@article{ref1,
title="Multifaceted intervention to increase the delivery of alcohol brief interventions in primary care: a mixed-methods process analysis",
journal="British journal of general practice",
year="2023",
author="Sturgiss, Elizabeth and Advocat, Jenny and Lam, Tina and Nielsen, Suzanne and Ball, Lauren and Gunatillaka, Nilakshi and Martin, Catherine and Barton, Chris and Tam, Chun Wah Michael and Skouteris, Helen and Mazza, Danielle and Russell, Grant",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: Brief interventions (BIs) are effective for reducing harmful alcohol consumption, but their use in primary care is less frequent than clinically indicated. The REducing AlCohol- related Harm (REACH) project aimed to increase the delivery of BIs in primary care. <br><br>AIM: To assess the effectiveness of the REACH programme in increasing alcohol BIs in general practice and explore the implementation factors that improve or reduce uptake by clinicians. DESIGN AND SETTING: This article reports on a sequential, explanatory mixed-methods study of the implementation of the REACH project in six general practice clinics serving low-income communities in Melbourne, Australia. <br><br>METHOD: Time-series analyses were conducted using routinely collected patient records and semi-structured interviews, guided by the consolidated framework for implementation research. <br><br>RESULTS: The six intervention sites significantly increased their rate of recorded alcohol status (56.7% to 60.4%), whereas there was no significant change in the non-intervention practices (344 sites, 55.2% to 56.4%). <br><br>CONCLUSION: REACH resources were seen as useful and acceptable by clinicians and staff. National policies that support the involvement of primary care in alcohol harm reduction helped promote ongoing intervention sustainability.<p /> <p>Language: en</p>",
language="en",
issn="0960-1643",
doi="10.3399/BJGP.2022.0613",
url="http://dx.doi.org/10.3399/BJGP.2022.0613"
}