Implementing Screening and Brief Interventions for Excessive Drinkers in Primary Health Care

Agrupamento de Centros de Saúde de Dão Lafões

Status: Completed

Conditions: Alcohol-Related Disorders

Treatments: Behavioral: Implementation program

Study type: Interventional

Funder types: Other

Identifiers

NCT02968186

ASBI-2017

Details and patient eligibility

About

The objective of this study is to investigate the efficacy of an implementation program specifically designed to increase alcohol screening and brief intervention rates in primary health care.

Full description

Alcohol is an important risk factor for several diseases, even when consumed moderately. Screening and advising at-risk drinkers to cut-down is a highly effective and cost-effective intervention when conducted in primary healthcare settings. However, these interventions are seldom implemented at the primary care level.

Twelve out of the 26 primary health care units of the Dão Lafões Grouping of Primary Health Care Centres will be randomized to two groups: the intervention arm will receive the new implementation program; the control group will be on a waiting list for receiving the implementation program and will receive the intervention after the testing phase of the trial is completed. The study will last for one year, starting in January 2017. The implementation program was designed in order to overcome known barriers for implementing alcohol screening and brief advice in primary health care. The Behaviour Change Wheel and the Theoretical Domains Framework were used to pinpoint the constructs and behaviour change techniques most suited to address the barriers in order to achieve practice changes.

Enrollment: 222 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Primary health care units of the Dão Lafões Grouping of Primary Health Care Centres (family physicians/general practitioners, family medicine residents, practice nurses and receptionists)

Exclusion criteria

• Primary health care units with four or less general practitioners
• Primary health care units that have a specific alcohol program already implemented

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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222 participants in 2 patient groups

Implementation program

Experimental group

Description:

Health professionals will receive a training and support implementation program

Treatment:

Behavioral: Implementation program

Waiting list

No Intervention group

Description:

Health professionals will be assigned to a waiting list to receive the implementation program