scholarly journals Evaluation of Alcohol Screening and Brief Intervention in Routine Practice of Primary Care Nurses in Vhembe District, South Africa

2008 ◽  
Vol 49 (3) ◽  
pp. 392-401 ◽  
Author(s):  
Karl Peltzer ◽  
Gladys Matseke ◽  
Matevha Azwihangwisi ◽  
Tom Babor
2005 ◽  
Vol 66 (3) ◽  
pp. 361-368 ◽  
Author(s):  
Thomas E Babor ◽  
John Higgins-Biddle ◽  
Deborah Dauser ◽  
Pamela Higgins ◽  
Joseph A Burleson

2015 ◽  
Vol 30 (6) ◽  
pp. 790-796 ◽  
Author(s):  
Kristy Barnes Le ◽  
J. Aaron Johnson ◽  
J. Paul Seale ◽  
Hunter Woodall ◽  
Denice C. Clark ◽  
...  

Curationis ◽  
2006 ◽  
Vol 29 (2) ◽  
Author(s):  
K Peltzer ◽  
P Seoka ◽  
T Babor ◽  
I Obot

Although progress has been made in developing a scientific basis for alcohol screening and brief intervention (SBI), training packages are necessary for its widespread dissemination in primary care settings in developing societies. Using a training package developed by the World Health Organisation 121 nurses from one rural site (29 clinics in Vhembe District) and one urban site (3 clinics and 6 mobile clinics in Polokwane/ Seshego) in South Africa were compared before and after SBI training regarding knowledge and attitudes, and the subsequent practice of SBI in routine clinical practice. Although the training effects were at times moderate, all changes were in a direction more conducive to implementing SBI. Health care providers significantly increased in knowledge, confidence in SBI and higher self-efficacy in implementing SBI at followup after 9 months after receiving the training. When delivered in the context of a comprehensive SBI implementation programme, this training is effective in changing providers’ knowledge, attitudes, and practice of SBI for at-risk drinking.


2010 ◽  
Vol 25 (4) ◽  
pp. 340-344 ◽  
Author(s):  
Gail L. Rose ◽  
Charles D. MacLean ◽  
Joan Skelly ◽  
Gary J. Badger ◽  
Tonya A. Ferraro ◽  
...  

2018 ◽  
Vol 31 (1) ◽  
pp. 45 ◽  
Author(s):  
Frederico Rosário ◽  
Maria Inês Santos ◽  
Kathryn Angus ◽  
Leo Pas ◽  
Niamh Fitzgerald

Introduction: Alcohol is a leading risk factor contributing to the global burden of disease. National and international agencies recommend evidence-based screening and brief interventions in primary care settings in order to reduce alcohol consumption. However, the majority of primary care professionals do not routinely deliver such interventions.Objective: To identify factors influencing general practitioners/family physicians’ and primary care nurses’ routine delivery of alcohol screening and brief intervention in adults.Material and Methods: A systematic literature search will be carried out in the following electronic databases: Medline, CINAHL, CENTRAL, and PsycINFO. Two authors will independently abstract data and assess study quality using the NIH National Heart, Lung, and Blood Institute quality assessment tools for quantitative studies, and the CASP checklist for qualitative studies. A narrative synthesis of the findings will be provided, structured around the barriers and facilitators identified. Identified barriers and facilitators will be further analysed using the Behavioural Change Wheel/Theoretical Domains Framework.Discussion: This review will describe the barriers to, and facilitators for, the implementation of alcohol screening and brief interventions by general practitioners/family physicians and nurses at primary care practices. By mapping the barriers and facilitators to the domains of the Behavioural Change Wheel/Theoretical Domains Framework, this review will also provide implementation researchers with a useful tool for selecting promising practitioner-oriented behavioural interventions for improving alcohol screening and brief intervention delivery in primary care.Conclusion: This review will provide important information for implementing alcohol screening and brief intervention in primary health care.Systematic Review Registration: PROSPERO CRD42016052681 


2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Paul Shing-fong Chan ◽  
Yuan Fang ◽  
Martin Chi-sang Wong ◽  
Junjie Huang ◽  
Zixin Wang ◽  
...  

Abstract Background Alcohol screening and brief intervention (SBI) is recommended to be implemented in primary care settings to intervene against hazardous/harmful drinking. However, studies showed that the uptake rate was low in many regions/countries. This systematic review presented current findings on the facilitators and barriers of SBI implemented by health professionals in primary care settings using the Consolidated Framework for Implementation Research (CFIR). Methods We included qualitative, quantitative, and mixed-method studies identified through four electronic databases (PubMed, MEDLINE, PsycInfo, and Web of Science) from inception to June 2020. Included articles had to address barriers and facilitators of SBI implementation and provide sufficient details that the CFIR domains could be identified and data were abstracted using a standardized extraction form. Results A total of 74 studies published from 1985 to 2019 were finally analysed and summarized. The most common facilitators were knowledge and positive beliefs about SBI (characteristics of the individuals) and available resources (inner setting). In contrast, the most common barriers were cost related to implementing SBI (intervention characteristics), negative beliefs about SBI (characteristics of the individuals), and lack of self-efficacy in implementing SBI (characteristics of the individuals). It could be observed that factors related to the inner setting and characteristics of individuals were extensively studied whilst the process received the least attention. Conclusions Most of the facilitators and barriers are modifiable. Additionally, most literature focused on various kinds of available assets to implement SBI. To promote the spread of SBI implementation, more high-quality studies on the implementation process are needed. This systematic review could serve as a reference framework for health authorities to devise strategies for improving the implementation of SBI in primary care settings. Trial registration This systematic review was registered in PROSPERO (CRD42021258833).


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