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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 principales: Anderson, Peter, Kaner, Eileen, Keurhorst, Myrna, Bendtsen, Preben, van Steenkiste, Ben, Reynolds, Jillian, Segura, Lidia, Wojnar, Marcin, Kłoda, Karolina, Parkinson, Kathryn, Drummond, Colin, Okulicz-Kozaryn, Katarzyna, Mierzecki, Artur, Laurant, Miranda, Newbury-Birch, Dorothy, Gual, Antoni
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5334675/
https://www.ncbi.nlm.nih.gov/pubmed/28134783
http://dx.doi.org/10.3390/ijerph14020121
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author Anderson, Peter
Kaner, Eileen
Keurhorst, Myrna
Bendtsen, Preben
van Steenkiste, Ben
Reynolds, Jillian
Segura, Lidia
Wojnar, Marcin
Kłoda, Karolina
Parkinson, Kathryn
Drummond, Colin
Okulicz-Kozaryn, Katarzyna
Mierzecki, Artur
Laurant, Miranda
Newbury-Birch, Dorothy
Gual, Antoni
author_facet Anderson, Peter
Kaner, Eileen
Keurhorst, Myrna
Bendtsen, Preben
van Steenkiste, Ben
Reynolds, Jillian
Segura, Lidia
Wojnar, Marcin
Kłoda, Karolina
Parkinson, Kathryn
Drummond, Colin
Okulicz-Kozaryn, Katarzyna
Mierzecki, Artur
Laurant, Miranda
Newbury-Birch, Dorothy
Gual, Antoni
author_sort Anderson, Peter
collection PubMed
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.
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spelling pubmed-53346752017-03-16 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 Kaner, Eileen Keurhorst, Myrna Bendtsen, Preben van Steenkiste, Ben Reynolds, Jillian Segura, Lidia Wojnar, Marcin Kłoda, Karolina Parkinson, Kathryn Drummond, Colin Okulicz-Kozaryn, Katarzyna Mierzecki, Artur Laurant, Miranda Newbury-Birch, Dorothy Gual, Antoni Int J Environ Res Public Health Article 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. MDPI 2017-01-26 2017-02 /pmc/articles/PMC5334675/ /pubmed/28134783 http://dx.doi.org/10.3390/ijerph14020121 Text en © 2017 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Anderson, Peter
Kaner, Eileen
Keurhorst, Myrna
Bendtsen, Preben
van Steenkiste, Ben
Reynolds, Jillian
Segura, Lidia
Wojnar, Marcin
Kłoda, Karolina
Parkinson, Kathryn
Drummond, Colin
Okulicz-Kozaryn, Katarzyna
Mierzecki, Artur
Laurant, Miranda
Newbury-Birch, Dorothy
Gual, Antoni
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
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_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_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
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5334675/
https://www.ncbi.nlm.nih.gov/pubmed/28134783
http://dx.doi.org/10.3390/ijerph14020121
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