| Autor: |
Elizabeth Sturgiss, Nilakshi Gunatillaka, Lauren Ball, Tina Lam, Suzanne Nielsen, Renee O'Donnell, Chris Barton, Helen Skouteris, Chun Wah Michael Tam, David Jacka, Danielle Mazza, Grant Russell |
| Jazyk: |
angličtina |
| Rok vydání: |
2021 |
| Předmět: |
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| Zdroj: |
BJGP Open, Vol 5, Iss 4 (2021) |
| Druh dokumentu: |
article |
| ISSN: |
2398-3795 |
| DOI: |
10.3399/BJGPO.2021.0037 |
| Popis: |
Background: Alcohol is a major source of harm in Australia that disproportionately affects low-income communities. Alcohol brief interventions (ABIs) combine an assessment of a person’s alcohol use with advice to reduce health risks. Despite their effectiveness, ABIs are not routinely performed by clinicians. This article presents a protocol for a feasibility trial of pragmatic implementation strategies and a new set of resources to support clinicians to complete ABIs in Australian general practices. Aim: To explore the facilitators and barriers to increasing the uptake of ABIs in primary care, including acceptability, reach, adoption, fidelity, and sustainability. Design & setting: A mixed-methods evaluation of the uptake of ABIs in general practice clinics serving low-income communities in Melbourne, Australia. The approach is informed by the Consolidated Framework for Implementation Research (CFIR) and Normalisation Process Theory (NPT). Method: The implementation strategies and resources will be trialled in five general practices over 12 months. The primary outcome will be change in the proportion of adult patients with a complete alcohol history in their electronic medical records. Baseline data collection includes a practice survey to describe practice routines for ABIs and de-identified patient medical record data on completed alcohol histories (repeated at 3, 6, 9, and 12-months post-intervention). Survey and interview data will also be collected from clinicians, patients, and primary health network staff to assess acceptability and feasibility of the intervention. Conclusion: The study will explore how the implementation strategies and resources can improve alcohol screening and management among low-income patients in general practice. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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