WP 5 - Stepped Cluster RCT comparing incentives for implementation
Lead by Preben Bendtsen - Linköping University (LIU), Sweden
The overall objective was to study a number of factors that might increase implementation of evidence-based methods of identification and brief intervention for excessive alcohol consumption in routine primary health care.
The study design was a stepped cluster RCT in 5 countries and the endpoint of the study is the number of interventions delivered during a certain time period.
More specifically, this work package examined:
- The effect of Continuous Medical Education (CME) to PHC providers
- The effect of financial reimbursement to PHC providers as a pay-for-performance of brief alcohol interventions
- Whether an alternative internet based method of delivering brief intervention can increase the proportion of patients reached
- If an additional implementation strategy will give an added value to one already adopted.
Work package 5 outputs
- WP5 Factsheet
- Deliverable 5.1 - RCT protocol
- Deliverable 5.2 - Implementation science
- Deliverable 5.3 - Implementation guide
- Randomised controlled trial datasets (for logged-in users)
- Scientific Publications
- Keurhorst, M., Heinen, M., Colom, J., Linderoth, C., Müssener, U., Okulicz-Kozaryn, K. et al. (2016) Strategies in primary healthcare to implement early identification of risky alcohol consumption: why do they work or not? A qualitative evaluation of the ODHIN study. BMC Family Practice 2016;17(1), 1.
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Bendtsen, P., Müssener, U., Karlsson, N., López-Pelayo, H., Palacio-Vieira, J., Colom, J., Gual, A., Reynolds, J., Wallace, P., Segura, L. & Anderson, P. (2016). Implementing referral to an electronic alcohol brief advice website in primary healthcare: results from the ODHIN implementation trial. BMJ open, 6(6), e010271.
- Anderson, P., Gual, A., Spak, F., Bendtsen, P., Keurhorst, M., Segura, L. et al. (2013). Implementing brief interventions for heavy drinking in primary health care - ODHIN baseline and preliminary outcome results. Alcohol and Alcoholism, 48(suppl 1),58
- Keurhorst, M. N., Anderson, P., Spak, F., Bendtsen, P., Segura, L., Colom, J. et al. (2013). Implementing training and support, financial reimbursement, and referral to an internet-based brief advice program to improve the early identification of hazardous and harmful alcohol consumption in primary care (ODHIN): study protocol for a cluster randomized factorial trial. Implementation Science, 8(1), 11.
- Scientific Publications
Countries' own-language information and material:
(Tryck på länken gå till test, välj språk och sedan kommer man till en meny där man kan välja alkoholtetstet.)
WP 6 - Assessment tool - implementation of IBIs
Lead by Emmanuele Scafato - Istituto Superiore di Sanità (ISS), Italy
Within the Framework of the 24-country European platform of the PHEPA Project (Primary Health Care European Project on Alcohol), an assessment tool to describe the available services for the management of hazardous and harmful alcohol consumption on the primary health sector and its mapping across the PHEPA countries was previously developed. The aim of this process was to identify the available infrastructures and also the deficiencies or areas that need further work and strengthening, both at the country and at the European level.
The objectives of WP6 were to formalise, operationalise and test the PHEPA assessment tool, in order to produce an instrument that can be used by countries to assess the implementation and the extent of identification and brief interventions (IBIs) for hazardous and harmful alcohol consumption throughout Primary Health Care settings.
Among the objectives to be reached were the identification of the 'state-of-the-art' in each country, and gaps or areas in the country in need of further work and strengthening; as well as to monitor the adequacy of IBI programmes for hazardous and harmful alcohol consumption, in order to provide recommendations to improve and optimise delivery of health care interventions.
In summary, this work package collected all the elements necessary for the ODHIN research group to:
- provide a baseline measurement of services for managing hazardous and harmful alcohol consumption, identifying areas where services may require development or strengthening;
- provide a mechanism for monitoring service provision over time;
- allow sharing of information and examples of practice between countries and regions;
- provide a mechanism for coalitions or partnerships to discuss and have a shared view on services for managing hazardous and harmful alcohol consumption.
