Strategies to Overcome Barriers to Implementation of Alcohol Screening and Brief Intervention in General Practice: a Delphi Study Among Healthcare Professionals and Addiction Prevention Experts

Abidi, Latifa; Oenema, Anke; Nilsén, Per; Anderson, Peter; Mheen, Dike van de

doi:10.1007/s11121-016-0653-4

Cited by 31 publications

(44 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Another limitation is the suboptimal response rate, ranging from 29% to 42%. Although these percentages are not optimal, they are comparable to other Delphi studies [26, 28, 38]. Finally, consulting consumers in addition to experts may expose important differences between these groups.…”

Section: Discussionsupporting

confidence: 75%

How to foster informed decision making about food supplements: results from an international Delphi study

Vries

Pajor

Curfs

et al. 2019

Health Education Research

View full text Add to dashboard Cite

Food supplement use can have beneficial and detrimental effects, making informed decisions about supplement use important. How these decisions are made and which communication strategies can stimulate informed decision making is unclear. This study identified the important characteristics of (i) informed decision making about food supplement use and (ii) important factors indicating how to communicate about food supplements to foster informed decision making. An online three-round Delphi study was conducted. International experts within the field of (risk) communication about food supplements or related fields were recruited via email. The participants' age ranged from 25 to 69 years, and sample sizes for the three rounds were 38, 89 and 51, respectively. Experts indicated that for making an informed decision about food supplement use one needs to have knowledge of their positive and negative effects, the ability to compare these effects, knowing alternatives besides supplements, feeling informed, and feeling able (self-efficacious) to make the decision and making the decision voluntarily. Important communication strategies mentioned were: provision of information about positive and negative effects and the nature of these effects including scientific evidence, ensuring information is easily accessible, well ordered, tailored and provided by a trustworthy, credible and independent source.

show abstract

Section: Discussionsupporting

confidence: 75%

How to foster informed decision making about food supplements: results from an international Delphi study

Vries

Pajor

Curfs

et al. 2019

Health Education Research

View full text Add to dashboard Cite

show abstract

“…GPs and nurses often cited improving professional teamwork (e.g. having a practice nurse delivering SBI, having receptionists giving patients screening tools) as a facilitator [ 39 , 41 , 54 , 70 , 71 , 73 , 76 , 80 , 91 , 93 , 97 , 99 ].…”

Section: Resultsmentioning

confidence: 99%

“…Three studies on nurses found that most believed in the efficacy of brief interventions [ 70 , 73 , 84 ]. More information about the effectiveness of brief interventions [ 23 , 36 , 39 , 47 , 78 , 84 , 87 , 92 ] and feedback on successful cases [ 71 , 109 ] were identified as implementation facilitators.…”

Section: Resultsmentioning

confidence: 99%

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

Rosário¹,

Santos²,

Angus

et al. 2021

Implementation Sci

View full text Add to dashboard Cite

Background Alcohol is a leading risk factor contributing to the global burden of disease. Several national and international agencies recommend that screening and brief interventions (SBI) should be routinely delivered in primary care settings to reducing patients’ alcohol consumption. However, evidence shows that such activities are seldom implemented in practice. A review of the barriers and facilitators mediating implementation, and how they fit with theoretical understandings of behaviour change, to inform the design of implementation interventions is lacking. This study aimed to conduct a theory-informed review of the factors influencing general practitioners’ and primary care nurses’ routine delivery of alcohol SBI in adults. Methods A systematic literature search was carried out in four electronic databases (Medline, CINAHL, CENTRAL, PsycINFO) using comprehensive search strategies. Both qualitative and quantitative studies were included. Two authors independently abstracted and thematically grouped the data extracted. The barriers and facilitators identified were mapped to the domains of the Capability-Opportunity-Motivation-Behaviour system/Theoretical Domains Framework (TDF). Results Eighty-four out of the 258 studies identified met the selection criteria. The majority of the studies reported data on the views of general practitioners (n = 60) and used a quantitative design (n = 49). A total of 660 data items pertaining to barriers and 253 data items pertaining to facilitators were extracted and thematically grouped into 46 themes. The themes mapped to at least one of the 14 domains of the TDF. The three TDF domains with the highest number of data units coded were ‘Environmental Context and Resources’ (n = 158, e.g. lack of time), ‘Beliefs about Capabilities’ (n = 134, e.g. beliefs about the ability to deliver screening and brief advice and in helping patients to cut down) and ‘Skills’ (n = 99, e.g. lack of training). Conclusions This study identified a range of potential barriers and facilitators to the implementation of alcohol SBI delivery in primary care and adds to the scarce body of literature that identifies the barriers and facilitators from a theoretical perspective. Given that alcohol SBI is seldom implemented, this review provides researchers with a tool for designing novel theory-oriented interventions to support the implementation of such activity. Systematic review registration PROSPERO CRD42016052681

show abstract

“…Still, people with substance use problems form a complex, heterogeneous group and health providers can be under‐equipped to address AOD issues. Limited AOD knowledge and confidence are among the professional barriers that results in practitioners' low engagement with AOD issues , along with limited opportunities to gain practical AOD experience during role training .…”

Section: Introductionmentioning

confidence: 99%

The Drug and Alcohol Clinical Advisory Service: A model of telephone‐delivered addiction specialist support

Grigg

Arunogiri

Manning

et al. 2020

Drug and Alcohol Review

View full text Add to dashboard Cite

Introduction and Aims People with substance use problems frequently present to mainstream health services with a variety of health issues. However, many medical and allied health‐care providers feel under‐equipped to respond to this population. We describe the Drug and Alcohol Clinical Advisory Service (DACAS), an established 24/7 telephone‐delivered model of addiction specialist consultation, and examine recent call data to identify drug use issues for which health practitioners seek support. Design and Methods Methods of DACAS service provision and call data collection are provided. A retrospective review of routinely collected call data between July 2013 and June 2018 was performed, extracting information on call and caller characteristics, and consultation details. Results During 2013–2018, DACAS responded to 6565 calls, providing access to specialist alcohol and other drug support for more than 1200 practitioners across Victoria, Tasmania and the Northern Territory annually. Higher rates of service use were found among practitioners located in regional and remote areas, relative to those in metropolitan areas. Opioid agonist treatment was the most common drug class for which practitioners sought consultation (39.5%), followed by other opioids (19.4%). Advice‐seeking patterns differed according to caller profession, service setting and location. Discussion and Conclusions DACAS is providing a multistate‐level response to the challenges of accessing specialist addiction treatment, particularly for opioid agonist treatment and other opioid issues, with demonstrated uptake in regional and remote areas. This telephone‐delivered service provides an opportunity to expand access to treatment for opioid use disorder and other substance use problems, particularly in areas with less equitable access to specialist addiction care.

show abstract

Strategies to Overcome Barriers to Implementation of Alcohol Screening and Brief Intervention in General Practice: a Delphi Study Among Healthcare Professionals and Addiction Prevention Experts

Cited by 31 publications

References 32 publications

How to foster informed decision making about food supplements: results from an international Delphi study

How to foster informed decision making about food supplements: results from an international Delphi study

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

The Drug and Alcohol Clinical Advisory Service: A model of telephone‐delivered addiction specialist support

Contact Info

Product

Resources

About