Randomised Controlled Trial Testing the Incremental Effect of Strategies That Raise Awareness, Acceptance and Performance of Identification and Brief Intervention Programmes for Harmful Alcohol Consumption in Primary Health Care
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 120
- 试验地点
- 20
- 主要终点
- Number of brief interventions for excessive alcohol consumption delivered in primary health care settings
研究概览
简要总结
The overall objective is to study if training and support, financial reimbursement and referral to an internet based brief intervention programme, singly or in combination, may increase implementation of evidence based methods of identification and brief intervention for excessive alcohol consumption in routine primary health care.
详细描述
The study will be a stepped cluster RCT in 5 countries and the endpoint of the study is the number of interventions delivered during a certain time period. More specifically, the RCT will examine:
- The effect of Continuous Medical Education (CME) to PHC providers
- The effect of financial reimbursement to PHC providers as a pay-for-performance of brief alcohol interventions
- Whether an alternative internet based method of delivering brief intervention can increase the proportion of patients reached
- If one implementation strategy will give an added value to one already enforced.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Factorial
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Primary Health Care Units (PHCU) of approximate size of 5.000-20.000 registered patients
- •Primary Health Care Units (PHCU) located in Spain, Poland, Sweden, England or The Netherlands
- •Providers must be physicians or nurses
排除标准
- •Primary Health Care Units with less than 5.000 registered patients or over 20.000 registered patients
结局指标
主要结局
Number of brief interventions for excessive alcohol consumption delivered in primary health care settings
时间窗: 5 months
Brief intervention rates will be calculated at five time points: during a four week period during the third month before the start of the study (baseline measurement), in three consecutive four week blocks during the twelve week intervention period (intervention measurement) and during a four week block during the sixth month after the end of the intervention period (follow-up measurement).
Number of screening tests carried out in primary health care settings to detect excessive alcohol consumption care
时间窗: 5 months
Screening rates will be calculated at five time points: during a four week period during the third month before the start of the study (baseline measurement), in three consecutive four week blocks during the twelve week intervention period (intervention measurement) and during a four week block during the sixth month after the end of the intervention period (follow-up measurement).
次要结局
- Level of role security of primary health care providers measured by their answers to the SAAPPQ instrument(3 months)
- Level of therapeutic commitment of primary health care providers measured by their answers to the SAAPPQ instrument(3 months)
研究者
Antoni Gual
Head of the Alcohol Unit
Hospital Clinic of Barcelona