Electronic screening and brief intervention for unhealthy alcohol use in primary care waiting rooms - A pilot project.

Details

Serval ID
serval:BIB_5140CC607B62
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Electronic screening and brief intervention for unhealthy alcohol use in primary care waiting rooms - A pilot project.
Journal
Substance abuse
Author(s)
Bertholet N., Cunningham J.A., Adam A., McNeely J., Daeppen J.B.
ISSN
1547-0164 (Electronic)
ISSN-L
0889-7077
Publication state
Published
Issued date
2020
Peer-reviewed
Oui
Volume
41
Number
3
Pages
347-355
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Background: In primary care, electronic self-administered screening and brief interventions for unhealthy alcohol may overcome some of the implementation barriers of face-to-face intervention. We developed an anonymous electronic self-administered screening brief intervention device for unhealthy alcohol use and assessed its feasibility and acceptability in primary care practice waiting rooms. Two modes of delivery were compared: with or without the presence of a research assistant (RA) to make patients aware of the device's presence and help users. Using the device was optional. Methods: The devices were placed in 10 participating primary care practices waiting rooms for 6 weeks, and were accessible on a voluntary basis. Number of appointments by each practice during the course of the study was recorded. Access to the electronic brief intervention was voluntary among those who screened positive. Screening and brief intervention rates and characteristics of users were compared across the modes of delivery. Results: During the study, there were 7270 appointments and 1511 individuals used the device (20.8%). Mean age of users was 45.3 (19.5), and 57.9% screened positive for unhealthy alcohol use. Of them, 53.8% accessed the brief intervention content. The presence of the RA had a major impact on the device's usage (59.6% vs 17.4% when absent). When the RA was present, participants were less likely to screen positive (49.4% vs 60.7%, P = 0.0003) but more likely to access the intervention (62.7% vs 51.4%, P = 0.009). Results from the satisfaction survey indicated that users found the device easy to use (93.5%), questions useful (89-95%) and 77.2% reported that their friends would be willing to use it. Conclusions: This pilot project indicates that the implementation of an electronic screening and brief intervention device for unhealthy alcohol is feasible and acceptable in primary care practices but that, without human support, its use is rather limited.
Keywords
Electronic, primary care, screening and brief intervention, unhealthy alcohol use
Pubmed
Web of science
Create date
06/08/2019 17:09
Last modification date
23/10/2020 6:23
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