Despite the evidence base, alcohol screening and brief intervention (ASBI) have rarely been integrated into routine clinical practice. The aim of this study is to identify strategies that could tackle barriers to ASBI implementation in general practice by involving primary healthcare professionals and addiction prevention experts. A three-round online Delphi study was carried out in the Netherlands. The first-round questionnaire consisted of open-ended questions to generate ideas about strategies to overcome barriers. In the second round, participants were asked to indicate how applicable they found each strategy. Items without consensus were systematically fed back with group median ratings and interquartile range (IQR) scores in the third-round questionnaire. In total, 39 out of 69 (57 %) invited participants enrolled in the first round, 214 participants completed the second round, and 144 of these (67 %) completed the third-round questionnaire. Results show that participants reached consensus on 59 of 81 strategies, such as the following: (1) use of E-learning technology, (2) symptom-specific screening by general practitioners (GPs) and/or universal screening by practice nurses, (3) reimbursement incentives, (4) supportive materials, (5) clear guidelines, (6) service provision of addiction care centers, and (7) more publicity in the media. This exploratory study identified a broad set of strategies that could potentially be used for overcoming barriers to ASBI implementation in general practice and paves the way for future research to experimentally test the identified implementation strategies using multifaceted approaches.
This course is based on the reading-based online article, 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 created by Latifa Abidi, Anke Oenema, and Per Nilsen in 2016.
Published online 2016 May 11.
Course Material Authors
Course Material Authors authored the material only, and were not involved in creating this CE course. They are identified here for your own evaluation of the relevancy of the material this course is based on.
Latifa Abidi, is a Ph.D. candidate in the Department of Health Promotion, School of Public Health and Primary Care (CAPHRI), Maastricht University. She co-authored several research articles including the qualification of treatment resistance for depression, socio-cognitive factors related to diet and physical activity, as well as the current publication.
Dr. Oenema is an assistant professor in the Department of Health Promotion, School of Public Health and Primary Care, Maastricht University. She has co-authored research on such topics as; smoking prevention, obesity prevention, and other health issues.
Per Nilsen, is a professor in the Department of Medical and Health Sciences, Linköping University, Linköping, Sweden. Dr. Nilsen's research has increasingly been oriented towards implementation science, with a focus on implementation of research findings and evidence-based practice in various contexts. His research focus concerns workplace learning and innovation as well as patient safety issues, injury prevention, and the role of alcohol use as a major risk factor in injury.
Dr. Gibson is a Clinical Psychologist with over 30 years in research, clinical and consulting practice. He has also held leadership roles in research administration and program evaluation and more recently has specialized in program evaluation and system analysis. He draws upon his years of expertise as a practicing psychologist, administrator, researcher and technologist to help universities evaluate their programs to implement, meet, and maintain CACREP standards.
This article is appropriate for primary healthcare professionals including psychologists, addiction prevention experts, nurses, academic researchers, and others responsible for the planning and organization of programs addressing addiction prevention. This content is written at the intermediate level.
After taking this course, you should be able to:
To identify applicable strategies to overcome known barriers to the implementation of alcohol screening and brief intervention as suggested by health professionals and addiction prevention experts.
To identify the extent to which health professionals and addiction prevention experts agree on the applicability of the identified implementation strategies.
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Course Material Authors
The authors have disclosed any disclosures within the material.
Course Creator: Keith Gibson, Ph.D.
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