Improving the delivery of brief interventions for heavy drinking in primary health care: outcome results of the Optimizing Delivery of Health Care Intervention (ODHIN) five-country cluster randomized factorial trial

AimTo test if training and support, financial reimbursement and option of referring screen-positive patients to an internet-based method of giving advice (eBI) can increase primary health-care providers' delivery of Alcohol Use Disorders Identification Test (AUDIT)-C-based screening and advice...

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Autores: Anderson, P, Bendtsen, P, Spak, F, Reynolds, J, Drummond, C, Segura, L, Keurhorst, MN, Palacio-Vieira, J, Wojnar, M, Parkinson, K, Colom, J, Kloda, K, Deluca, P, Baena, B, Newbury-Birch, D, Wallace, P, Heinen, M, Wolstenholme, A, van Steenkiste, B, Mierzecki, A, Okulicz-Kozaryn, K, Ronda, G, Kaner, E, Laurant, MGH, Coulton, S, Gual, T
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2016
País:España
Recursos:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
Repositorio:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
OAI Identifier:oai:iibsantpau.fundanetsuite.com:p14343
Acesso em linha:https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=14343
https://kar.kent.ac.uk/55810/
Access Level:acceso abierto
Palavra-chave:Brief interventions
financial reimbursement
heavy drinking
implementation
ODHIN
primary health care
training and support
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spelling Improving the delivery of brief interventions for heavy drinking in primary health care: outcome results of the Optimizing Delivery of Health Care Intervention (ODHIN) five-country cluster randomized factorial trialAnderson, PBendtsen, PSpak, FReynolds, JDrummond, CSegura, LKeurhorst, MNPalacio-Vieira, JWojnar, MParkinson, KColom, JKloda, KDeluca, PBaena, BNewbury-Birch, DWallace, PHeinen, MWolstenholme, Avan Steenkiste, BMierzecki, AOkulicz-Kozaryn, KRonda, GKaner, ELaurant, MGHCoulton, SGual, TBrief interventionsfinancial reimbursementheavy drinkingimplementationODHINprimary health caretraining and supportAimTo test if training and support, financial reimbursement and option of referring screen-positive patients to an internet-based method of giving advice (eBI) can increase primary health-care providers' delivery of Alcohol Use Disorders Identification Test (AUDIT)-C-based screening and advice to heavy drinkers. DesignCluster randomized factorial trial with 12-week implementation and measurement period. SettingPrimary health-care units (PHCU) in different locations throughout Catalonia, England, the Netherlands, Poland and Sweden. ParticipantsA total of 120 PHCU, 24 in each of Catalonia, England, the Netherlands, Poland and Sweden. InterventionsPHCUs were randomized to one of eight groups: care as usual, training and support (TS), financial reimbursement (FR) and eBI; paired combinations of TS, FR and eBI, and all of FR, TS and eBI. MeasurementsThe primary outcome measure was the proportion of eligible adult (age 18+ years) patients screened during a 12-week implementation period. Secondary outcome measures were proportion of screen-positive patients advised; and proportion of consulting adult patients given an intervention (screening and advice to screen-positives) during the same 12-week implementation period. FindingsDuring a 4-week baseline measurement period, the proportion of consulting adult patients who were screened for their alcohol consumption was 0.059 per PHCU (95% CI 0.034 to 0.084). Based on the factorial design, the ratio of the logged proportion screened during the 12-week implementation period was 1.48 (95% CI=1.13-1.95) in PHCU that received TS versus PHCU that did not receive TS; for FR, the ratio was 2.00 (95% CI=1.56-2.56). The option of referral to eBI did not lead to a higher proportion of patients screened. The ratio for TS plus FR was 2.34 (95% CI=1.77-3.10), and the ratio for TS plus FR plus eBI was1.68 (95% CI=1.11-2.53). ConclusionsProviding primary health-care units with training, support and financial reimbursement for delivering Alcohol Use Disorders Identification Test-C-based screening and advice to heavy drinkers increases screening for alcohol consumption. Providing primary health-care units with the option of referring screen-positive patients to an internet-based method of giving advice does not appear to increase screening for alcohol consumption.WILEY2016info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=14343https://kar.kent.ac.uk/55810/ADDICTIONISSN: 09652140ISSNe: 13600443reponame:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pauinstname:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)Inglésinfo:eu-repo/semantics/openAccessoai:iibsantpau.fundanetsuite.com:p143432026-06-14T12:41:47Z
dc.title.none.fl_str_mv Improving the delivery of brief interventions for heavy drinking in primary health care: outcome results of the Optimizing Delivery of Health Care Intervention (ODHIN) five-country cluster randomized factorial trial
title Improving the delivery of brief interventions for heavy drinking in primary health care: outcome results of the Optimizing Delivery of Health Care Intervention (ODHIN) five-country cluster randomized factorial trial
spellingShingle Improving the delivery of brief interventions for heavy drinking in primary health care: outcome results of the Optimizing Delivery of Health Care Intervention (ODHIN) five-country cluster randomized factorial trial
Anderson, P
Brief interventions
financial reimbursement
heavy drinking
implementation
ODHIN
primary health care
training and support
