Randomised controlled non-inferiority trial of primary care based facilitated access to an alcohol reduction website (EFAR-FVG)

Wallace, Paul K.; Struzzo, Piero; Vedova, Roberto Della; Tersar, Costanza; Verbano, Lisa; Lygidakis, Charilaos; MacGregor, R G; Freemantle, Nick; Scafato, Emanuele

doi:10.1186/1940-0640-8-s1-a83

Cited by 4 publications

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“…However, we have taken account of this by using conservative estimates in calculating the anticipated facilitated access rates, and will offer training to all the participating PHCPs in order to overcome usability problems. The current version of the website has been well-accepted by Italian professionals and patients, 26 and all the professionals participating in the EFAR Spain trial will be invited to familiarise themselves with the website prior to the start of the trial. Furthermore, the research team will provide continuous support though email, an internet forum and by telephone.…”

Section: Discussionmentioning

confidence: 99%

A randomised controlled non-inferiority trial of primary care-based facilitated access to an alcohol reduction website (EFAR Spain): the study protocol

et al. 2014

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IntroductionEarly identification (EI) and brief interventions (BIs) for risky drinkers are effective tools in primary care. Lack of time in daily practice has been identified as one of the main barriers to implementation of BI. There is growing evidence that facilitated access by primary healthcare professionals (PHCPs) to a web-based BI can be a time-saving alternative to standard face-to-face BIs, but there is as yet no evidence about the effectiveness of this approach relative to conventional BI. The main aim of this study is to test non-inferiority of facilitation to a web-based BI for risky drinkers delivered by PHCP against face-to-face BI.Method and analysisA randomised controlled non-inferiority trial comparing both interventions will be performed in primary care health centres in Catalonia, Spain. Unselected adult patients attending participating centres will be given a leaflet inviting them to log on to a website to complete the Alcohol Use Disorders Identification Test (AUDIT-C) alcohol screening questionnaire. Participants with positive results will be requested online to complete a trial module including consent, baseline assessment and randomisation to either face-to-face BI by the practitioner or BI via the alcohol reduction website. Follow-up assessment of risky drinking will be undertaken online at 3 months and 1 year using the full AUDIT and D5-EQD5 scale. Proportions of risky drinkers in each group will be calculated and non-inferiority assessed against a specified margin of 10%. Assuming reduction of 30% of risky drinkers receiving standard intervention, 1000 patients will be required to give 90% power to reject the null hypothesis.Ethics and disseminationThe protocol was approved by the Ethics Commmittee of IDIAP Jordi Gol i Gurina P14/028. The findings of the trial will be disseminated through peer-reviewed journals, national and international conference presentations.Trial registration numberClinicalTrials.gov NCT02082990.

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Section: Discussionmentioning

confidence: 99%

A randomised controlled non-inferiority trial of primary care-based facilitated access to an alcohol reduction website (EFAR Spain): the study protocol

et al. 2014

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“…Facilitated access to e-health and m-health modules could potentially boost the implementation and coverage of brief advice, and a number of clinical trials are underway [ ; ( 14 , 15 )]. Ambitious projects have already been carried out, such as the FP7 EU funded project ODHIN ( ), which compared three strategies for promoting screening and brief advice activity in primary care (training and support, financial reimbursement, and referral to internet-based brief interventions), delivered separately or in combination.…”

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confidence: 99%

Editorial: Brief Interventions for Risky Drinkers

et al. 2016

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“…Do not disseminate or use without explicit permission from the authors engagement with the process, raising questions [15] about which professional characteristics are likely to be responsible for this.…”

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Factors affecting engagement of primary health care professionals and their patients in facilitated access to online alcohol screening and brief intervention

López‐Pelayo

Wallace

Miquel

et al. 2019

International Journal of Medical Informatics

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Objective: Understanding the impact of Level of Information and Communication Technology Use, computer self-efficacy and perceived product usability of healthcare professionals regarding an alcohol consumption reduction website on facilitated access defined as referring patients to the webpage.Methods: 52 nurses and 41 general practitioners were assessed before patient recruitment started, using a questionnaire designed to assess socio-demographic characteristics, professional engagement to the website, Level of Information and Communication Technology Use, Computer self-efficacy ("the judgment of one's capability to use a computer") and Perceived product usability ("the extent to which a product can be used by specified users to achieve specified goals with effectiveness, efficiency, and satisfaction in a specified context of use"). Dependent variable was the self-report of number of brochures distributed to patients.Results: Professionals' engagement with facilitated access measured by brochures handed out was not predicted by Perceived product usability, Level of Information and Communication Technology Use or Computer self-efficacy. Professionals who had actively engaged with the website (customization) provided significantly more brochures compared with those who had not (Coefficient B 15.7 CI95% 3.5 to 27.8). Professional's socio-demographic characteristics did not predict engagement in facilitated access. Conclusion: Professionals' Perceived product usability, Level of Information and CommunicationTechnology Use and Computer self-efficacy were not associated to facilitated access. Active early engagement of health professionals with the website (customization) is a key predictor of subsequent engagement with facilitated access.

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Randomised controlled non-inferiority trial of primary care based facilitated access to an alcohol reduction website (EFAR-FVG)

Cited by 4 publications

References 0 publications

A randomised controlled non-inferiority trial of primary care-based facilitated access to an alcohol reduction website (EFAR Spain): the study protocol

A randomised controlled non-inferiority trial of primary care-based facilitated access to an alcohol reduction website (EFAR Spain): the study protocol

Editorial: Brief Interventions for Risky Drinkers

Factors affecting engagement of primary health care professionals and their patients in facilitated access to online alcohol screening and brief intervention

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