt Catalonia, Spain
(författare)
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Newbury-Birch, D.Newcastle University, England
(författare)
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Wallace, P.UCL, England
(författare)
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Heinen, M.Radboud University of Nijmegen, Netherlands; HAN University of Appl Science, Netherlands
(författare)
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Wolstenholme, A.Kings Coll London, England
(författare)
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van Steenkiste, B.Maastricht University, Netherlands
(författare)
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Mierzecki, A.Pomeranian Medical University, Poland
(författare)
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Okulicz-Kozaryn, K.State Agency Prevent Alcohol Related Problems, Poland
(författare)
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Ronda, G.Maastricht University, Netherlands
(författare)
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Kaner, E.Newcastle University, England
(författare)
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Laurant, M. G. H.
(författare)
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Coulton, S.University of Kent, England
(författare)
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Gual, T.Hospital Clin Barcelona, Spain
(författare)
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Newcastle University, England; Maastricht University, NetherlandsAvdelningen för samhällsmedicin
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Addiction: Wiley111:11, s. 1935-19451360-04430965-2140
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Till lärosätets databas
- Av författaren/redakt...
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Anderson, P.
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Bendtsen, Preben
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Spak, Fredrik, 1 ...
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Reynolds, J.
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Drummond, C.
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Segura, L.
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visa fler...
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Keurhorst, M. N.
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Palacio-Vieira, ...
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Wojnar, M.
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Parkinson, K.
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Colom, J.
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Kłoda, K.
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Deluca, P.
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Baena, B.
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Newbury-Birch, D ...
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Wallace, P.
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Heinen, M.
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Wolstenholme, A.
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van Steenkiste, ...
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Mierzecki, A.
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Okulicz-Kozaryn, ...
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Ronda, G.
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Kaner, E.
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Laurant, M. G. H ...
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Coulton, S.
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Gual, T.
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