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首页> 外文期刊>International Journal of Environmental Research and Public Health >Attitudes and Learning through Practice Are Key to Delivering Brief Interventions for Heavy Drinking in Primary Health Care: Analyses from the ODHIN Five Country Cluster Randomized Factorial Trial
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Attitudes and Learning through Practice Are Key to Delivering Brief Interventions for Heavy Drinking in Primary Health Care: Analyses from the ODHIN Five Country Cluster Randomized Factorial Trial

机译：态度和通过实践学习是在初级卫生保健中进行重度饮酒的简短干预的关键：来自ODHIN的五国群集随机因子试验的分析

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In this paper, we test path models that study the interrelations between primary health care provider attitudes towards working with drinkers, their screening and brief advice activity, and their receipt of training and support and financial reimbursement. Study participants were 756 primary health care providers from 120 primary health care units (PHCUs) in different locations throughout Catalonia, England, The Netherlands, Poland, and Sweden. Our interventions were training and support and financial reimbursement to providers. Our design was a randomized factorial trial with baseline measurement period, 12-week implementation period, and 9-month follow-up measurement period. Our outcome measures were: attitudes of individual providers in working with drinkers as measured by the Short Alcohol and Alcohol Problems Perception Questionnaire; and the proportion of consulting adult patients (age 18+ years) who screened positive and were given advice to reduce their alcohol consumption (intervention activity). We found that more positive attitudes were associated with higher intervention activity, and higher intervention activity was then associated with more positive attitudes. Training and support was associated with both positive changes in attitudes and higher intervention activity. Financial reimbursement was associated with more positive attitudes through its impact on higher intervention activity. We conclude that improving primary health care providers’ screening and brief advice activity for heavy drinking requires a combination of training and support and on-the-job experience of actually delivering screening and brief advice activity.
机译：在本文中，我们测试了路径模型，这些路径模型研究了初级卫生保健提供者与饮酒者合作的态度，他们的筛查和简要建议活动以及他们接受培训和支持以及财务报销之间的相互关系。研究参与者为来自加泰罗尼亚，英格兰，荷兰，波兰和瑞典不同地区的120个初级卫生保健单位（PHCU）的756名初级卫生保健提供者。我们的干预措施是培训和支持，以及对提供者的财务补偿。我们的设计是一项随机因素试验，其基线测量期，12周实施期和9个月随访测量期。我们的结果衡量标准是：通过“简短酒精饮料和酒精问题知觉问卷”衡量的个人提供者与饮酒者合作的态度;以及接受筛查呈阳性并被告知减少饮酒（干预活动）的成年咨询患者（18岁以上）的比例。我们发现，更积极的态度与更高的干预活动有关，然后更高的干预活动与更积极的态度相关。培训和支持与态度的积极变化和更高程度的干预活动有关。通过对更高干预活动的影响，财务报销与更积极的态度相关。我们得出的结论是，要改善初级卫生保健提供者对重度饮酒的筛查和简要建议活动，需要结合培训和支持以及实际提供筛查和简要建议活动的工作经验。

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