implementation, alcohol, screening, brief interventions, general practice
Conditions
Interventions
The ASBI implementation program consists of
three parts, targeting previously found barriers: lack of knowledge, lack of skills, negative
attitude and a lack of a supportive environment. GPs in the
Sponsors
Maastricht University
Eligibility
Inclusion criteria
Inclusion criteria: In order to be eligible to participate in this study, general practitioners must meet the following criteria: - Working in general practice. - Working in co-operation with a practice nurse mental health. - Situated in the Netherlands. In order to be eligible to participate in this study, patients must meet the following criteria: - Being over 18 years of age. - Registered with the practice. - Having an AUDIT-C score of ¡Ý 4, as assessed and registered by the GP during a consultation.
Exclusion criteria
Exclusion criteria: GP exclusion criteria - x A potential patient who meets any of the following criteria will be excluded from participation in this study: - Patients with a DSM diagnosis of alcohol abuse or dependence, or those for whom the primary care team consider it would be clinically inappropriate to participate in this study (e.g., complex psychiatric or physical comorbidity).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Screening rate: The screening rate will be expressed as the proportion: patients screened divided by the total amount of patient consultations involving patients with early signs with respect to risky alcohol use. Rate of brief intervention delivery: The brief intervention rate is expressed as the proportion patients who receive a brief advice or referral to another provider for brief intervention divided by the total amount of screen positives. Patient alcohol consumption is expressed as the following proportion: patients who score ¡Ý 5 for men or ¡Ý 4 for women on the AUDIT-C who reduced their levels of alcohol consumption to low-risk level divided by the total amount of patients who score ¡Ý 5 for men or ¡Ý 4 for women on the AUDIT-C. | — |
Secondary
| Measure | Time frame |
|---|---|
| Knowledge: about the Dutch ¡®NHG Standaard¡¯ guideline recommendations, early signs, risk groups, ASBI methodology and referral possibilities. Cognitive and interpersonal skills: knowing how to address the topic in a neutral manner. Attitude: beliefs about consequences of ASBI (e.g. effectiveness, antagonizing the patient, difficulty in working with problem drinkers) . Self-efficacy: beliefs about personal ASBI capabilities (e.g. confidence in performing ASBI). Stigma. Environmental context & resources: are the facilities/resources available to facilitate ASBI? | — |
Contacts
Public ContactLatifa Abidi
Department of Health Promotion Faculty of Health, Medicine and Life Sciences
Outcome results
None listed