Trial reportThe British journal of general practice : the journal of the Royal College of General Practitioners1999
A RCT of three training and support strategies to encourage implementation of screening and brief alcohol intervention by general practitioners.
Trial report in The British journal of general practice : the journal of the Royal College of General Practitioners, 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 6 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
33 citing papers in PubMed, 6 syntheses or guidelines pooled it, 124 citations in OpenAlex.
- A systematic review of approaches to improve practice, detection and treatment of unhealthy alcohol use in primary health care: a role for continuous quality improvement.BMC family practice · 2020Pooled it
- [Effectiveness of training programs on alcohol consumption in the Primary Care setting: Systematic review].Atencion primaria · 2019Pooled it
- Accuracy of one or two simple questions to identify alcohol-use disorder in primary care: a meta-analysis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2014Pooled it
- Facilitators and barriers to implementing quality measurement in primary mental health care: Systematic review.Canadian family physician Medecin de famille canadien · 2010Pooled it
- Educational outreach visits: effects on professional practice and health care outcomes.The Cochrane database of systematic reviews · 2007Pooled it
- Screening in brief intervention trials targeting excessive drinkers in general practice: systematic review and meta-analysis.BMJ (Clinical research ed.) · 2003Pooled it
- The payer's role in addressing the opioid epidemic: It's more than money.Journal of substance abuse treatment · 2019Trial
- Delivery of Brief Interventions for Heavy Drinking in Primary Care: Outcomes of the ODHIN 5-Country Cluster Randomized Trial.Annals of family medicine · 2017Trial
- Attitudes and Learning through Practice Are Key to Delivering Brief Interventions for Heavy Drinking in Primary Health Care: Analyses from the ODHIN Five Country Cluster Randomized Factorial Trial.International journal of environmental research and public health · 2017Trial
- Education-only versus a multifaceted intervention for improving assessment of rehabilitation needs after stroke; a cluster randomised trial.Implementation science : IS · 2016Trial
- "A welfare recipient may be drinking, but as long as he does as told--he may drink himself to death": a qualitative analysis of project implementation barriers among Danish job consultants.BMC public health · 2015Trial
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- Screening and brief intervention for excessive alcohol use: qualitative interview study of the experiences of general practitioners.BMJ (Clinical research ed.) · 2002Trial
- Changes in receptionists' attitudes towards involvement in a general practice-based trial of screening and brief alcohol intervention.The British journal of general practice : the journal of the Royal College of General Practitioners · 2000Trial
- A randomized trial of three marketing strategies to disseminate a screening and brief alcohol intervention programme to general practitioners.The British journal of general practice : the journal of the Royal College of General Practitioners · 1999Trial
- Effect of Community Support on the Implementation of Primary Health Care-Based Measurement of Alcohol Consumption.Prevention science : the official journal of the Society for Prevention Research · 2022Article
- The effectiveness of a mobile intervention to reduce young adults' alcohol consumption to not exceed low-risk drinking guidelines.Frontiers in digital health · 2022Article
- Assessment of driving fitness among patients with alcohol-related visits to two hospitals in eastern Finland.Nordisk alkohol- & narkotikatidskrift : NAT · 2019Article
- Current practices and perceived implementation barriers for working with alcohol prevention in occupational health services: the WIRUS OHS study.Substance abuse treatment, prevention, and policy · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundProviding doctors with new research findings or clinical guidelines is rarely sufficient to promote changes in clinical practice. An implementation strategy is required to provide clinicians with the skills and encouragement needed to alter established routines.
aimTo evaluate the effectiveness and cost-effectiveness of different training and support strategies in promoting implementation of screening and brief alcohol intervention (SBI) by general practitioners (GPs).
methodSubjects were 128 GPs, one per practice, from the former Northern and Yorkshire Regional Health Authority, who agreed to use the 'Drink-Less' SBI programme in an earlier dissemination trial. GPs were stratified by previous marketing conditions and randomly allocated to three intensities of training and support: controls (n = 43) received the programme with written guidelines only, trained GPs (n = 43) received the programme plus practice-based training in programme usage, trained and supported GPs (n = 42) received the programme plus practice-based training and a support telephone call every two weeks. GPs were requested to use the programme for three months. Outcome measures included proportions of GPs implementing the programme and numbers of patients screened and intervened with.
resultsSeventy-three (57%) GPs implemented the programme and screened 11,007 patients for risk drinking. Trained and supported GPs were significantly more likely to implement the programme (71%) than controls (44%) or trained GPs (56%); they also screened, and intervened with, significantly more patients. Costs per patient screened were: trained and supported GPs, 1.05 Pounds; trained GPs, 1.08 Pounds; and controls, 1.47 Pounds. Costs per patient intervened with were: trained and supported GPs, 5.43 Pounds; trained GPs, 6.02 Pounds; and controls, 8.19 Pounds.
conclusionPractice-based training plus support telephone calls was the most effective and cost-effective strategy to encourage implementation of SBI by GPs.
Indexed as
Identifiers
10756610PMC1313496W2117772521What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.