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首页> 外文期刊>Journal of studies on alcohol >A multicountry controlled trial of strategies to promote dissemination and implementation of brief alcohol intervention in primary health care: findings of a World Health Organization collaborative study.
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A multicountry controlled trial of strategies to promote dissemination and implementation of brief alcohol intervention in primary health care: findings of a World Health Organization collaborative study.

机译：一项多国对照试验，其策略是在初级卫生保健中推广和推广短暂的酒精干预：世界卫生组织一项合作研究的结果。

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OBJECTIVE: This study examines the impact of marketing strategies on the dissemination of a brief alcohol intervention program to general practitioners (GPs). The marketing strategy was tested to determine the most effective way to promote awareness about and consideration of a brief alcohol intervention program. The study also examines the impact of training and support strategies to promote the program's implementation in routine primary care. METHOD: A pragmatic trial was carried out in Australia, Belgium (Flanders), Denmark, England, New Zealand and Spain (Catalonia) in which GPs were randomly allocated into one of three marketing conditions (direct mail, telemarketing and academic detailing [personal visits]). The GPs who requested a brief intervention program and agreed to use it were stratified by previous marketing condition and randomly allocated into one of three implementation strategy groups: written guidance, outreach training and outreach training plus ongoing telephone support. RESULTS: Acceptance of the brief intervention program was more effective with use of telemarketing (65%) and academic detailing (67%) than with direct mail (32%) for promoting awareness about and consideration of a brief alcohol intervention program. The median proportion of patients screened was higher for trained GPs (6%) and supported GPs (9%) than for control GPs (1%), who received only written guidance on how to conduct brief intervention. Similarly, the median rate for giving advice to at-risk patients was higher for trained GPs (3%) and supported GPs (3%) than for control GPs (0%). CONCLUSIONS: The adoption of more direct approaches for disseminating evidence-based intervention programs to GPs is a necessary first step for changing practice behavior. However, outreach training was required to promote actual use of a new procedure in routine practice.
机译：目的：本研究探讨了营销策略对向普通从业者（GPs）传播简短的酒精干预计划的影响。对营销策略进行了测试，以确定最有效的方法来提高对简短酒精干预计划的认识和考虑。该研究还探讨了培训和支持策略对促进该计划在常规初级保健中的实施的影响。方法：在澳大利亚，比利时（佛兰德斯），丹麦，英国，新西兰和西班牙（加泰罗尼亚）进行了一项务实的试验，其中将全科医生随机分配到三种营销条件（直邮，电话营销和学术详细资料[个人访问]中的一种）中]）。要求简短干预计划并同意使用该计划的全科医生按以前的营销条件进行分层，并随机分为三个实施策略组之一：书面指导，外展培训和外展培训以及持续的电话支持。结果：使用电话销售（65％）和学术细节（67％）比使用直接邮件（32％）更有效地接受短暂干预计划，以提高人们对短暂酒精干预计划的认识和考虑。受过训练的全科医生（6％）和受支持的全科医生的筛查患者中位数比例高于对照全科医生（1％），后者仅获得有关如何进行简短干预的书面指导。同样，受过训练的全科医生（3％）和受支持的全科医生（3％）向有风险的患者提供建议的中位率高于对照全科医生（0％）。结论：采用更直接的方法向全科医生传播基于证据的干预计划是改变实践行为的必要的第一步。但是，需要进行外展培训以促进在常规实践中实际使用新程序。

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