TY  - JOUR
PY  - 2023//
TI  - Multifaceted intervention to increase the delivery of alcohol brief interventions in primary care: a mixed-methods process analysis
JO  - British journal of general practice
A1  - Sturgiss, Elizabeth
A1  - Advocat, Jenny
A1  - Lam, Tina
A1  - Nielsen, Suzanne
A1  - Ball, Lauren
A1  - Gunatillaka, Nilakshi
A1  - Martin, Catherine
A1  - Barton, Chris
A1  - Tam, Chun Wah Michael
A1  - Skouteris, Helen
A1  - Mazza, Danielle
A1  - Russell, Grant
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - 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>
LA  - en
SN  - 0960-1643
UR  - http://dx.doi.org/10.3399/BJGP.2022.0613
ID  - ref1
ER  -