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

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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Screening And Brief Intervention In Cape Town South Africa Public Primary Health Care: Is It Enough?

The Canadian Journal of Addiction ◽

10.1097/02024458-200912000-00096 ◽

2009 ◽

Vol 1 (1) ◽

pp. 40-41

Author(s):

Jennifer Mertens ◽

Catherine L. Ward ◽

Alan J. Flisher ◽

Graham F Bresick ◽

Tina Valkanoff ◽

...

Keyword(s):

South Africa ◽

Health Care ◽

Primary Health Care ◽

Brief Intervention ◽

Cape Town ◽

Screening And Brief Intervention ◽

Primary Health

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Improving screening and brief intervention activities in primary health care: Secondary analysis of professional accuracy based on the AUDIT-C

Journal of Evaluation in Clinical Practice ◽

10.1111/jep.12854 ◽

2017 ◽

Vol 24 (2) ◽

pp. 369-374 ◽

Cited By ~ 2

Author(s):

J. Palacio-Vieira ◽

L. Segura ◽

P. Anderson ◽

A. Wolstenholme ◽

C. Drummond ◽

...

Keyword(s):

Health Care ◽

Primary Health Care ◽

Brief Intervention ◽

Secondary Analysis ◽

Screening And Brief Intervention ◽

Primary Health

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Process evaluation of the implementation of a screening and brief intervention program for alcohol risk in primary health care: An experience in Brazil

Drug and Alcohol Review ◽

10.1111/j.1465-3362.2009.00120.x ◽

2009 ◽

Vol 29 (2) ◽

pp. 162-168 ◽

Cited By ~ 12

Author(s):

MICHAELA B. AMARAL ◽

TELMO M. RONZANI ◽

MARIA LUCIA O. SOUZA-FORMIGONI

Keyword(s):

Health Care ◽

Primary Health Care ◽

Process Evaluation ◽

Brief Intervention ◽

Intervention Program ◽

Screening And Brief Intervention ◽

Primary Health ◽

Alcohol Risk

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

International Journal of Telemedicine and Applications ◽

10.1155/2011/918763 ◽

2011 ◽

Vol 2011 ◽

pp. 1-10 ◽

Cited By ~ 5

Author(s):

Preben Bendtsen ◽

Diana Stark Ekman ◽

AnneLie Johansson ◽

Siw Carlfjord ◽

Agneta Andersson ◽

...

Keyword(s):

Health Care ◽

Primary Health Care ◽

Alcohol Consumption ◽

Heavy Episodic Drinking ◽

Drinking Behaviour ◽

Risky Drinking ◽

Screening And Brief Intervention ◽

Electronic Screening ◽

Primary Health ◽

Weekly Alcohol Consumption

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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Using Virtual Patient Simulations to Prepare Primary Health Care Professionals to Conduct Substance Use and Mental Health Screening and Brief Intervention

Journal of the American Psychiatric Nurses Association ◽

10.1177/1078390317719321 ◽

2017 ◽

Vol 24 (3) ◽

pp. 247-259 ◽

Cited By ~ 10

Author(s):

Glenn Albright ◽

Craig Bryan ◽

Cyrille Adam ◽

Jeremiah McMillan ◽

Kristen Shockley

Keyword(s):

Mental Health ◽

Health Care ◽

Substance Use ◽

Primary Health Care ◽

Brief Intervention ◽

Health Care Professionals ◽

Role Playing ◽

Brief Interventions ◽

Screening And Brief Intervention ◽

Primary Health

BACKGROUND: Primary health care professionals are in an excellent position to identify, screen, and conduct brief interventions for patients with mental health and substance use disorders. However, discomfort in initiating conversations about behavioral health, time concerns, lack of knowledge about screening tools, and treatment resources are barriers. OBJECTIVE: This study examines the impact of an online simulation where users practice role-playing with emotionally responsive virtual patients to learn motivational interviewing strategies to better manage screening, brief interventions, and referral conversations. DESIGN: Baseline data were collected from 227 participants who were then randomly assigned into the treatment or wait-list control groups. Treatment group participants then completed the simulation, postsimulation survey, and 3-month follow-up survey. RESULTS: Results showed significant increases in knowledge/skill to identify and engage in collaborative decision making with patients. CONCLUSIONS: Results strongly suggest that role-play simulation experiences can be an effective means of teaching screening and brief intervention.

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