Referral to an Electronic Screening and Brief Alcohol Intervention in Primary Health Care in Sweden: Impact of Staff Referral to the Computer

The aim of this paper was to evaluate whether primary health care staff's referral of patients to perform an electronic screening and brief intervention (e-SBI) for alcohol use had a greater impact on change in alcohol consumption after 3 month, compared to patients who performed the test on their own initiative. Staff-referred responders reported reduced weekly alcohol consumption with an average decrease of 8.4 grams. In contrast, self-referred responders reported an average increase in weekly alcohol consumption of 2.4 grams. Staff-referred responders reported a 49% reduction of average number of heavy episodic drinking (HED) occasions per month. The corresponding reduction for self-referred responders was 62%. The differences between staff- and self-referred patient groups in the number who moved from risky drinking to nonrisky drinking at the followup were not statistically significant. Our results indicate that standalone computers with touchscreens that provide e-SBIs for risky drinking have the same effect on drinking behaviour in both staff-referred patients and self-referred patients.

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Improvement of Physical Activity by a Kiosk-based Electronic Screening and Brief Intervention in Routine Primary Health Care: Patient-Initiated Versus Staff-Referred

Journal of Medical Internet Research ◽

10.2196/jmir.1745 ◽

2011 ◽

Vol 13 (4) ◽

pp. e99 ◽

Cited By ~ 7

Author(s):

Matti Leijon ◽

Daniel Arvidsson ◽

Per Nilsen ◽

Diana Stark Ekman ◽

Siw Carlfjord ◽

...

Keyword(s):

Physical Activity ◽

Health Care ◽

Primary Health Care ◽

Brief Intervention ◽

Care Patient ◽

Screening And Brief Intervention ◽

Electronic Screening ◽

Primary Health

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Russian-language mobile applications for reducing alcohol use: a systematic search and evaluation. (Preprint)

10.2196/preprints.31058 ◽

2021 ◽

Author(s):

Anna Bunova ◽

Veronika Wiemker ◽

Boris Gornyi ◽

Carina Ferreira-Borges ◽

Maria Neufeld

Keyword(s):

Health Care ◽

Primary Health Care ◽

Alcohol Consumption ◽

Alcohol Use ◽

Mobile Applications ◽

Russian Language ◽

Brief Interventions ◽

Bibliographic Databases ◽

Lifestyle Behavior ◽

Primary Health

BACKGROUND Personalized prevention tools, such as mobile applications designed to reduce alcohol consumption, are widespread in mobile application stores accessible in Russia. However, their quality and content have not been systematically evaluated. OBJECTIVE This study aimed to identify Russian-language mobile applications for reducing alcohol use and evaluate their quality and potential to change alcohol-related health behavior. It further aimed to identify applications that could facilitate screening and brief interventions in primary health care in Russia. METHODS A systematic search for mobile applications available in Russia was carried out between April 1 and 15, December 1 and 15, 2020, and in March 2021 in the iOS App Store, Google Play Store, and the 4PDA forum. Application quality was assessed via the Mobile App Rating Scale (MARS), and structured searches in electronic libraries and bibliographic databases used to evaluate the applications’ evidence base. The number of features facilitating changes in lifestyle behavior was assessed using the App Behavior Change Scale (ABACUS). RESULTS We identified a total of 63 mobile applications for reducing alcohol use. Mean MARS quality ratings were high for the subscales of “Functionality” (3.92 out of 5, SD = 0.58) and “Aesthetics” (2.96; SD = 0.76) and low for “Engagement” (2.42; SD = 0.76) and “Information” (1.65, SD = 0.60). Additional searches in electronic libraries and bibliographic databases (Elibrary, Cyberleninka, Google Scholar) yielded no studies involving the identified applications. ABACUS scores ranged from 1 to 15 out of 25, with a mean of 5 (SD = 3.24). Two of the identified applications might be useful for screening and brief interventions in Russian primary health care after improvements in content and scientific testing. CONCLUSIONS Russian-language mobile applications for reducing alcohol use are accessible in the application stores. Many of them are aesthetically pleasing, functional, and easy to use. However, information about scientific trialing or testing is lacking. Most applications contain a low number of features that facilitate changes in lifestyle behavior. Further research should examine the context of Russian-language mobile applications for reducing alcohol use. Our findings underline the need to develop evidence-based applications to mitigate alcohol consumption in Russia and elsewhere. CLINICALTRIAL PROSPERO (CRD42020167458) (review ongoing).

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Factors affecting engagement of primary health care professionals and their patients in facilitated access to online alcohol screening and brief intervention

International Journal of Medical Informatics ◽

10.1016/j.ijmedinf.2019.04.018 ◽

2019 ◽

Vol 127 ◽

pp. 95-101

Author(s):

Hugo López-Pelayo ◽

Paul Wallace ◽

Laia Miquel ◽

Lidia Segura ◽

Begoña Baena ◽

...

Keyword(s):

Health Care ◽

Primary Health Care ◽

Brief Intervention ◽

Health Care Professionals ◽

Alcohol Screening ◽

Screening And Brief Intervention ◽

Factors Affecting ◽

Primary Health

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Feasibility of alcohol screening and brief intervention in primary health care in Kazakhstan: study protocol of a pilot cluster randomised trial

Pilot and Feasibility Studies ◽

10.1186/s40814-019-0547-x ◽

2020 ◽

Vol 6 (1) ◽

Author(s):

Bernd Schulte ◽

Amy O’Donnell ◽

Harald Lahusen ◽

Christina Lindemann ◽

Mariya Prilutskaya ◽

...

Keyword(s):

Health Care ◽

Primary Health Care ◽

Brief Intervention ◽

Randomised Trial ◽

Alcohol Screening ◽

Cluster Randomised Trial ◽

Control Group ◽

Screening And Brief Intervention ◽

Primary Health ◽

Cluster Randomised

Abstract Background Identifying and addressing heavy drinking represents a major public health priority worldwide. Whilst the majority of alcohol screening and brief intervention (ASBI) research has been conducted in western, high-income countries, evidence is growing that ASBI can also impact positively on heavy drinkers in low- and middle-income country populations. This mixed methods study aims to assess the feasibility of conducting a fully randomised controlled trial of the effectiveness of ASBI in primary care in Kazakhstan and explore the feasibility and acceptability of implementing ASBI in this setting from patients’ and physicians’ perspectives. Methods Six primary health care units in the region of Pavlodar will be cluster randomised to either an intervention (WHO manualised 5 min alcohol brief intervention plus alcohol leaflet) or control group (simple feedback plus alcohol leaflet). Primary feasibility measures will be rates of participation at baseline and retention of eligible patients at the 3-month follow-up point. Patient/physician questionnaires and physician focus groups will assess additional dimensions of feasibility, as well as acceptability, according to the RE-AIM framework: Reach (rates of eligible patients screened/received advice); Effectiveness (change in AUDIT-C score); Adoption (rate/representativeness of participating physicians); Implementation (quality of ASBI/barriers and facilitators to delivery); and Maintenance (potential sustainability of intervention). Discussion This is the first trial of the feasibility and acceptability of ASBI in Kazakhstan. As the planning and assessment of implementation determinants is based on the RE-AIM framework, the project outcomes will be relevant for the future development, tailoring and implementation of ASBI in Kazakhstan. Trial registration DRKS, DRKS00015882, Registered 17 December 2018.

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