Evidence map›Paper›PMID 28134783›Full record

Trial reportInternational journal of environmental research and public health2017

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.

Peter Anderson, Eileen Kaner, Myrna Keurhorst, Preben Bendtsen, Ben van Steenkiste, Jillian Reynolds, Lidia Segura, Marcin Wojnar, Karolina Kłoda, Kathryn Parkinson and 6 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in International journal of environmental research and public health, 2017. 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.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. 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 · 2022
    Article
  8. Factors affecting primary care practitioners' alcohol-related discussions with older adults: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021
    Article
  9. Article
  10. Observational
  11. Article
  12. Article
  13. Observational
  14. Article
  15. Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 12 institutions in 6 countries.

Peter AndersonInstitute of Health and Society, Newcastle University, Newcastle NE1 7RU, UK. peteranderson.mail@gmail.com.
Eileen KanerInstitute of Health and Society, Newcastle University, Newcastle NE1 7RU, UK. eileen.kaner@newcastle.ac.uk.
Myrna KeurhorstRadboud University Medical Center, Radboud Institute for Health Sciences, Scientific Institute for Quality of Healthcare (IQ healthcare), Nijmegen 6525, The Netherlands. myrna.keurhorst@radboudumc.nl.
Preben BendtsenDepartment of Medical Specialist, Linköping University, Motala 58183, Sweden. preben.bendtsen@liu.se.
Ben van SteenkisteDepartment of Family Medicine, Maastricht University, Maastricht 6200, The Netherlands. ben.vansteenkiste@maastrichtuniversity.nl.
Jillian ReynoldsPsychiatry Determent, Neurosciences Institute, Hospital Clínic, IDIBAPS, Barcelona 08003, Spain. TGUAL@clinic.cat.
Lidia SeguraProgram on Substance Abuse, Public Health Agency, Government of Catalonia, Barcelona 08003, Spain. lidia.segura@gencat.cat.
Marcin WojnarDepartment of Psychiatry, Medical University of Warsaw, Warsaw 02-091, Poland. marcin.wojnar@wum.edu.pl.
Karolina KłodaIndependent Laboratory of Family Physician Education, Pomeranian Medical University, Szczecin 70-204, Poland. wikarla@gazeta.pl.
Kathryn ParkinsonInstitute of Health and Society, Newcastle University, Newcastle NE1 7RU, UK. kathryn.parkinson@newcastle.ac.uk.
Colin DrummondNational Addiction Centre, Institute of Psychiatry, King's College London, London WC2B 5RL, UK. colin.drummond@kcl.ac.uk.
Katarzyna Okulicz-KozarynState Agency for Prevention of Alcohol-Related Problems, Warsaw 59620-2905, Poland. katarzyna.okulicz@parpa.pl.
Artur MierzeckiIndependent Laboratory of Family Physician Education, Pomeranian Medical University, Szczecin 70-204, Poland. roklr@sci.pam.szczecin.pl.
Miranda LaurantRadboud University Medical Center, Radboud Institute for Health Sciences, Scientific Institute for Quality of Healthcare (IQ healthcare), Nijmegen 6525, The Netherlands. Miranda.Laurant@radboudumc.nl.
Dorothy Newbury-BirchHealth and Social Care Institute, Teesside University, Middesbrough TS1 3BX, UK. d.newbury-birch@tees.ac.uk.
Antoni GualPsychiatry Determent, Neurosciences Institute, Hospital Clínic, IDIBAPS, Barcelona 08003, Spain. jillianmreynolds@yahoo.com.
Consorci Institut D'Investigacions Biomediques August Pi I Sunyer · ESMaastricht University · NLNewcastle University · GBPomeranian Medical University · PLGeneralitat de Catalunya · ESHAN University of Applied Sciences · NLKing's College London · GBLinköping University · SEMedical University of Warsaw · PLRadboud University Nijmegen · NLState Agency for the Prevention of Alcohol Related Problems · PLTeesside University · GB

Funding

Department of Health HTA/13/86/03Department of Health RP-PG-0609-10162Medical Research Council G0701681Medical Research Council MR/K023195/1Medical Research Council MR/K02325X/1
6 · The paper itself

Abstract

In this paper, we test path models that study the interrelations between primary health care provider attitudes towards working with drinkers, their screening and brief advice activity, and their receipt of training and support and financial reimbursement. Study participants were 756 primary health care providers from 120 primary health care units (PHCUs) in different locations throughout Catalonia, England, The Netherlands, Poland, and Sweden. Our interventions were training and support and financial reimbursement to providers. Our design was a randomized factorial trial with baseline measurement period, 12-week implementation period, and 9-month follow-up measurement period. Our outcome measures were: attitudes of individual providers in working with drinkers as measured by the Short Alcohol and Alcohol Problems Perception Questionnaire; and the proportion of consulting adult patients (age 18+ years) who screened positive and were given advice to reduce their alcohol consumption (intervention activity). We found that more positive attitudes were associated with higher intervention activity, and higher intervention activity was then associated with more positive attitudes. Training and support was associated with both positive changes in attitudes and higher intervention activity. Financial reimbursement was associated with more positive attitudes through its impact on higher intervention activity. We conclude that improving primary health care providers' screening and brief advice activity for heavy drinking requires a combination of training and support and on-the-job experience of actually delivering screening and brief advice activity.

Indexed as

Attitude of Health PersonnelAdultAlcohol DrinkingAlcoholic IntoxicationAlcoholismEnglandFemaleHealth PersonnelHumansMaleMiddle AgedNetherlandsOutcome Assessment, Health CarePolandPrimary Health CareReferral and Consultationfinancial reimbursementheavy drinkingprimary health carerole securityscreening and brief adviceshort alcohol and alcohol problems perception questionnairetherapeutic commitmenttraining and support

Identifiers

PMID28134783
PMCPMC5334675
OpenAlexW2581835811

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.