Primary Care Implementation Study to Scale up EIBI and Reduce Alcohol Related Negative Outcomes

NCT04398576 | Unknown

• 1 other identifier: s63342
• Study Type: interventional
• Target: 84
• Locations: 0 countries
• Sites: N/A

Brief Summary

The aim of this implementation study is to compare the effect of tailored training and support (T\&S) for general practioners with T\&S and alcohol community actions and the impact it has on early identification of hazardous and harmful drinking and brief intervention.

Conditions

Harmful; Use, Alcohol; Hazardous; Use, Alcohol

Keywords

Alcohol; Screening; Brief Intervention; Implementation; Training and Support; Primary Healthcare; Scaling up; Community actions; hazardous alcohol use heavy drinking; harmful use of alcohol; heavy drinking

Outcome Measures

Primary Outcomes (1)

• Early Identification Rate (EIR)

  The Primary outcome or the Early Identification Rate (EIR) is the proportion of adult consulting patients (18 years and over) that is screened for alcohol consumption during a period of 18 months per area.

  18 months

Secondary Outcomes (2)

• EIR every 3 months

  at 3, 6, 9, 12 and 15 months

• BIR

  at 3, 6, 9, 12, 15 and 18 months

Study Arms (3)

Support as usual

NO INTERVENTION

There will be no interventions, only support as usual. All GPs receive an information package by post or via e-mail containing: * Belgian guidelines on the management of hazardous and harmful alcohol use * A summary card about EIBI for hazardous and harmful alcohol consumption. * Internet links to documentation of the medical association and the Flemish centre of expertise on alcohol and drugs(31). An EHR-update allows the use of an extra e-form permitting standardised introduction of screening results from the Alcohol Use Disorders Identification Test (-Consumption) (AUDIT(-C)), alcohol-related diagnoses and actions including provision of oral brief advice/intervention, referral to a digital-based system for advice and/or referral to another health care provider.

Training and support

ACTIVE COMPARATOR

All GPs receive an information package by post or via e-mail containing: * Belgian guidelines on the management of hazardous and harmful alcohol use * A summary card about EIBI for hazardous and harmful alcohol consumption. * Internet links to documentation of the medical association and the Flemish centre of expertise on alcohol and drugs(31). An EHR-update allows the use of an extra e-form permitting standardised introduction of screening results from the Alcohol Use Disorders Identification Test (-Consumption) (AUDIT(-C)), alcohol-related diagnoses and actions including provision of oral brief advice/intervention, referral to a digital-based system for advice and/or referral to another health care provider. There shall be tailored training and support for the general practioners. At the start of the study, this group receives two face-to-face educational trainings of two hours each. Another two face-to-face booster sessions will follow at 6 and at 12 months.

Behavioral: Training and support

Training and support and community actions

ACTIVE COMPARATOR

In this group, GPs receive the same training and support as in the second arm (training and support). There will also be embedded community-based actions within a local strategy.

Behavioral: Training and support; Behavioral: Community actions

Interventions

Training and support BEHAVIORAL

GP's receive the tools to make early identification of harmful and hazardous alcohol use possible. They are given guidelines to apply a brief intervention. At the start of the study, the T\&S-group receives two face-to-face educational trainings of two hours each. Another two face-to-face booster sessions will follow at 6 and at 12 months.

Training and support; Training and support and community actions

Community actions BEHAVIORAL

There will be embedded community-based actions within a local strategy.

Training and support and community actions

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• GP or GP trainee
• Dutch language use in practice
• Working in general practice in 3 cities of comparable size or their sub municipalities

You may not qualify if:

• \- No possibility of integration of e-form into the EHR-system.

Sponsors & Collaborators

• KU Leuven: lead

Related Publications (1)

• Pussig B, Pas L, Li A, Vermandere M, Aertgeerts B, Mathei C. Primary care implementation study to scale up early identification and brief intervention and reduce alcohol-related negative outcomes at the community level (PINO): study protocol for a quasi-experimental 3-arm study. BMC Fam Pract. 2021 Jul 1;22(1):144. doi: 10.1186/s12875-021-01479-9.

  PMID: 34210261 DERIVED

MeSH Terms

Interventions

Training Support; Community Participation

Intervention Hierarchy (Ancestors)

Financial Support; Economics; Health Care Economics and Organizations; Community Health Services; Health Services; Health Care Facilities Workforce and Services; Consumer Organizations; Organizations

Study Officials

• Cathy Matheï, master

  professor

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Ann Li, master

CONTACT

+32 16 37 21 82; ann.li@kuleuven.be

Cathy Matheï, master

CONTACT

catharina.mathei@kuleuven.be

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: May 13, 2020
• First Posted: May 21, 2020
• Study Start: July 1, 2020
• Primary Completion: October 1, 2021
• Study Completion: February 1, 2022
• Last Updated: May 21, 2020

Record last verified: 2020-05

Data Sharing

• IPD Sharing: Will not share