WP 1 – Management and Coordination
Lead by Antoni Gual - Clinic Foundation for Biomedical Research (FCRB), Spain
The main challenge of the coordination of the ODHIN project was achieving integration of the various research fields included in the project. ODHIN combined a global overview provided by the survey (WP4), the systematic review (WP2), the modelling (WP3) and the assessment tool (WP6) with an ambitious stepped cluster randomised controlled trial (RCT - WP5) that will assess the efficacy/efficiency of alternative approaches aimed at overcoming the two main barriers identified to the dissemination and implementation of brief interventions (time and training).
The main objective of the coordination tasks consisted in creating mutual synergies between the various work packages. In order to reach this objective, efficient communication channels between partners were set up by the coordination team, who ensured that tasks were delivered within the agreed timescales, and also strived enhance the synergies between work packages.
Work Package 1 outputs
- ODHIN 1st periodic report
- ODHIN 2nd periodic report
- ODHIN 3rd periodic report
- ODHIN Final publishable summary report
WP 2 - Knowledge Base - systematic review
Lead by Miranda Laurant - Radboud University Nijmegen Medical Centre (RUNMC), Netherlands
The overall objective of work package 2 was to bridge the gap between evidence base clinical research and everyday clinical practice by building a knowledge base on how identification and brief interventions (IBI) for lifestyle issues can be successfully disseminated and implemented in everyday routine practice.
The focus of this WP was on primary health care (PHC) and on hazardous and harmful alcohol consumption (HHAC). Nonetheless, the hypothesis was that this knowledge base could be translated to the dissemination and implementation of IBI for other lifestyle issues and in other healthcare settings.
This overall aim was specified in the following two objectives:
- To identify effective strategies to disseminate and implement IBI in primary care settings.
- To identify factors that foster or limit dissemination and implementation IBI in primary care settings.
Work package 2 outputs
- WP2 Factsheet
- Deliverable 2.1: Literature review of SBI for lifestyle issues
- e-reader: Knowledge base of successful implementation strategies for lifestyle issues in every day routine care practice
Material in other languages
- WP2 Factsheet
- In Czech: Proces a politické implikace podporující poskytování screeningu a krátké intervence proti nezdravému životnímu stylu: výsledky tří přehledových studií z literatury
- In Dutch: Proces- en beleidsimplicaties voor het verbeteren van screening en kortdurende interventies bij ongezonde leefstijl: resultaten van 3 literatuurstudies.
WP 3 - Cost-effectiveness - modelling
Lead by Alan Brennan and Colin Angus - University of Sheffield (USFD), United Kingdom
The objectives of the work package on cost effectiveness were:
- To adapt the Sheffield Alcohol Policy Model and its appraisal of the cost-effectiveness of screening and brief interventions from its current England context, to model the effectiveness of screening and brief interventions in the Netherlands, Poland and Italy.
- To use the results of the modelling to consider generalisability of interventions across the EU
- To investigate modelling long-term cost-effectiveness of dissemination approaches studied in RCTs in other work packages.
Work package 3 outputs
- WP3 Factsheet
- Deliverable 3.1: Cost-effectiveness Model Report
- Addendum 3.1 on long-term cost-effectiveness
- Scientific Publications:
- Angus, C., Scafato, E., Ghirini, S., Torbica, A., Ferre, F., Struzzo, P., ... & Brennan, A. (2014). Cost-effectiveness of a programme of screening and brief interventions for alcohol in primary care in Italy. BMC family practice, 15(1), 26.
- Angus, C., Latimer, N., Preston, L., Li, J., & Purshouse, R. (2014). What are the implications for policy makers? A systematic review of the cost-effectiveness of screening and brief interventions for alcohol misuse in primary care. Frontiers in psychiatry, 5.
- Angus, C., Thomas, C., Anderson, P., Meier, P. S., & Brennan, A. (2016). Estimating the cost-effectiveness of brief interventions for heavy drinking in primary health care across Europe. The European Journal of Public Health, ckw122.
