ArticlePrevention science : the official journal of the Society for Prevention Research2016
Strategies to Overcome Barriers to Implementation of Alcohol Screening and Brief Intervention in General Practice: a Delphi Study Among Healthcare Professionals and Addiction Prevention Experts.
Article in Prevention science : the official journal of the Society for Prevention Research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Factors influencing the implementation of screening and brief interventions for alcohol use in primary care practices: a systematic review using the COM-B system and Theoretical Domains Framework.Implementation science : IS · 2021Pooled it
- A mobile app to promote alcohol and drug SBIRT skill translation among multi-disciplinary health care trainees: Results of a randomized controlled trial.Substance abuse · 2022Trial
- Expert consensus on multilevel implementation hypotheses to promote the uptake of youth care guidelines: a Delphi study.Health research policy and systems · 2024Article
- Development of community strategies supporting brief alcohol advice in three Latin American countries: a protocol.Health promotion international · 2023Article
- AuTomaTed Alcohol Misuse INterventions in a Bariatric Surgery Population: The ATTAIN Bariatric Pilot.The Permanente journal · 2023Article
- The Practice and Feasibility of Screening, Treatment, and Referral for Gaming Problems in Gambling, Alcohol and Other Drugs, and Youth Services.International journal of mental health and addiction · 2023Article
- Addressing alcohol use among blood pressure patients in Thai primary care: Lessons from a survey-based stakeholder consultation.Preventive medicine reports · 2022Article
- 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
- Do professional perspectives on evidence-based smoking cessation methods align? A Delphi study among researchers and healthcare professionals.Health education research · 2022Article
- Pragmatic approaches for addressing alcohol in general practice: Development of a tailored implementation intervention.Frontiers in health services · 2022Article
- Effectiveness and implementability of state-level naloxone access policies: Expert consensus from an online modified-Delphi process.The International journal on drug policy · 2021Article
- An Ethnographic study of unhealthy alcohol use in a Danish Emergency Department.Addiction science & clinical practice · 2021Article
- Perceived appropriateness of alcohol screening and brief advice programmes in Colombia, Mexico and Peru and barriers to their implementation in primary health care - a cross-sectional survey.Primary health care research & development · 2021Article
- Conversations about alcohol in healthcare - cross-sectional surveys in the Netherlands and Sweden.BMC public health · 2020Article
- How to foster informed decision making about food supplements: results from an international Delphi study.Health education research · 2019Article
- A Digital Tool to Promote Alcohol and Drug Use Screening, Brief Intervention, and Referral to Treatment Skill Translation: A Mobile App Development and Randomized Controlled Trial Protocol.JMIR research protocols · 2017Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Despite the evidence base, alcohol screening and brief intervention (ASBI) have rarely been integrated into routine clinical practice. The aim of this study is to identify strategies that could tackle barriers to ASBI implementation in general practice by involving primary healthcare professionals and addiction prevention experts. A three-round online Delphi study was carried out in the Netherlands. The first-round questionnaire consisted of open-ended questions to generate ideas about strategies to overcome barriers. In the second round, participants were asked to indicate how applicable they found each strategy. Items without consensus were systematically fed back with group median ratings and interquartile range (IQR) scores in the third-round questionnaire. In total, 39 out of 69 (57 %) invited participants enrolled in the first round, 214 participants completed the second round, and 144 of these (67 %) completed the third-round questionnaire. Results show that participants reached consensus on 59 of 81 strategies, such as the following: (1) use of E-learning technology, (2) symptom-specific screening by general practitioners (GPs) and/or universal screening by practice nurses, (3) reimbursement incentives, (4) supportive materials, (5) clear guidelines, (6) service provision of addiction care centers, and (7) more publicity in the media. This exploratory study identified a broad set of strategies that could potentially be used for overcoming barriers to ASBI implementation in general practice and paves the way for future research to experimentally test the identified implementation strategies using multifaceted approaches.
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Registered trials
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