Effect of Community Support on the Implementation of Primary Health Care-Based Measurement of Alcohol Consumption
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Effect of Community Support on the Implementation of Primary Health Care-Based Measurement of Alcohol Consumption. / Solovei, Adriana; Jané-Llopis, Eva; Mercken, Liesbeth; Bustamante, Inés; Kokole, Daša; Mejía-Trujillo, Juliana; Medina Aguilar, Perla Sonia; Natera Rey, Guillermina; O'Donnell, Amy; Piazza, Marina; Schmidt, Christiane Sybille; Anderson, Peter; de Vries, Hein.
In: PREV SCI, Vol. 23, No. 2, 02.2022, p. 224-236.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Effect of Community Support on the Implementation of Primary Health Care-Based Measurement of Alcohol Consumption
AU - Solovei, Adriana
AU - Jané-Llopis, Eva
AU - Mercken, Liesbeth
AU - Bustamante, Inés
AU - Kokole, Daša
AU - Mejía-Trujillo, Juliana
AU - Medina Aguilar, Perla Sonia
AU - Natera Rey, Guillermina
AU - O'Donnell, Amy
AU - Piazza, Marina
AU - Schmidt, Christiane Sybille
AU - Anderson, Peter
AU - de Vries, Hein
N1 - © 2022. The Author(s).
PY - 2022/2
Y1 - 2022/2
N2 - Alcohol measurement delivered by health care providers in primary health care settings is an efficacious and cost-effective intervention to reduce alcohol consumption among patients. However, this intervention is not yet routinely implemented in practice. Community support has been recommended as a strategy to stimulate the delivery of alcohol measurement by health care providers, yet evidence on the effectiveness of community support in this regard is scarce. The current study used a pre-post quasi-experimental design in order to investigate the effect of community support in three Latin American municipalities in Colombia, Mexico, and Peru on health care providers' rates of measuring alcohol consumption in their patients. The analysis is based on the first 5 months of implementation. Moreover, the study explored possible mechanisms underlying the effects of community support, through health care providers' awareness of support, as well as their attitudes, subjective norms, self-efficacy, and subsequent intention toward delivering the intervention. An ANOVA test indicated that community support had a significant effect on health care providers' rates of measuring alcohol consumption in their patients (F (1, 259) = 4.56, p = 0.034, ηp2 = 0.018). Moreover, a path analysis showed that community support had a significant indirect positive effect on providers' self-efficacy to deliver the intervention (b = 0.07, p = 0.008), which was mediated through awareness of support. Specifically, provision of community support resulted in a higher awareness of support among health care providers (b = 0.31, p < 0.001), which then led to higher self-efficacy to deliver brief alcohol advice (b = 0.23, p = 0.010). Results indicate that adoption of an alcohol measurement intervention by health care providers may be aided by community support, by directly impacting the rates of alcohol measurement sessions, and by increasing providers' self-efficacy to deliver this intervention, through increased awareness of support. Trial Registration ID: NCT03524599; Registered 15 May 2018; https://clinicaltrials.gov/ct2/show/NCT03524599.
AB - Alcohol measurement delivered by health care providers in primary health care settings is an efficacious and cost-effective intervention to reduce alcohol consumption among patients. However, this intervention is not yet routinely implemented in practice. Community support has been recommended as a strategy to stimulate the delivery of alcohol measurement by health care providers, yet evidence on the effectiveness of community support in this regard is scarce. The current study used a pre-post quasi-experimental design in order to investigate the effect of community support in three Latin American municipalities in Colombia, Mexico, and Peru on health care providers' rates of measuring alcohol consumption in their patients. The analysis is based on the first 5 months of implementation. Moreover, the study explored possible mechanisms underlying the effects of community support, through health care providers' awareness of support, as well as their attitudes, subjective norms, self-efficacy, and subsequent intention toward delivering the intervention. An ANOVA test indicated that community support had a significant effect on health care providers' rates of measuring alcohol consumption in their patients (F (1, 259) = 4.56, p = 0.034, ηp2 = 0.018). Moreover, a path analysis showed that community support had a significant indirect positive effect on providers' self-efficacy to deliver the intervention (b = 0.07, p = 0.008), which was mediated through awareness of support. Specifically, provision of community support resulted in a higher awareness of support among health care providers (b = 0.31, p < 0.001), which then led to higher self-efficacy to deliver brief alcohol advice (b = 0.23, p = 0.010). Results indicate that adoption of an alcohol measurement intervention by health care providers may be aided by community support, by directly impacting the rates of alcohol measurement sessions, and by increasing providers' self-efficacy to deliver this intervention, through increased awareness of support. Trial Registration ID: NCT03524599; Registered 15 May 2018; https://clinicaltrials.gov/ct2/show/NCT03524599.
KW - Alcohol Drinking/prevention & control
KW - Community Support
KW - Health Personnel
KW - Humans
KW - Mexico
KW - Primary Health Care
U2 - 10.1007/s11121-021-01329-1
DO - 10.1007/s11121-021-01329-1
M3 - SCORING: Journal article
C2 - 35032246
VL - 23
SP - 224
EP - 236
JO - PREV SCI
JF - PREV SCI
SN - 1389-4986
IS - 2
ER -
