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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

About the Course:

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.

Journal/Publisher:

Prevention Science

Publication Date:

Published online 2016 May 11.

Course Material Authors

Latifa Abidi

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.

Anke Oenema

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

Per Nilsen, is a professor in the Department of Medical and Health Sciences, Link√∂ping University, Link√∂ping, 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.

Recommended For:

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.

Course Objectives:

  1. 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.

  2. 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 Article

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Categorized in:

Course Number 102214
1 credit hour
  • Online Article
Exam Fee: $6.97No exam fee with a Plus or Unlimited membership package!
4.3 out of 5
100 members have taken this course