Scale-up of Prevention and Management of Alcohol Use Disorders and Comorbid Depression in Latin America

Conditions

Alcohol Use Disorder

Keywords

Heavy drinking, Primary health care, Training, Community

Brief summary

A quasi-experimental study will compare primary health care-based prevention and management of alcohol use disorder, operationalized by heavy drinking, in three intervention cities from Colombia, Mexico and Peru with three comparator cities from the same countries. In the implementation cities, primary health care units (PHCUs) will receive training embedded within ongoing supportive municipal action over an 18-month implementation period. In the comparator cities, practice as usual will continue at both municipal and PHCU levels. The primary outcome will be the proportion of consulting adult patients intervened with (screened and advice given to screen positives).

Solovei A, Jané-Llopis E, Mercken L, Bustamante I, Kokole D, Mejía-Trujillo J, Medina Aguilar PS, Natera Rey G, O'Donnell A, Piazza M, Schmidt CS, Anderson P, de Vries H.

2022-01-15

10.1007/s11121-021-01329-1

Impact of Training and Municipal Support on Primary Health Care-Based Measurement of Alcohol Consumption in Three Latin American Countries: 5-Month Outcome Results of the Quasi-experimental Randomized SCALA Trial.

Anderson P, Manthey J, Llopis EJ, Rey GN, Bustamante IV, Piazza M, Aguilar PSM, Mejía-Trujillo J, Pérez-Gómez A, Rowlands G, Lopez-Pelayo H, Mercken L, Kokole D, O'Donnell A, Solovei A, Kaner E, Schulte B, de Vries H, Schmidt C, Gual A, Rehm J.

2021-01-1911 citations

10.1007/s11606-020-06503-9

Interventions

OTHERIntervention municipality

In intervention municipalities, primary health care centres and the providers working within them will receive training and a range of community support mechanisms.

Study design

Allocation

NON_RANDOMIZED

Intervention model

PARALLEL

Primary purpose

PREVENTION

Masking

NONE

Eligibility

Sex/Gender

ALL

Healthy volunteers

Yes

Inclusion criteria

* Any fully trained medical practitioner, nurse or practice assistant * Non-temporary employment contract * Working in the selected primary health care centre * Involved in medical and/or preventive care

Exclusion criteria

* Not a fully trained medical practitioner, nurse or practice assistant * Having a temporary employment contract * Not working in the selected primary health care centre * Not involved in medical and/or preventive care

Design outcomes

Primary

Measure	Time frame	Description
Proportion of consulting adult patients (aged 18+ years) intervened	18 months	The number of AUDIT-C positive patients that received oral advice or referral for advice to another provider in or outside the primary health care centre (PHCC), divided by the total number of adult consultations of the participating providers per provider and per PHCC

Secondary

Measure	Time frame	Description
Proportion of patients screened	18 months	The proportion of patients screened will be calculated as the number of completed screens divided by the total number of consultations of all adult patients per participating provider, and averaged per participating PHCC
Proportion of patients advised	18 months	The proportion of patients advised will be calculated as the number of brief interventions delivered (received oral brief advice, and/or were referred to another provider in or outside the practice), divided by the total number of screen positives per participating provider and averaged per participating PHCC

Countries

Colombia

Outcome results

None listed