title_short Improving the delivery of brief interventions for heavy drinking in primary health care: outcome results of the Optimizing Delivery of Health Care Intervention (ODHIN) five-country cluster randomized factorial trial
title_full Improving the delivery of brief interventions for heavy drinking in primary health care: outcome results of the Optimizing Delivery of Health Care Intervention (ODHIN) five-country cluster randomized factorial trial
title_fullStr Improving the delivery of brief interventions for heavy drinking in primary health care: outcome results of the Optimizing Delivery of Health Care Intervention (ODHIN) five-country cluster randomized factorial trial
title_full_unstemmed Improving the delivery of brief interventions for heavy drinking in primary health care: outcome results of the Optimizing Delivery of Health Care Intervention (ODHIN) five-country cluster randomized factorial trial
title_sort Improving the delivery of brief interventions for heavy drinking in primary health care: outcome results of the Optimizing Delivery of Health Care Intervention (ODHIN) five-country cluster randomized factorial trial
dc.creator.none.fl_str_mv Anderson, P
Bendtsen, P
Spak, F
Reynolds, J
Drummond, C
Segura, L
Keurhorst, MN
Palacio-Vieira, J
Wojnar, M
Parkinson, K
Colom, J
Kloda, K
Deluca, P
Baena, B
Newbury-Birch, D
Wallace, P
Heinen, M
Wolstenholme, A
van Steenkiste, B
Mierzecki, A
Okulicz-Kozaryn, K
Ronda, G
Kaner, E
Laurant, MGH
Coulton, S
Gual, T
author Anderson, P
author_facet Anderson, P
Bendtsen, P
Spak, F
Reynolds, J
Drummond, C
Segura, L
Keurhorst, MN
Palacio-Vieira, J
Wojnar, M
Parkinson, K
Colom, J
Kloda, K
Deluca, P
Baena, B
Newbury-Birch, D
Wallace, P
Heinen, M
Wolstenholme, A
van Steenkiste, B
Mierzecki, A
Okulicz-Kozaryn, K
Ronda, G
Kaner, E
Laurant, MGH
Coulton, S
Gual, T
author_role author
author2 Bendtsen, P
Spak, F
Reynolds, J
Drummond, C
Segura, L
Keurhorst, MN
Palacio-Vieira, J
Wojnar, M
Parkinson, K
Colom, J
Kloda, K
Deluca, P
Baena, B
Newbury-Birch, D
Wallace, P
Heinen, M
Wolstenholme, A
van Steenkiste, B
Mierzecki, A
Okulicz-Kozaryn, K
Ronda, G
Kaner, E
Laurant, MGH
Coulton, S
Gual, T
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Brief interventions
financial reimbursement
heavy drinking
implementation
ODHIN
primary health care
training and support
topic Brief interventions
financial reimbursement
heavy drinking
implementation
ODHIN
primary health care
training and support
description AimTo test if training and support, financial reimbursement and option of referring screen-positive patients to an internet-based method of giving advice (eBI) can increase primary health-care providers' delivery of Alcohol Use Disorders Identification Test (AUDIT)-C-based screening and advice to heavy drinkers. DesignCluster randomized factorial trial with 12-week implementation and measurement period. SettingPrimary health-care units (PHCU) in different locations throughout Catalonia, England, the Netherlands, Poland and Sweden. ParticipantsA total of 120 PHCU, 24 in each of Catalonia, England, the Netherlands, Poland and Sweden. InterventionsPHCUs were randomized to one of eight groups: care as usual, training and support (TS), financial reimbursement (FR) and eBI; paired combinations of TS, FR and eBI, and all of FR, TS and eBI. MeasurementsThe primary outcome measure was the proportion of eligible adult (age 18+ years) patients screened during a 12-week implementation period. Secondary outcome measures were proportion of screen-positive patients advised; and proportion of consulting adult patients given an intervention (screening and advice to screen-positives) during the same 12-week implementation period. FindingsDuring a 4-week baseline measurement period, the proportion of consulting adult patients who were screened for their alcohol consumption was 0.059 per PHCU (95% CI 0.034 to 0.084). Based on the factorial design, the ratio of the logged proportion screened during the 12-week implementation period was 1.48 (95% CI=1.13-1.95) in PHCU that received TS versus PHCU that did not receive TS; for FR, the ratio was 2.00 (95% CI=1.56-2.56). The option of referral to eBI did not lead to a higher proportion of patients screened. The ratio for TS plus FR was 2.34 (95% CI=1.77-3.10), and the ratio for TS plus FR plus eBI was1.68 (95% CI=1.11-2.53). ConclusionsProviding primary health-care units with training, support and financial reimbursement for delivering Alcohol Use Disorders Identification Test-C-based screening and advice to heavy drinkers increases screening for alcohol consumption. Providing primary health-care units with the option of referring screen-positive patients to an internet-based method of giving advice does not appear to increase screening for alcohol consumption.
publishDate 2016
dc.date.none.fl_str_mv 2016
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=14343
https://kar.kent.ac.uk/55810/
url https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=14343
https://kar.kent.ac.uk/55810/
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv WILEY
publisher.none.fl_str_mv WILEY
dc.source.none.fl_str_mv ADDICTION
ISSN: 09652140
ISSNe: 13600443
reponame:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
instname:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
instname_str Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
reponame_str r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
collection r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
repository.name.fl_str_mv
repository.mail.fl_str_mv
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