Attitudes and learning through practice are key to delivering brief interventions for heavy drinking in primary health care: Analyses from the ODHIN five country cluster randomized factorial trial

In this paper, we test path models that study the interrelations between primary health care provider attitudes towards working with drinkers, their screening and brief advice activity, and their receipt of training and support and financial reimbursement. Study participants were 756 primary health...

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Autores: Anderson, Peter, Kaner, Eileen, Keurhorst, Myrna N., Bendtsen, Preben, Steenkiste, Ben Van, Reynolds, Jillian, Segura García, Lidia, Wojnar, Marcin, Ktoda, Karolina, Parkinson, Kathryn, Drummond, Colin, Okulicz-Kozaryn, Katarzyna, Mierzecki, Artur, Laurant, Miranda G.H., Newbury Birch, Dorothy, Gual, Antoni
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2017
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/151383
Acceso en línea:https://hdl.handle.net/2445/151383
Access Level:acceso abierto
Palabra clave:Atenció primària
Cooperació dels malalts
Consum d'alcohol
Primary health care
Patient compliance
Drinking of alcoholic beverages
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spelling Attitudes and learning through practice are key to delivering brief interventions for heavy drinking in primary health care: Analyses from the ODHIN five country cluster randomized factorial trialAnderson, PeterKaner, EileenKeurhorst, Myrna N.Bendtsen, PrebenSteenkiste, Ben VanReynolds, JillianSegura García, LidiaWojnar, MarcinKtoda, KarolinaParkinson, KathrynDrummond, ColinOkulicz-Kozaryn, KatarzynaMierzecki, ArturLaurant, Miranda G.H.Newbury Birch, DorothyGual, AntoniAtenció primàriaCooperació dels malaltsConsum d'alcoholPrimary health carePatient complianceDrinking of alcoholic beveragesIn this paper, we test path models that study the interrelations between primary health care provider attitudes towards working with drinkers, their screening and brief advice activity, and their receipt of training and support and financial reimbursement. Study participants were 756 primary health care providers from 120 primary health care units (PHCUs) in different locations throughout Catalonia, England, The Netherlands, Poland, and Sweden. Our interventions were training and support and financial reimbursement to providers. Our design was a randomized factorial trial with baseline measurement period, 12-week implementation period, and 9-month follow-up measurement period. Our outcome measures were: attitudes of individual providers in working with drinkers as measured by the Short Alcohol and Alcohol Problems Perception Questionnaire; and the proportion of consulting adult patients (age 18+ years) who screened positive and were given advice to reduce their alcohol consumption (intervention activity). We found that more positive attitudes were associated with higher intervention activity, and higher intervention activity was then associated with more positive attitudes. Training and support was associated with both positive changes in attitudes and higher intervention activity. Financial reimbursement was associated with more positive attitudes through its impact on higher intervention activity. We conclude that improving primary health care providers' screening and brief advice activity for heavy drinking requires a combination of training and support and on-the-job experience of actually delivering screening and brief advice activity.MDPI2017info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/151383Articles publicats en revistes (Medicina)reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: https://doi.org/10.3390/ijerph14020121International Journal Of Environmental Research And Public Health, 2017, vol. 14, num. 2, p. 121https://doi.org/10.3390/ijerph14020121info:eu-repo/grantAgreement/EC/FP7/259268cc-by (c) Anderson, Peter et al., 2017http://creativecommons.org/licenses/by/3.0/esinfo:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/1513832026-05-27T06:46:51Z
dc.title.none.fl_str_mv Attitudes and learning through practice are key to delivering brief interventions for heavy drinking in primary health care: Analyses from the ODHIN five country cluster randomized factorial trial
title Attitudes and learning through practice are key to delivering brief interventions for heavy drinking in primary health care: Analyses from the ODHIN five country cluster randomized factorial trial
spellingShingle Attitudes and learning through practice are key to delivering brief interventions for heavy drinking in primary health care: Analyses from the ODHIN five country cluster randomized factorial trial
Anderson, Peter
Atenció primària
Cooperació dels malalts
Consum d'alcohol
Primary health care
Patient compliance
Drinking of alcoholic beverages
title_short Attitudes and learning through practice are key to delivering brief interventions for heavy drinking in primary health care: Analyses from the ODHIN five country cluster randomized factorial trial
title_full Attitudes and learning through practice are key to delivering brief interventions for heavy drinking in primary health care: Analyses from the ODHIN five country cluster randomized factorial trial
title_fullStr Attitudes and learning through practice are key to delivering brief interventions for heavy drinking in primary health care: Analyses from the ODHIN five country cluster randomized factorial trial
title_full_unstemmed Attitudes and learning through practice are key to delivering brief interventions for heavy drinking in primary health care: Analyses from the ODHIN five country cluster randomized factorial trial
title_sort Attitudes and learning through practice are key to delivering brief interventions for heavy drinking in primary health care: Analyses from the ODHIN five country cluster randomized factorial trial
dc.creator.none.fl_str_mv Anderson, Peter
Kaner, Eileen
Keurhorst, Myrna N.
