scholarly journals Implementation of a screening, brief intervention and referral to treatment programme for risky substance use in South African emergency centres: A mixed methods evaluation study

PLoS ONE ◽  
2019 ◽  
Vol 14 (11) ◽  
pp. e0224951 ◽  
Author(s):  
Claire van der Westhuizen ◽  
Bronwyn Myers ◽  
Megan Malan ◽  
Tracey Naledi ◽  
Marinda Roelofse ◽  
...  
Keyword(s):  
Substance Use ◽  
Mixed Methods ◽  
South African ◽  
Brief Intervention ◽  
Evaluation Study ◽  
Treatment Programme ◽  
Mixed Methods Evaluation

scholarly journals Patient outcomes and experience of a task-shared screening and brief intervention service for problem substance use in South African emergency centres: a mixed methods study

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Claire van der Westhuizen ◽  
Megan Malan ◽  
Tracey Naledi ◽  
Marinda Roelofse ◽  
Bronwyn Myers ◽  
...  
Keyword(s):  
Substance Use ◽  
Mixed Methods ◽  
South African ◽  
Brief Intervention ◽  
Healthcare Workers ◽  
Lifestyle Changes ◽  
Mixed Methods Study ◽  
Perceived Benefits ◽  
Structured Interviews ◽  
Patient Reported

Abstract Background Screening, brief intervention and referral to treatment (SBIRT) programmes have resulted in generally positive outcomes in healthcare settings, particularly for problem alcohol use, yet implementation is hampered by barriers such as concerns regarding the burden on healthcare professionals. In low-resourced settings, task-sharing approaches can reduce this burden by using non-professional healthcare workers, yet data are scarce regarding the outcomes and acceptability to patients within a SBIRT service. This study aims to evaluate patient-reported outcomes, patient acceptability, perceived benefits and recommendations for improving a task-shared SBIRT service in South African emergency centres (ECs). Methods This mixed methods study incorporates quantitative substance use screening and patient satisfaction data collected routinely within the service at three hospitals, and qualitative semi-structured interviews with 18 EC patient beneficiaries of the programme exploring acceptability and perceived benefits of the programme, as well as recommendations to improve the service. Approximately three months after the acute EC visit, a sub-sample of patients were followed up telephonically to assess patient-reported satisfaction and substance use outcomes. Results Of the 4847 patients eligible for the brief intervention, 3707 patients (76%) used alcohol as their primary substance and 794 (16%) used cannabis. At follow-up (n = 273), significant reductions in substance use frequency and severity were noted and over 95% of patients were satisfied with the service. In the semi-structured interviews, participants identified the non-judgemental caring approach of the counsellors, and the screening and psychoeducation components of the intervention as being the most valuable, motivating them to decrease substance use and make other positive lifestyle changes. Study participants made recommendations to include group sessions, market the programme in communities and extend the programme’s reach to include a broader age group and a variety of settings. Conclusions This task-shared SBIRT service was found to be acceptable to patients, who reported several benefits of a single SBIRT contact session delivered during an acute EC visit. These findings add to the SBIRT literature by highlighting the role of non-professional healthcare workers in delivering a low-intensity SBIRT service feasible to implement in low-resourced settings.

scholarly journals The Brief Intervention for School Clinicians (BRISC): A Mixed-Methods Evaluation of Feasibility, Acceptability, and Contextual Appropriateness

2015 ◽  
Vol 7 (4) ◽  
pp. 273-286 ◽  
Author(s):  
Aaron R. Lyon ◽  
Eric J. Bruns ◽  
Kristy Ludwig ◽  
Ann Vander Stoep ◽  
Michael D. Pullmann ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Brief Intervention ◽  
Mixed Methods Evaluation ◽  
Contextual Appropriateness

scholarly journals Mixed Methods Evaluation - A Chinese Cancer Screening Program

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 816-816
Author(s):  
Su-I Hou
Keyword(s):  
Mixed Methods ◽  
Cancer Screening ◽  
Mixed Methods Research ◽  
Screening Program ◽  
Intervention Mapping ◽  
Evaluation Study ◽  
Mixed Methods Evaluation ◽  
Cancer Screening Program ◽  
Phase Complex ◽  
Multi Phase

Abstract This paper introduces the rapidly growing modern mixed methods research (MMR) and its application in a Chinese cancer screening program. While some previous researchers have incorporated quantitative and qualitative data in research, recent mixed methods developments have provided significant clarity that can guide those new to the MMR field. Understanding the context for using MMR and examining a complex mixed methods evaluation study in Taiwan can help illustrate opportunities for and application of mixed methods in Asians. The Taiwan Cervical Cancer Screening Education Program is used as an exemplar of a multi-phase complex mixed methods evaluation study showcasing various MMR designs. These include an exploratory sequential design to develop culturally sensitive study instrument, iterative concurrent and sequential mixed methods for intervention mapping, and an embedded mixed methods evaluation design to assess impact. Visual diagrams are introduced to facilitate communication of mixed methods design procedures and products in each phase.

scholarly journals Implementing change in primary care practice: lessons from a mixed-methods evaluation of a frailty initiative

BJGP Open ◽  
2018 ◽  
Vol 2 (1) ◽  
pp. bjgpopen18X101421 ◽  
Author(s):  
Carol Bryce ◽  
Joanna Fleming ◽  
Joanne Reeve
Keyword(s):  
Primary Care ◽  
Mixed Methods ◽  
Online Survey ◽  
Complex Interventions ◽  
Evaluation Study ◽  
Models Of Care ◽  
Normalisation Process Theory ◽  
Care Practice ◽  
Successful Implementation ◽  
Mixed Methods Evaluation

BackgroundThe NHS is facing increasing needs from an aging population, which is acutely visible in the emerging problem of frailty. There is growing evidence describing new models of care for people living with frailty, but a lack of evidence on successful implementation of these complex interventions at the practice level.AimThis study aimed to determine what factors enable or prevent implementation of a whole-system, complex intervention for managing frailty (the PACT initiative) in the UK primary care setting.Design & settingA mixed-methods evaluation study undertaken within a large clinical commissioning group (CCG). Design and analysis was informed by normalisation process theory (NPT).MethodData collection from six sites included: observation of delivery, interviews with staff, and an online survey. NPT-informed analysis sought to identify enablers and barriers to implementation of change.ResultsSeven themes were identified. PACT was valued by professionals and patients but a lack of clarity on its aims was identified as a barrier to implementation. Successful implementation relied on champions pushing the work forward, and dealing with unanticipated resistance. Contracts focused on delivery of service outcomes, but these were sometimes at odds with professional priorities. Implementation followed evidence-informed rather than evidence-based practice, requiring redesign of the intervention and potentially created a new body of knowledge on managing frailty.ConclusionSuccessful implementation of complex interventions in primary care need inbuilt capacity for flexibility and adaptability, requiring expertise as well as evidence. Professionals need to be supported to translate innovative practice into practice-based evidence.

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