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首页> 外文OA文献 >Strategies to Overcome Barriers to Implementation of Alcohol Screening and Brief Intervention in General Practice: a Delphi Study Among Healthcare Professionals and Addiction Prevention Experts
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Strategies to Overcome Barriers to Implementation of Alcohol Screening and Brief Intervention in General Practice: a Delphi Study Among Healthcare Professionals and Addiction Prevention Experts

机译：克服实施酒精筛查和简短干预一般实践中的障碍的策略：医疗专业人员和成瘾预防专家之间的德尔菲研究

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Despite the evidence base, alcohol screening and brief intervention (ASBI) have rarely been integrated into routine clinical practice. The aim of this study is to identify strategies that could tackle barriers to ASBI implementation in general practice by involving primary healthcare professionals and addiction prevention experts. A three-round online Delphi study was carried out in the Netherlands. The first-round questionnaire consisted of open-ended questions to generate ideas about strategies to overcome barriers. In the second round, participants were asked to indicate how applicable they found each strategy. Items without consensus were systematically fed back with group median ratings and interquartile range (IQR) scores in the third-round questionnaire. In total, 39 out of 69 (57 %) invited participants enrolled in the first round, 214 participants completed the second round, and 144 of these (67 %) completed the third-round questionnaire. Results show that participants reached consensus on 59 of 81 strategies, such as the following: (1) use of E-learning technology, (2) symptom-specific screening by general practitioners (GPs) and/or universal screening by practice nurses, (3) reimbursement incentives, (4) supportive materials, (5) clear guidelines, (6) service provision of addiction care centers, and (7) more publicity in the media. This exploratory study identified a broad set of strategies that could potentially be used for overcoming barriers to ASBI implementation in general practice and paves the way for future research to experimentally test the identified implementation strategies using multifaceted approaches.
机译：尽管有证据基础，酒精筛查和短暂干预（ASBI）很少被纳入常规临床实践。这项研究的目的是通过让主要的医疗保健专业人员和成瘾预防专家参与，确定可以在一般实践中解决ASBI实施障碍的策略。在荷兰进行了三轮在线Delphi研究。第一轮调查问卷由不限成员名额的问题组成，以产生有关克服障碍的策略的想法。在第二轮中，要求参与者指出他们发现每种策略的适用性。在第三轮问卷调查中，没有共识的项目系统地反馈了组中位数评分和四分位间距（IQR）分数。总共有69位中的39位（57％）被邀请参加第一轮问卷调查，其中214位参与者完成了第二轮，其中144位（67％）完成了第三轮问卷调查。结果表明，参与者对81种策略中的59种达成了共识，这些策略包括：（1）使用电子学习技术，（2）全科医生（GPs）进行的症状特异性筛查和/或执业护士的普遍筛查，（ 3）报销激励措施；（4）支持性材料；（5）明确的准则；（6）提供戒毒所服务；以及（7）在媒体上进行更多宣传。这项探索性研究确定了广泛的策略，可用于克服一般实践中ASBI实施的障碍，并为将来的研究以多方面的方法对已确定的实施策略进行实验性测试铺平了道路。

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