Article Figures & Data
Figures
- Figure 1
Flow chart of primary health care units in the trial.
eBI=electronic brief intervention/advice; FR=financial reimbursement; TS=training and support.
Tables
- Table 1
Mean Proportion of Consulting Adult Patients Given Intervention per Primary Health Care Unit, by Group
Group Mean Proportion (SE) of Consulting Adult Patients (per 1,000) Given Interventiona Baseline 12-Week Implementation 9-Month Follow-up Control 11.65 (3.29) 5.35 (1.16) 5.98 (1.55) TS 13.94 (4.22) 11.72 (3.37) 8.40 (2.12) FR 9.82 (1.65) 17.97 (4.44) 10.00 (5.45) eBI 15.63 (3.42) 9.89 (1.95) 7.69 (2.04) TS+FR 10.87 (3.03) 32.07 (8.61) 11.80 (3.46) TS+eBI 9.39 (2.54) 9.22 (1.99) 7.64 (1.88) FR+eBI 11.28 (3.72) 8.42 (1.82) 4.71 (1.98) TS+FR+eBI 6.59 (1.63) 16.91 (3.05) 9.74 (2.70) eBI=electronic brief intervention/advice; FR=financial reimbursement; SE=standard error; TS=training and support.
↵a Screened and, if screen-positive, given advice.
- Table 2
Mean Natural Log of Proportion of Consulting Adult Patients Given Intervention at 9-Month Follow-up per Unit, by Presence or Absence of Factor
Factor Mean Natural Log of Proportion (95% CI) Mean Difference in Natural Log of Proportion vs Absent (95% CI) Ratio of Natural Log of Proportion vs Absent (95% CI) P Value TS absent −5.399 (−5.851 to −4.947) – 1.00 TS present −5.070 (−5.522 to −4.618) 0.329 (0.025 to 0.634) 1.39 (1.03 to 1.88) .03 FR absent −5.269 (−5.728 to −4.810) – 1.00 FR present −5.200 (−5.660 to −4.741) 0.069 (−0.241 to 0.379) 1.07 (0.78 to 1.46) .66 eBI absent −5.253 (−5.714 to −4.792) – 1.00 eBI present −5.216 (−5.677 to −4.756) 0.037 (−0.273 to 0.346) 1.04 (0.76 to 1.41) .82 TS+FR absent −5.320 (−5.772 to −4.869) – 1.00 TS+FR present −4.977 (−5.454 to −4.499) 0.343 (−0.010 to 0.697) 1.41 (0.99 to 2.01) .06 TS+eBI absent −5.209 (−5.674 to −4.744) – 1.00 TS+eBI present −5.311 (−5.801 to −4.821) −0.101 (−0.460 to 0.268) 0.90 (0.63 to 1.31) .58 FR+eBI absent −5.314 (−5.765 to −4.863) – 1.00 FR+eBI present −4.995 (−5.473 to −4.518) 0.319 (−0.036 to 0.674) 1.38 (0.96 to 1.96) .08 TS+FR+eBI absent −5.282 (−5.737 to −4.827) – 1.00 TS+FR+eBI present −4.899 (−5.453 to −4.345) 0.383 (−0.081 to 0.847) 1.47 (0.92 to 2.33) .11 eBI = electronic brief intervention/advice; FR = financial reimbursement; TS = training and support.
The Article in Brief
Delivery of Brief Interventions for Heavy Drinking in Primary Care: Outcomes of the ODHIN 5-Country Cluster Randomized Trial
Peter Anderson , and colleagues
Background A study spanning four countries (England, the Netherlands, Poland, and Sweden) and the Catalonia region compares three strategies to increase delivery of screening and advice to heavy drinkers: clinician training and support, financial reimbursement, and an option to direct screen-positive patients to an Internet-based method of giving brief advice.
What This Study Found In primary care settings, training and support of clinicians has a lasting effect on the proportion of adult patients given an alcohol intervention at nine months. Researchers find that training and support have a longer-term effect on primary care clinicians' delivery of screening and advice to heavy drinkers as measured by the Alcohol Use Disorders Identification Test�Consumption (AUDIT-C) tool. The study demonstrates a lasting effect of training and support at 9-month follow-up. There was no lasting impact of financial reimbursement.
Implications
- The authors recommend training and support of primary care clinicians in delivering screening and brief advice, repeated over time, in order to increase the volume of brief interventions delivered to heavy drinking patients.
