Primary Care Implementation Study to Scale up Early Identification and Brief Interventions and Reduce Alcohol Related Negative Outcomes at Community Level (PINO): Study Protocol for a Quasi-experimental 3-arm Study
试验速览
- 阶段
- 不适用
- 发起方
- KU Leuven
- 入组人数
- 84
- 主要终点
- Early Identification Rate (EIR)
研究概览
简要总结
The aim of this implementation study is to compare the effect of tailored training and support (T&S) for general practioners with T&S and alcohol community actions and the impact it has on early identification of hazardous and harmful drinking and brief intervention.
详细描述
A quasi-experimental three-arm implementation study will be undertaken in Flanders (Belgium) to assess the effects of tailored training and support to general practitioners (GPs) alone or in an area context of alcohol community actions and compared to 'support as usual' on GP's performance in terms of early identification of hazardous and harmful drinking and brief intervention.
The study will last 18 months and will take place in three cities of comparable size. In each area at least 28 GPs will be recruited.
The primary outcome will be the proportion of consulting adult patients screened for hazardous and harmful alcohol use at the end-point of an 18-month implementation period. The secondary outcomes will be the screening rate as assessed at 3, 6, 9, 12 and 15 months and the proportion of patients screening positive for hazardous and harmful alcohol use that receive a brief intervention at 3,6,9, 12, 15 and 18 months. Furthermore, the relation between GP's views and needs and practices' contexts, and EIBI performance will be explored.
Data regarding screening and brief intervention activities will be collected from the electronic health records (EHR).
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •GP or GP trainee
- •Dutch language use in practice
- •Working in general practice in 3 cities of comparable size or their sub municipalities
排除标准
- •No possibility of integration of e-form into the EHR-system.
研究组 & 干预措施
Support as usual
There will be no interventions, only support as usual. All GPs receive an information package by post or via e-mail containing:
- Belgian guidelines on the management of hazardous and harmful alcohol use
- A summary card about EIBI for hazardous and harmful alcohol consumption.
- Internet links to documentation of the medical association and the Flemish centre of expertise on alcohol and drugs(31).
An EHR-update allows the use of an extra e-form permitting standardised introduction of screening results from the Alcohol Use Disorders Identification Test (-Consumption) (AUDIT(-C)), alcohol-related diagnoses and actions including provision of oral brief advice/intervention, referral to a digital-based system for advice and/or referral to another health care provider.
Training and support
All GPs receive an information package by post or via e-mail containing:
- Belgian guidelines on the management of hazardous and harmful alcohol use
- A summary card about EIBI for hazardous and harmful alcohol consumption.
- Internet links to documentation of the medical association and the Flemish centre of expertise on alcohol and drugs(31).
An EHR-update allows the use of an extra e-form permitting standardised introduction of screening results from the Alcohol Use Disorders Identification Test (-Consumption) (AUDIT(-C)), alcohol-related diagnoses and actions including provision of oral brief advice/intervention, referral to a digital-based system for advice and/or referral to another health care provider.
There shall be tailored training and support for the general practioners. At the start of the study, this group receives two face-to-face educational trainings of two hours each. Another two face-to-face booster sessions will follow at 6 and at 12 months.
干预措施: Training and support (Behavioral)
Training and support and community actions
In this group, GPs receive the same training and support as in the second arm (training and support). There will also be embedded community-based actions within a local strategy.
干预措施: Training and support (Behavioral)
Training and support and community actions
In this group, GPs receive the same training and support as in the second arm (training and support). There will also be embedded community-based actions within a local strategy.
干预措施: Community actions (Behavioral)
结局指标
主要结局
Early Identification Rate (EIR)
时间窗: 18 months
The Primary outcome or the Early Identification Rate (EIR) is the proportion of adult consulting patients (18 years and over) that is screened for alcohol consumption during a period of 18 months per area.
次要结局
- BIR(at 3, 6, 9, 12, 15 and 18 months)
- EIR every 3 months(at 3, 6, 9, 12 and 15 months)