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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

Förlag, utgivningsår, omfång ...

  • 2016-07-25
  • Wiley,2016

Nummerbeteckningar

  • LIBRIS-ID:oai:gup.ub.gu.se/247699
  • https://gup.ub.gu.se/publication/247699URI
  • https://doi.org/10.1111/add.13476DOI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-133116URI

Kompletterande språkuppgifter

  • Språk:engelska

Ingår i deldatabas

Klassifikation

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

Anmärkningar

  • 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
  • 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 ...)

  • Bendtsen, PrebenLinköpings universitet,Avdelningen för samhällsmedicin,Medicinska fakulteten,Region Östergötland, Medicinska specialistkliniken(Swepub:liu)prebe15 (författare)
  • Spak, Fredrik,1948Gothenburg University,Göteborgs universitet,Enheten för socialmedicin,Social Medicine unit,University of Gothenburg, Sweden(Swepub:gu)xspafr (författare)
  • Reynolds, J.Hospital Clin Barcelona, Spain (författare)
  • Drummond, C.Kings Coll London, England; South London and Maudsley NHS Fdn Trust, England (författare)
  • Segura, L.Govt Catalonia, Spain (författare)
  • Keurhorst, M. N.Radboud University of Nijmegen, Netherlands (författare)
  • Palacio-Vieira, J.Govt Catalonia, Spain (författare)
  • Wojnar, M.Medical University of Warsaw, Poland (författare)
  • Parkinson, K.Newcastle University, England (författare)
  • Colom, J.Govt Catalonia, Spain (författare)
  • Kłoda, K.Pomeranian Medical University, Poland (författare)
  • Deluca, P.Kings Coll London, England (författare)
  • Baena, B.Govt Catalonia, Spain (författare)
  • Newbury-Birch, D.Newcastle University, England (författare)
  • Wallace, P.UCL, England (författare)
  • Heinen, M.Radboud University of Nijmegen, Netherlands; HAN University of Appl Science, Netherlands (författare)
  • Wolstenholme, A.Kings Coll London, England (författare)
  • van Steenkiste, B.Maastricht University, Netherlands (författare)
  • Mierzecki, A.Pomeranian Medical University, Poland (författare)
  • Okulicz-Kozaryn, K.State Agency Prevent Alcohol Related Problems, Poland (författare)
  • Ronda, G.Maastricht University, Netherlands (författare)
  • Kaner, E.Newcastle University, England (författare)
  • Laurant, M. G. H. (författare)
  • Coulton, S.University of Kent, England (författare)
  • Gual, T.Hospital Clin Barcelona, Spain (författare)
  • Newcastle University, England; Maastricht University, NetherlandsAvdelningen för samhällsmedicin (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:Addiction: Wiley111:11, s. 1935-19451360-04430965-2140

Internetlänk

Hitta via bibliotek

  • Addiction (Sök värdpublikationen i LIBRIS)

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