Encouraging GPs to undertake screening and a brief intervention in order to reduce problem drinking: a randomized controlled trial

Abstract

Telephone contact and academic detailing are more effective than direct mail in encouraging GPs to request an SBI package, but GPs who were approached by academic detailing were more likely to have utilized the package than GPs who were approached by telephone. The relatively high uptake and utilization rates obtained in the academic detailing approach suggest that this approach is to be preferred in encouraging a rapid uptake of SBI among GPs. However, the high costs associated with this approach need to be taken into consideration.

Effectiveness of strategies to implement brief alcohol intervention in primary healthcare

“…The ''discussion'' section of the studies provided further information regarding the study findings and the conclusions of the authors. [34,37], two in Sweden [32,35], and one each in Finland [36], Denmark [33], and the USA [39].…”

“…Four studies [30,33,34,38] involved one physician per practice, while one study [37] involved one nurse per practice. Six studies [29,31,32,35,36,39] were conducted at the practice level.…”

“…Two studies [38,39] assessed the effectiveness of one implementation strategy using a control group strategy, while five studies [30,31,33,34,37] compared the effectiveness of two or three implementation strategies. Two of the studies [32,39] involved comparisons of personnel categories.…”

“…A randomized controlled trial (RCT) was the most frequently applied study design; it was employed in five studies [30,33,34,37,38] (all with post-test-only outcome measurement). A non-randomized pre-test Á/post-test design was used in three studies [32,36,39] and a post-test-only design was applied in two studies [29,35].…”

“…The most frequently used outcome measure was BI rate (measured in 10 of the 11 studies) [29Á/32,34 Á/39], followed by screening rate (9 studies) [30 Á/32,34 Á/39], and material utilization rate (five studies) [29,31,33,34,37]. The primary data sources were questionnaire self-reports and selfmonitoring reports of BI activity by the PHC personnel.…”