The effectiveness of a clinical practice change intervention in increasing clinician provision of preventive care across a network of community based drug and alcohol services.

Not Applicable

Recruiting

• Conditions: Clinician delivery of preventive care; Smoking; Inadequate nutrition; Harmful alcohol consumption; Inadequate physical activity; Chronic disease prevention; Public Health - Health promotion/education; Public Health - Health service research; Diet and Nutrition - Other diet and nutrition disorders

• Registration Number: ACTRN12614000469617
• Lead Sponsor: niversity of Newcastle

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2014-05-06
• Last Update Posted: 13 January 2020

Recruitment & Eligibility

• Status: Recruiting
• Sex: All
• Target Recruitment: 1350

Inclusion Criteria

Inclusion criteria for community drug and alcohol health services receiving the intervention:
-Community drug and alcohol service within the Local Health District
-Provide care to adults (18 years or older)
Inclusion criteria for clients of community drug and alcohol services to participate in data collection:
-over 18 years of age,
-have attended a face to face appointment with an eligible service within the previous 2 weeks,
-have not previously participated in the survey,
-have not been identified as inappropriate for contact by their clinician,
-are undergoing active treatment and are not attending drug court
-English speaking
-being mentally and physically capable of completing the survey

Inclusion criteria for community drug and alcohol staff to participate in the survey
-have had at least 10 appointments with adult clients (>18 years) within the previous 2 months
-have been employed for at least 3 months,
-not contractors

Exclusion Criteria

The following service types are excluded from receiving the intervention:
- inpatient services
- intake triage services
- services providing care solely to clients under the age of 18
Clients and clinicians from these services are excluded from participating in data collection.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Client reported receipt of preventive care (assessment, advice, referral) by community drug and alcohol clinicians for four health risk behaviours (smoking, inadequate fruit or vegetable consumption, harmful alcohol consumption, inadequate physical activity). Self-report data will be collected by undertaking computer assisted telephone interviews (CATIs) with clients receiving care from the community drug and alcohol services.[ Continuous data collection on a weekly basis for 24 months, commencing six months prior to the intervention implementation and continuing until six months post intervention implementation.]

Secondary Outcome Measures

Name	Time	Method
Community drug and alcohol clinician reported provision of preventive care (assessment, advice, referral) to their adult clients for four health risk behaviours (smoking, inadequate fruit or vegetable consumption, harmful alcohol consumption, inadequate physical activity). Self-report data will be collected through undertaking computer assisted telephone interviews (CATIs) with clinicians from the community drug and alcohol services.[ Baseline data collection will occur immediately prior the intervention implementation. Follow-up data collection will occur immediately post the implementation of the intervention.]