Anton Clifford1, Anthony Shakeshaft. 1. National Drug and Alcohol Research Centre, Faculty of Medicine, University of New South Wales, Sydney, Australia. a.shakeshaft@unsw.edu.au
Abstract
INTRODUCTION AND AIMS: Alcohol screening and brief intervention (SBI) is a cost-effective treatment for reducing alcohol misuse in non-Indigenous populations. To increase the likelihood of alcohol SBI proving cost-effective for Indigenous Australians in practice, strategies to increase its uptake in Aboriginal Community Controlled Health Services (ACCHSs) should be implemented. The aim of this study is to describe the experiences of health-care providers supported to implement evidence-based alcohol SBI in two ACCHSs. DESIGN AND METHODS: Pre- and post-surveys were administered to health staff (n = 32) participating in training workshops, followed by group interviews with health-care providers delivering alcohol SBI. Patient group interviews were also conducted. Survey results were summarised using descriptive statistics and interviews were analysed using a phenomenological approach. RESULTS: Thirty-two per cent (n = 10) of workshop participants were confident or very confident at baseline to deliver alcohol SBI, increasing significantly to 81% (n = 25) post-training (McNemar Test, P < 0.05). Fifty-seven per cent (n = 16) of health-care providers attending workshops reported delivering alcohol SBI in the following 6 months. Group interviews with health-care providers elicited five themes relating to their experiences of alcohol SBI delivery. Patients in group interviews expressed a preference to be screened for alcohol as part of health assessments. DISCUSSION AND CONCLUSIONS: Training workshops appear to be an acceptable initial strategy for disseminating alcohol SBI to ACCHSs. Outreach support is required to assist health-care providers to tailor guidelines and resources, and optimally integrate their clinical skills with evidence-based practice. Patients' needs should inform the tailoring process. Tailored collaborative and supportive strategies are probably required to optimally disseminate alcohol SBI in ACCHSs.
INTRODUCTION AND AIMS: Alcohol screening and brief intervention (SBI) is a cost-effective treatment for reducing alcohol misuse in non-Indigenous populations. To increase the likelihood of alcohol SBI proving cost-effective for Indigenous Australians in practice, strategies to increase its uptake in Aboriginal Community Controlled Health Services (ACCHSs) should be implemented. The aim of this study is to describe the experiences of health-care providers supported to implement evidence-based alcohol SBI in two ACCHSs. DESIGN AND METHODS: Pre- and post-surveys were administered to health staff (n = 32) participating in training workshops, followed by group interviews with health-care providers delivering alcohol SBI. Patient group interviews were also conducted. Survey results were summarised using descriptive statistics and interviews were analysed using a phenomenological approach. RESULTS: Thirty-two per cent (n = 10) of workshop participants were confident or very confident at baseline to deliver alcohol SBI, increasing significantly to 81% (n = 25) post-training (McNemar Test, P < 0.05). Fifty-seven per cent (n = 16) of health-care providers attending workshops reported delivering alcohol SBI in the following 6 months. Group interviews with health-care providers elicited five themes relating to their experiences of alcohol SBI delivery. Patients in group interviews expressed a preference to be screened for alcohol as part of health assessments. DISCUSSION AND CONCLUSIONS: Training workshops appear to be an acceptable initial strategy for disseminating alcohol SBI to ACCHSs. Outreach support is required to assist health-care providers to tailor guidelines and resources, and optimally integrate their clinical skills with evidence-based practice. Patients' needs should inform the tailoring process. Tailored collaborative and supportive strategies are probably required to optimally disseminate alcohol SBI in ACCHSs.
Authors: M Mofizul Islam; Helen T Oni; K S Kylie Lee; Noel Hayman; Scott Wilson; Kristie Harrison; Beth Hummerston; Rowena Ivers; Katherine M Conigrave Journal: Addict Sci Clin Pract Date: 2018-03-29
Authors: James H Conigrave; K S Kylie Lee; Paul S Haber; Julia Vnuk; Michael F Doyle; Katherine M Conigrave Journal: Addict Sci Clin Pract Date: 2022-04-05
Authors: Bianca Calabria; Anton Clifford; Anthony P Shakeshaft; Katherine M Conigrave; Lynette Simpson; Donna Bliss; Julaine Allan Journal: Addict Sci Clin Pract Date: 2014-09-01
Authors: K S Kylie Lee; Scott Wilson; Jimmy Perry; Robin Room; Sarah Callinan; Robert Assan; Noel Hayman; Tanya Chikritzhs; Dennis Gray; Edward Wilkes; Peter Jack; Katherine M Conigrave Journal: BMC Med Inform Decis Mak Date: 2018-01-15 Impact factor: 2.796