@article{ref1,
title="Delivery of brief interventions for heavy drinking in primary care: outcomes of the ODHIN 5-Country Cluster Randomized Trial",
journal="Annals of family medicine",
year="2017",
author="Anderson, Peter and Coulton, Simon and Kaner, Eileen and Bendtsen, Preben and Kłoda, Karolina and Reynolds, Jillian and Segura, Lidia and Wojnar, Marcin and Mierzecki, Artur and Deluca, Paolo and Newbury-Birch, Dorothy and Parkinson, Kathryn and Okulicz-Kozaryn, Katarzyna and Drummond, Colin and Gual, Antoni",
volume="15",
number="4",
pages="335-340",
abstract="PURPOSE: We aimed to test whether 3 strategies-training and support, financial reimbursement, and an option to direct screen-positive patients to an Internet-based method of giving brief advice-have a longer-term effect on primary care clinicians' delivery of screening and advice to heavy drinkers operationalized with the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) tool. <br><br>METHODS: We undertook a cluster randomized factorial trial with a 12-week implementation period in 120 primary health care units throughout Catalonia, England, Netherlands, Poland, and Sweden. Units were randomized to 8 groups: care as usual (control); training and support alone; financial reimbursement alone; electronic brief advice alone; paired combinations of these conditions; and all 3 combined. The primary outcome was the proportion of consulting adult patients (aged 18 years and older) receiving intervention-screening and, if screen-positive, advice-at 9 months. <br><br>RESULTS: Based on the factorial design, the ratio of the log of the proportion of patients given intervention at the 9-month follow-up was 1.39 (95% CI, 1.03-1.88) in units that received training and support as compared with units that did not. Neither financial reimbursement nor directing screen-positive patients to electronic brief advice led to a higher proportion of patients receiving intervention. <br><br>CONCLUSIONS: Training and support of primary health care units has a lasting, albeit small, impact on the proportion of adult patients given an alcohol intervention at 9 months.<br><br>© 2017 Annals of Family Medicine, Inc.<p /> <p>Language: en</p>",
language="en",
issn="1544-1709",
doi="10.1370/afm.2051",
url="http://dx.doi.org/10.1370/afm.2051"
}