Background The European level of alcohol consumption, and the subsequent burden of disease, is high compared to the rest of the world. While screening and brief interventions in primary healthcare are cost-effective, in most countries they have hardly been implemented in routine primary healthcare. In this study, we aim to examine the effectiveness and efficiency of three implementation interventions that have been chosen to address key barriers for improvement: training and support to address lack of knowledge and motivation in healthcare providers; financial reimbursement to compensate the time investment; and internet-based counselling to reduce workload for primary care providers. Methods/design In a cluster randomized factorial trial, data from Catalan, English, Netherlands, Polish, and Swedish primary healthcare units will be collected on screening and brief advice rates for hazardous and harmful alcohol consumption. The three implementation strategies will be provided separately and in combination in a total of seven intervention groups and compared with a treatment as usual control group. Screening and brief intervention activities will be measured at baseline, during 12 weeks and after six months. Process measures include health professionals’ role security and therapeutic commitment of the participating providers (SAAPPQ questionnaire). A total of 120 primary healthcare units will be included, equally distributed over the five countries. Both intention to treat and per protocol analyses are planned to determine intervention effectiveness, using random coefficient regression modelling. Discussion Effective interventions to implement screening and brief interventions for hazardous alcohol use are urgently required. This international multi-centre trial will provide evidence to guide decision makers. / <p>Funding Agencies|European Communitys Seventh Framework Program|259268|The Netherlands Organisation for Health Research and Development (ZonMW)|200310017|FP7 EC Grant||</p>
| Identifer | oai:union.ndltd.org:UPSALLA1/oai:DiVA.org:liu-93870 |
| Date | January 2013 |
| Creators | Keurhorst, Myrna N., Anderson, Peter, Spak, Fredrik, Bendtsen, Preben, Segura, Lidia, Colom, Joan, Reynolds, Jillian, Drummond, Colin, Deluca, Paolo, van Steenkiste, Ben, Mierzecki, Artur, Kloda, Karolina, Wallace, Paul, Newbury-Birch, Dorothy, Kaner, Eileen, Gual, Toni, Laurant, Miranda G H. |
| Publisher | Linköpings universitet, Socialmedicin och folkhälsovetenskap, Linköpings universitet, Hälsouniversitetet, Östergötlands Läns Landsting, Akutkliniken, Radboud University of Nijmegen, Netherlands, Newcastle University, United Kingdom, University of Gothenburg, Sweden, Government of Catalonia, Barcelona, Spain, Government of Catalonia, Barcelona, Spain, Hospital Clin Barcelona, Spain, Kings Coll London, England, Kings Coll London, England, Maastricht University, Netherlands, Pomeranian Medical University, Poland, Pomeranian Medical University, Poland, UCL, England, Fac Med, England, Fac Med, England, Hospital Clin Barcelona, Spain, Radboud University of Nijmegen, Netherlands, BioMed Central |
| Source Sets | DiVA Archive at Upsalla University |
| Language | English |
| Detected Language | English |
| Type | Article in journal, info:eu-repo/semantics/article, text |
| Format | application/pdf |
| Rights | info:eu-repo/semantics/openAccess |
| Relation | Implementation Science, 1748-5908, 2013, 8, |
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