The collection of information included all that required for effective dissemination of brief interventions within a health care systems perspective, including the domains of organisation of health care, support for providing brief interventions, availability of brief interventions, provision of effective brief interventions by health care providers and uptake of effective brief interventions by the general population.
The final tool documented the current status of brief interventions in each of the partner countries, identifying strengths and limitations or barriers in the main health care system domains.
Work package 6 outputs
Materials in other languages
- WP6 Factsheet
WP 7 - From Science to Policy - future challenges and dialogues
Lead by Peter Anderson - Newcastle University (NU), United Kingdom
The overall concept of ODHIN was to increase knowledge of how to optimize the delivery of identification and brief interventions (IBI) for hazardous and harmful alcohol consumption in Primary Health Care (PHC), through a better understanding of how to translate the results of clinical research in everyday practice in PHC settings.
An additional objective was to translate the research results in clinical practice - through national and EU-level decision-maker dialogues -, and to develop a strategy and materials on effective approaches to adopting IBI into daily practice and making them available to the general population, in order to:
- disseminate the findings amongst the scientific community
- form a critical mass of IBI implementation researchers (network)
- update and expand the clinical evidence-based database on effective and cost-effective IBI measures for use in PHC
- To translate science into easily understandable conclusions and recommendations for primary health care professionals, policy makers and the public
Work package 7 outputs
- A series of 6 concise factsheets (also in non-English language versions) on the ODHIN research findings, giving information for policy advisors, programme managers and funders of health services on the implementation of screening and brief interventionfor heavy drinking in every day practice
- Deliverable 7.1 Future challenges guidance
- e-Reader Guidance for the future governance of delivering screening and brief intervention programmes for heavy drinking in primary health care, based on the findings of the ODHIN Project
- e-Guidance for primary health care providers, commissioners and funders
- Evidence-based database on on effective and cost-effective IBI measures for use in PHC
- Milestone 6 - a series of policy dialogues with country decision makers celebrated in the first half of the project: Catalonia, Czech Republic, The Netherlands, Poland, Portugal, Sweden (for logged-in users)
- A final dialogue between ODHIN scientists and decision makers.
- Scientific Publications
- Internet applications for screening and brief interventions for alcohol in primary care settings-implementation and sustainability
- Brief Interventions Implementation on Alcohol from the European Health Systems Perspective
- From efficacy to effectiveness and beyond: What next for brief interventions in primary care?
- Scientific Publications
Material in other lenguages
Catalunya
Optimització de la implementació del cribratge i la intervenció breu en el consum de risc i perjudicial d’alcohol a Catalunya
Liderat en Catalunya per la Subdirecció General de Drogodependències de l’Agencia de Salut Pública de Catalunya i la Unitat d’addiccions de la Fundació Clínic per a la Recerca Biomèdica
- El propòsit de l’estudi ODHIN és comparar, respecte la condició control, l’impacte de 3 condicions diferents, tant per separat com en combinació, en la taxa de cribratge i d’intervenció breu del consum de risc i perjudicial d’alcohol a l’atenció primària.
- Les tres condicions que es provaran són:
- formació i suport,
- incentiu econòmic,
- i derivació a un programa d’intervenció en línia.
- Es tracta d’un assaig aleatori factorial en 5 països europeus: Catalunya, Suècia, Regne Unit, Polònia i Holanda.
El protocol del estudi ha estat aprovat en Catalunya pel Comitè d’Ètica Assistencial de l’APS de l'IDIAP Jordi Gol (Institut d’Investigació en Attenció Primaria).
Més informació:
Més informació i/o consultes: This email address is being protected from spambots. You need JavaScript enabled to view it.This email address is being protected from spambots. You need JavaScript enabled to view it.">
Amb la col.laboració de:
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Subdirecció General de Drogodependències de l’Agencia de Salut Pública de Catalunya (ASPCAT) Joan Colom, Lidia Segura, Begoña Baena, Jorge Palacio-Vieira, Estela Diaz, Eva Molinar |
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Fundació Clínic per a la Recerca Biomèdica (FCRB) Antoni Gual, Jillian Reynolds, Silvia Matrai
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Institut Català de la Salut (ICS):
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| Sistema d’Informació per al Desenvolupament de la Investigació en Atenció Primària (SIDIAP) |  |
