Implementing alcohol screening and brief interventions in primary health care: study protocol for a pilot cluster randomized controlled trial
Open accessAbstract
BACKGROUND: Alcohol is one of the most important risk factors contributing to the global burden of disease. Screening and brief interventions in primary care settings are effective in reducing alcohol consumption. However, implementation of such interventions in routine practice has been proven difficult. Most programmes in practice and research have lacked a theoretical rationale for how they would change practitioner behaviour. OBJECTIVE: To determine whether a theory-based behaviour change intervention delivered to primary care practices significantly increases delivery of alcohol screening. METHODS: We will conduct a two-arm, cluster-randomized controlled, parallel, open trial. Twelve primary care practices will be randomized to one of two groups: training and support; and waiting-list control. Family physicians, nurses and receptionists will be eligible to participate. The intervention will be a training and support programme. The intervention will be tailored to the barriers and facilitators for implementing alcohol screening and brief interventions following the principles of the Behaviour Change Wheel approach. The primary outcome will be the proportion of patients screened with the Alcohol Use Disorders Identification Test. CONCLUSION: This study will test whether a theory-driven implementation programme increases alcohol screening rates in primary care. Results from this trial will provide a useful addition to existing evidence by informing implementation researchers what areas of behaviour change are critical to increasing alcohol screening rates. TRIAL REGISTRATION: clinicaltrials.gov NCT02968186.
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The results of this review have been used to inform the design of a novel practitioner intervention which has been trialed in Portugal.
“we have used the results of this review to inform the design of a novel practitioner intervention which has been trialed in Portugal [123]”
From Factors influencing the implementation of screening and brief interventions for alcohol use in primary care practices: a systematic review using the COM-B system and Theoretical Domains Framework (2021) · cites this paper as [123]
The Interventions section says the practitioner programme was informed by a systematic review. The Context of the Trial and Study setting sections place the planned trial in Portugal, but the paper is a protocol and says the trial “will be conducted”; it does not establish that the intervention had already been trialed. (LLM, conf=0.87)
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Research works printed but not linked: 2
- European Monitoring Centre for Drugs and Drug Addiction. Emergency department- based brief interventions for individuals with substance-related problems: a review of effectiveness. EMCDDA Papers, Publications Office of the European Union, Luxembourg, 2016.
- ROSÁRIO F., SANTOS M., ANGUS K., PAS L., RIBEIRO C., FITZGERALD N. Factors influencing the implementation of early identification and brief interventions for alcohol use in primary health care practices: a systematic review, Manuscript in preparation.
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Self-citation
- Authors
- Rosário, F., Vasiljevic, M., Pas, L., Fitzgerald, N., & Ribeiro, C.
- Affiliations
- University of Lisbon (PT)
- University of Cambridge (GB)
- KU Leuven (BE)
- University of Stirling (GB)
- Corresponding author
- Rosário, Frederico
- Venue
- Family Practice
- Publisher
- Oxford University Press (OUP)
- Published
- 2018-06-25
- Volume
- 36
- Issue
- 2
- Pages
- 199-205
- ISSN
- 0263-2136 (ISSN-L)
- 1460-2229
- OpenAlex
- W2810590781
- Cited by
- 11
- References
- 44
- Citations by year
- 2026: 1 · 2024: 3 · 2023: 1 · 2022: 2 · 2021: 4
- FWCI
- 1.53
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
- Locations
- Family Practice (publishedVersion)
- PubMed (publishedVersion)
- Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) (submittedVersion, cc-by-nc-nd)
- Stirling Online Research Repository (University of Stirling) (submittedVersion, public-domain)
- Durham Research Online (Durham University) (submittedVersion, cc-by)
- Lirias (submittedVersion)
- Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) (submittedVersion)
- Apollo (University of Cambridge) (submittedVersion)
- Apollo
- Funders
- The Dão Lafões Grouping of Primary Health Care Centres
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Keywords
- alcohol screening, brief intervention, primary care, implementation, Behaviour Change Wheel, theory-based intervention, Alcohol Use Disorders Identification Test, general practitioners, nurses, receptionists, alcohol consumption
- MeSH terms
- Alcoholism, Female, Humans, Male, Mass Screening, Nurses, Primary Health Care, Surveys and Questionnaires, Risk Factors, Teaching, Randomized Controlled Trials as Topic, Outcome Assessment, Health Care, Physicians, Primary Care
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