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Evaluation of an intervention for patients with alcohol-related injuries: results of a mixed methods study.
- Source :
-
Australian and New Zealand journal of public health [Aust N Z J Public Health] 2015 Jun; Vol. 39 (3), pp. 216-21. - Publication Year :
- 2015
-
Abstract
- Objective: To explore the effect of education and training on the delivery of alcohol screening and brief intervention and referral to high-risk patients in a hospital setting. Main outcome measures included; delivery of training; practice change in relation to staff performing alcohol screening, brief intervention and referrals.<br />Methods: Observational study design using mixed methods set in a tertiary referral hospital. Pre-post assessment of medical records and semi-structured interviews with key informants.<br />Results: Routine screening for substance misuse (9% pre / 71.4% post) and wellbeing concerns (6.6% pre / 15 % post) was more frequent following the introduction of resources and staff participation in educational workshops. There was no evidence of a concomitant increase in delivery of brief intervention or referrals to services. Implementation challenges, including time constraints and staff attitudes, and enablers such as collaboration and visible pathways, were identified.<br />Conclusion: Rates of patient screening increased, however barriers to delivery of brief intervention and referrals remained. Implementation strategies targeting specific barriers and enablers to introducing interventions are both required to improve the application of secondary prevention for patients in acute settings.<br />Implications: Educational training, formalised liaison between services, systematised early intervention protocols, and continuous quality improvement processes will progress service delivery in this area.<br /> (© 2015 Public Health Association of Australia.)
- Subjects :
- Adult
Alcohol-Related Disorders epidemiology
Australia epidemiology
Female
Health Promotion methods
Humans
Interviews as Topic
Male
Middle Aged
Outcome and Process Assessment, Health Care
Patient Admission statistics & numerical data
Qualitative Research
Socioeconomic Factors
Wounds and Injuries therapy
Alcohol Drinking prevention & control
Alcohol-Related Disorders diagnosis
Attitude of Health Personnel
Mass Screening methods
Referral and Consultation statistics & numerical data
Wounds and Injuries epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1753-6405
- Volume :
- 39
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Australian and New Zealand journal of public health
- Publication Type :
- Academic Journal
- Accession number :
- 26041086
- Full Text :
- https://doi.org/10.1111/1753-6405.12375