Anderson, Peter, Coulton, Simon, Kaner, Eileen, Bendtsen, Preben, Kloda, Karolina, Segura, Lidia, Wojnar, Marcin, Mierzecki, Artur, Deluca, Paola, Newbury-Birch, Dorothy, and others. (2017) Delivery of Brief Interventions for Heavy Drinking in Primary Care: Outcomes of the ODHIN 5-Country Cluster Randomized Trial. Annals of Family Medicine, 15 (4). pp. 335-340. ISSN 1544-1709. E-ISSN 1544-1717. (doi:10.1370/afm.2051) (Access to this publication is currently restricted. You may be able to access a copy if URLs are provided) (KAR id:62283)
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Official URL: https://doi.org/10.1370/afm.2051 |
Abstract
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.
Item Type: | Article |
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DOI/Identification number: | 10.1370/afm.2051 |
Uncontrolled keywords: | Primary health care; heavy drinking; implementation study; training and support; financial reimbursement; electronic brief intervention; practice-based research |
Subjects: |
H Social Sciences H Social Sciences > HM Sociology |
Divisions: | Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research > Centre for Health Services Studies |
Depositing User: | Paula Loader |
Date Deposited: | 24 Aug 2017 15:08 UTC |
Last Modified: | 04 Mar 2024 15:38 UTC |
Resource URI: | https://kar.kent.ac.uk/id/eprint/62283 (The current URI for this page, for reference purposes) |
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