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Impact of Training and Municipal Support on Primary Health Care-Based Measurement of Alcohol Consumption in Three Latin American Countries: 5-Month Outcome Results of the Quasi-experimental Randomized SCALA Trial

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Impact of Training and Municipal Support on Primary Health Care-Based Measurement of Alcohol Consumption in Three Latin American Countries: 5-Month Outcome Results of the Quasi-experimental Randomized SCALA Trial. / Anderson, Peter; Manthey, Jakob; Llopis, Eva Jané; Rey, Guillermina Natera; Bustamante, Ines V; Piazza, Marina; Aguilar, Perla Sonia Medina; Mejía-Trujillo, Juliana; Pérez-Gómez, Augusto; Rowlands, Gill; Lopez-Pelayo, Hugo; Mercken, Liesbeth; Kokole, Dasa; O'Donnell, Amy; Solovei, Adriana; Kaner, Eileen; Schulte, Bernd; de Vries, Hein; Schmidt, Christiane; Gual, Antoni; Rehm, Jürgen.

In: J GEN INTERN MED, Vol. 36, No. 9, 09.2021, p. 2663-2671.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Anderson, P, Manthey, J, Llopis, EJ, Rey, GN, Bustamante, IV, Piazza, M, Aguilar, PSM, Mejía-Trujillo, J, Pérez-Gómez, A, Rowlands, G, Lopez-Pelayo, H, Mercken, L, Kokole, D, O'Donnell, A, Solovei, A, Kaner, E, Schulte, B, de Vries, H, Schmidt, C, Gual, A & Rehm, J 2021, 'Impact of Training and Municipal Support on Primary Health Care-Based Measurement of Alcohol Consumption in Three Latin American Countries: 5-Month Outcome Results of the Quasi-experimental Randomized SCALA Trial', J GEN INTERN MED, vol. 36, no. 9, pp. 2663-2671. https://doi.org/10.1007/s11606-020-06503-9

APA

Anderson, P., Manthey, J., Llopis, E. J., Rey, G. N., Bustamante, I. V., Piazza, M., Aguilar, P. S. M., Mejía-Trujillo, J., Pérez-Gómez, A., Rowlands, G., Lopez-Pelayo, H., Mercken, L., Kokole, D., O'Donnell, A., Solovei, A., Kaner, E., Schulte, B., de Vries, H., Schmidt, C., ... Rehm, J. (2021). Impact of Training and Municipal Support on Primary Health Care-Based Measurement of Alcohol Consumption in Three Latin American Countries: 5-Month Outcome Results of the Quasi-experimental Randomized SCALA Trial. J GEN INTERN MED, 36(9), 2663-2671. https://doi.org/10.1007/s11606-020-06503-9

Vancouver

Anderson P, Manthey J, Llopis EJ, Rey GN, Bustamante IV, Piazza M et al. Impact of Training and Municipal Support on Primary Health Care-Based Measurement of Alcohol Consumption in Three Latin American Countries: 5-Month Outcome Results of the Quasi-experimental Randomized SCALA Trial. J GEN INTERN MED. 2021 Sep;36(9):2663-2671. https://doi.org/10.1007/s11606-020-06503-9