Bendtsen, Preben
Steenkiste, Ben Van
Reynolds, Jillian
Segura García, Lidia
Wojnar, Marcin
Ktoda, Karolina
Parkinson, Kathryn
Drummond, Colin
Okulicz-Kozaryn, Katarzyna
Mierzecki, Artur
Laurant, Miranda G.H.
Newbury Birch, Dorothy
Gual, Antoni
author Anderson, Peter
author_facet Anderson, Peter
Kaner, Eileen
Keurhorst, Myrna N.
Bendtsen, Preben
Steenkiste, Ben Van
Reynolds, Jillian
Segura García, Lidia
Wojnar, Marcin
Ktoda, Karolina
Parkinson, Kathryn
Drummond, Colin
Okulicz-Kozaryn, Katarzyna
Mierzecki, Artur
Laurant, Miranda G.H.
Newbury Birch, Dorothy
Gual, Antoni
author_role author
author2 Kaner, Eileen
Keurhorst, Myrna N.
Bendtsen, Preben
Steenkiste, Ben Van
Reynolds, Jillian
Segura García, Lidia
Wojnar, Marcin
Ktoda, Karolina
Parkinson, Kathryn
Drummond, Colin
Okulicz-Kozaryn, Katarzyna
Mierzecki, Artur
Laurant, Miranda G.H.
Newbury Birch, Dorothy
Gual, Antoni
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Atenció primària
Cooperació dels malalts
Consum d'alcohol
Primary health care
Patient compliance
Drinking of alcoholic beverages
topic Atenció primària
Cooperació dels malalts
Consum d'alcohol
Primary health care
Patient compliance
Drinking of alcoholic beverages
description In this paper, we test path models that study the interrelations between primary health care provider attitudes towards working with drinkers, their screening and brief advice activity, and their receipt of training and support and financial reimbursement. Study participants were 756 primary health care providers from 120 primary health care units (PHCUs) in different locations throughout Catalonia, England, The Netherlands, Poland, and Sweden. Our interventions were training and support and financial reimbursement to providers. Our design was a randomized factorial trial with baseline measurement period, 12-week implementation period, and 9-month follow-up measurement period. Our outcome measures were: attitudes of individual providers in working with drinkers as measured by the Short Alcohol and Alcohol Problems Perception Questionnaire; and the proportion of consulting adult patients (age 18+ years) who screened positive and were given advice to reduce their alcohol consumption (intervention activity). We found that more positive attitudes were associated with higher intervention activity, and higher intervention activity was then associated with more positive attitudes. Training and support was associated with both positive changes in attitudes and higher intervention activity. Financial reimbursement was associated with more positive attitudes through its impact on higher intervention activity. We conclude that improving primary health care providers' screening and brief advice activity for heavy drinking requires a combination of training and support and on-the-job experience of actually delivering screening and brief advice activity.
publishDate 2017
dc.date.none.fl_str_mv 2017
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://hdl.handle.net/2445/151383
url https://hdl.handle.net/2445/151383
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.3390/ijerph14020121
International Journal Of Environmental Research And Public Health, 2017, vol. 14, num. 2, p. 121
https://doi.org/10.3390/ijerph14020121
info:eu-repo/grantAgreement/EC/FP7/259268
dc.rights.none.fl_str_mv cc-by (c) Anderson, Peter et al., 2017
http://creativecommons.org/licenses/by/3.0/es
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by (c) Anderson, Peter et al., 2017
http://creativecommons.org/licenses/by/3.0/es
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv Articles publicats en revistes (Medicina)
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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