Skip to main content

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.

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.

Journal/Publisher:

Prevention Science

Publication Date:

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
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, 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.

Course Creator

Keith Gibson, Ph.D.
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.

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:

After taking this course, you should be able to:

  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.

Exam Questions

All exam questions for the course are visible on this page for members of Addiction Counselor CE.

Membership is free, and you can register today! You'll only pay when you're ready to purchase a course, or if you take advantage of the Unlimited Package.

If you're already a member, please sign in to see the exam questions for this and all other courses.

Discuss this course

When you're an Unlimited CE or Pay As You Go member you can discuss this course after you pass the exam.

Sign In or Register to get started.

FAQs

  • Is this course approved for my continuing education requirements?

    Yes, most likely. Look Up Your State Board for more detailed information. Logged-in site members will see the relevant approval information displayed in the Approvals tab for every course.

  • Do you have accommodations for my disability (ADA)?

    If you are having trouble using Addiction Counselor CE, please contact us! We would be happy to accommodate your needs right away, and your input will help us make Addiction Counselor CE more accessible for future users too.

  • How do I enroll in this course?

    Use the Enroll In This Course button and just follow the instructions! You don't pay anything until you're ready to take an exam.

  • What do I have to do to complete the course?

    To complete the course, review the course objectives, then review the material, and then pass the exam with a score of 75% or greater and lastly complete an evaluation.

  • How do I access the materials?

    Most of our courses are based on online articles available for free to the public. Some courses, such as those based on books, require that you purchase the material. Use the Materials tab above for more info. You don't need to enroll in the course to access materials, whether free or paid. So you always know what you're getting into before you commit to taking the exam.

  • How do I get my certificate?

    Your certificate(s) will be available to download or email immediately when you pass the course exam and complete the evaluation.

  • Can I contact you for more help?

    Yes! Use the Help widget at the bottom-right of the screen anywhere on Addiction Counselor CE to search our help docs, or to ask our support team for help. Unlike most of our competitors, Addiction Counselor CE has live US-based support reps to help you by email, chat, or phone.

Course Number 102214
1 CE credit hour
Sign in for credit hours relevant to your credentials.

  • Reading-Based Online
Exam Fee $5.97
There's no exam fee with an Unlimited CE membership! Read More

No Cost Materials

231 members have taken this course

Try a free CE course.

Get started by trying a free course of your choice. No payment info required!

Sign Up Free

View all free trial courses

Happy therapist using Addiction Counselor CE