Implementing Screening and Brief Interventions for Excessive Drinkers in Primary Health Care
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Alcohol-Related Disorders
- Sponsor
- Agrupamento de Centros de Saúde de Dão Lafões
- Enrollment
- 222
- Locations
- 1
- Primary Endpoint
- Alcohol screening rate
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
The objective of this study is to investigate the efficacy of an implementation program specifically designed to increase alcohol screening and brief intervention rates in primary health care.
Detailed Description
Alcohol is an important risk factor for several diseases, even when consumed moderately. Screening and advising at-risk drinkers to cut-down is a highly effective and cost-effective intervention when conducted in primary healthcare settings. However, these interventions are seldom implemented at the primary care level. Twelve out of the 26 primary health care units of the Dão Lafões Grouping of Primary Health Care Centres will be randomized to two groups: the intervention arm will receive the new implementation program; the control group will be on a waiting list for receiving the implementation program and will receive the intervention after the testing phase of the trial is completed. The study will last for one year, starting in January 2017. The implementation program was designed in order to overcome known barriers for implementing alcohol screening and brief advice in primary health care. The Behaviour Change Wheel and the Theoretical Domains Framework were used to pinpoint the constructs and behaviour change techniques most suited to address the barriers in order to achieve practice changes.
Investigators
Frederico Rosário
Dr.
Agrupamento de Centros de Saúde de Dão Lafões
Eligibility Criteria
Inclusion Criteria
- •Primary health care units of the Dão Lafões Grouping of Primary Health Care Centres (family physicians/general practitioners, family medicine residents, practice nurses and receptionists)
Exclusion Criteria
- •Primary health care units with four or less general practitioners
- •Primary health care units that have a specific alcohol program already implemented
Outcomes
Primary Outcomes
Alcohol screening rate
Time Frame: 12 months
Percentage of eligible patients visiting the primary health care centre for an appointment with a general practitioner or nurse who were screened for alcohol use with the Alcohol Use Disorders Identification Test
Secondary Outcomes
- Utility of materials used in the trial(Through study completion, an average of 12 months)
- Improvement of general practitioners attitudes toward at-risk drinkers(12 months)
- Improvement in barriers for implementing alcohol screening and brief intervention(12 months)
- Improvement in knowledge related to alcohol screening and brief intervention(12 months)
- Brief intervention rate(12 months)