- Preliminary report on the adaptation of the Sheffield Alcohol Policy Model to the Italian context
- WP3 Protocol Report
Material in other languages
- Czech
- Dutch
- WP3 Factsheet: Kosteneffectiviteitsonderzoek– Resultaten uit Italië, Nederland en Polen uiteengezet en verdere implicaties voor de Europese Unie
- Boomsa, LJ., Drost, IM., Larsen, IM., Luijkx, JJHM., Meerkerk, GJ., (2014). NHG-Standaard Problematisch alcoholgebruik (Derde herziening). Huisarts &Wetenschap, 27(12):638-46.
- Italian
WP 4 - Surveys - stakeholders’ attitudes and experience of implementation
Lead by Marcin Wojnar - Medical University of Warsaw (MUW), Poland
Following the methodology and tools of the WHO Phase III strand I study, a semi-structured questionnaire was designed and a survey protocol developed, to be piloted in the project. The Questionnaire covered several areas: background information about the doctors, the alcohol consumption of the doctors, the attitudes of doctors working with drinking patients, their beliefs about their own activities in working with drinkers, extent of academic education and postgraduate training on alcohol received by general practitioners, their views and attitudes towards management of alcohol problems, their diagnostic performance and their reported management of alcohol problems during the past year, including number of patients managed in the previous year, working environment and its impact on intervening for alcohol problems, role security and therapeutic commitment.
The objectives of the work package were:
- To consolidate and update knowledge of potential barriers and facilitators for general practitioners to implementing Identification and Brief Intervention programmes;
- To increase the understanding of factors that affect whether clinicians will use the IBI intervention;
- To compare attitudes and experiences in delivering IBI in participating European countries with differing cultures, and organization and funding of Primary Health Care services;
- To learn how information about health care interventions are created, packaged, transmitted, and interpreted among a variety of important stakeholder groups.
Work package 4 outputs
- WP4 Factsheet
- Deliverable 4.1 - Survey of attitudes and managing alcohol problems in general practice in Europe
- The survey questionnaire (version used by Newcastle University for the survey in UK; see below for other country versions)
- Scientific Publications
- Rosário, F., & Ribeiro, C. (2013). Working with hazardous and harmful drinkers: derivation and validation of a model for predicting distinct general practitioners groups. Addiction science & clinical practice, 8(1), 1-1.
- Anderson, P., Wojnar, M., Jakubczyk, A., Gual, A., Segura, L., Sovinova, H., ... & Kolsek, M. (2014). Managing Alcohol Problems in General Practice in Europe: Results from the European ODHIN Survey of General Practitioners. Alcohol and Alcoholism, agu043.
- Rosário, F., Wojnar, M., & Ribeiro, C. (2016). Differences between Groups of Family Physicians with Different Attitudes towards At-Risk Drinkers: A Post Hoc Study of the ODHIN Survey in Portugal. International journal of family medicine, 2016
- Rosário, F, Wojnar, M and Ribeiro, C (2016). Can Doctors Be Divided Into Groups Based on Their Attitudes to Addressing Alcohol Issues in Their Patients? Analyses From a Survey of Portuguese General Practitioners. Substance Use & Misuse.52(2):233-239
Materials in other languages
- WP4 Factsheet
- In Czech: Zvládání problémů s alkoholem v práci evropských praktických lékařů: výsledky evropské studie ODHIN zaměřené na názory praktických lékařů
- In Dutch: De zorg voor alcoholgerelateerde problemen in de huisartsenpraktijk in Europa: resultaten van de vragenlijststudie onder huisartsen als onderdeel van de ODHIN studie
- Scientific publications:
- Alkohol v primární zdravotní péči: zkušenosti, názory a postoje českých praktických lékařů.Alkohol v primární zdravotní péči: zkušenosti, názory a postoje českých praktických lékařů. [Alcohol in primary health care: experiences and attitudes of Czech general practitioners]
- The survey questionnaire