RT Journal Article SR Electronic T1 Delivery of Brief Interventions for Heavy Drinking in Primary Care: Outcomes of the ODHIN 5-Country Cluster Randomized Trial JF The Annals of Family Medicine JO Ann Fam Med FD American Academy of Family Physicians SP 335 OP 340 DO 10.1370/afm.2051 VO 15 IS 4 A1 Anderson, Peter A1 Coulton, Simon A1 Kaner, Eileen A1 Bendtsen, Preben A1 Kłoda, Karolina A1 Reynolds, Jillian A1 Segura, Lidia A1 Wojnar, Marcin A1 Mierzecki, Artur A1 Deluca, Paolo A1 Newbury-Birch, Dorothy A1 Parkinson, Kathryn A1 Okulicz-Kozaryn, Katarzyna A1 Drummond, Colin A1 Gual, Antoni YR 2017 UL http://www.annfammed.org/content/15/4/335.abstract AB PURPOSE We aimed to test whether 3 strategies—training and support, financial reimbursement, and an option to direct screen-positive patients to an Internet-based method of giving brief advice—have a longer-term effect on primary care clinicians’ delivery of screening and advice to heavy drinkers operationalized with the Alcohol Use Disorders Identification Test–Consumption (AUDIT-C) tool.METHODS We undertook a cluster randomized factorial trial with a 12-week implementation period in 120 primary health care units throughout Catalonia, England, Netherlands, Poland, and Sweden. Units were randomized to 8 groups: care as usual (control); training and support alone; financial reimbursement alone; electronic brief advice alone; paired combinations of these conditions; and all 3 combined. The primary outcome was the proportion of consulting adult patients (aged 18 years and older) receiving intervention—screening and, if screen-positive, advice—at 9 months.RESULTS Based on the factorial design, the ratio of the log of the proportion of patients given intervention at the 9-month follow-up was 1.39 (95% CI, 1.03–1.88) in units that received training and support as compared with units that did not. Neither financial reimbursement nor directing screen-positive patients to electronic brief advice led to a higher proportion of patients receiving intervention.CONCLUSIONS Training and support of primary health care units has a lasting, albeit small, impact on the proportion of adult patients given an alcohol intervention at 9 months.