Bibtex

@article{a9b0a50a080d4247bab1f237e4239b88,
title = "Impact of Training and Municipal Support on Primary Health Care-Based Measurement of Alcohol Consumption in Three Latin American Countries: 5-Month Outcome Results of the Quasi-experimental Randomized SCALA Trial",
abstract = "PURPOSE: We aimed to test the effects of providing municipal support and training to primary health care providers compared to both training alone and to care as usual on the proportion of adult patients having their alcohol consumption measured.METHODS: We undertook a quasi-experimental study reporting on a 5-month implementation period in 58 primary health care centres from municipal areas within Bogot{\'a} (Colombia), Mexico City (Mexico), and Lima (Peru). Within the municipal areas, units were randomized to four arms: (1) care as usual (control); (2) training alone; (3) training and municipal support, designed specifically for the study, using a less intensive clinical and training package; and (4) training and municipal support, designed specifically for the study, using a more intense clinical and training package. The primary outcome was the cumulative proportion of consulting adult patients out of the population registered within the centre whose alcohol consumption was measured (coverage).RESULTS: The combination of municipal support and training did not result in higher coverage than training alone (incidence rate ratio (IRR) = 1.0, 95% CI = 0.6 to 0.8). Training alone resulted in higher coverage than no training (IRR = 9.8, 95% CI = 4.1 to 24.7). Coverage did not differ by intensity of the clinical and training package (coefficient = 0.8, 95% CI 0.4 to 1.5).CONCLUSIONS: Training of providers is key to increasing coverage of alcohol measurement amongst primary health care patients. Although municipal support provided no added value, it is too early to conclude this finding, since full implementation was shortened due to COVID-19 restrictions.TRIAL REGISTRATION: Clinical Trials.gov ID: NCT03524599; Registered 15 May 2018; https://clinicaltrials.gov/ct2/show/NCT03524599.",
keywords = "Adult, Alcohol Drinking/epidemiology, Humans, Latin America/epidemiology, Primary Health Care",
author = "Peter Anderson and Jakob Manthey and Llopis, {Eva Jan{\'e}} and Rey, {Guillermina Natera} and Bustamante, {Ines V} and Marina Piazza and Aguilar, {Perla Sonia Medina} and Juliana Mej{\'i}a-Trujillo and Augusto P{\'e}rez-G{\'o}mez and Gill Rowlands and Hugo Lopez-Pelayo and Liesbeth Mercken and Dasa Kokole and Amy O'Donnell and Adriana Solovei and Eileen Kaner and Bernd Schulte and {de Vries}, Hein and Christiane Schmidt and Antoni Gual and J{\"u}rgen Rehm",
note = "{\textcopyright} 2021. The Author(s).",
year = "2021",
month = sep,
doi = "10.1007/s11606-020-06503-9",
language = "English",
volume = "36",
pages = "2663--2671",
journal = "J GEN INTERN MED",
issn = "0884-8734",
publisher = "Springer New York",
number = "9",

}

RIS

TY - JOUR

T1 - Impact of Training and Municipal Support on Primary Health Care-Based Measurement of Alcohol Consumption in Three Latin American Countries: 5-Month Outcome Results of the Quasi-experimental Randomized SCALA Trial

AU - Anderson, Peter

AU - Manthey, Jakob

AU - Llopis, Eva Jané

AU - Rey, Guillermina Natera

AU - Bustamante, Ines V

AU - Piazza, Marina

AU - Aguilar, Perla Sonia Medina

AU - Mejía-Trujillo, Juliana

AU - Pérez-Gómez, Augusto

AU - Rowlands, Gill

AU - Lopez-Pelayo, Hugo

AU - Mercken, Liesbeth

AU - Kokole, Dasa

AU - O'Donnell, Amy

AU - Solovei, Adriana

AU - Kaner, Eileen

AU - Schulte, Bernd

AU - de Vries, Hein

AU - Schmidt, Christiane

AU - Gual, Antoni

AU - Rehm, Jürgen

N1 - © 2021. The Author(s).

PY - 2021/9

Y1 - 2021/9

N2 - PURPOSE: We aimed to test the effects of providing municipal support and training to primary health care providers compared to both training alone and to care as usual on the proportion of adult patients having their alcohol consumption measured.METHODS: We undertook a quasi-experimental study reporting on a 5-month implementation period in 58 primary health care centres from municipal areas within Bogotá (Colombia), Mexico City (Mexico), and Lima (Peru). Within the municipal areas, units were randomized to four arms: (1) care as usual (control); (2) training alone; (3) training and municipal support, designed specifically for the study, using a less intensive clinical and training package; and (4) training and municipal support, designed specifically for the study, using a more intense clinical and training package. The primary outcome was the cumulative proportion of consulting adult patients out of the population registered within the centre whose alcohol consumption was measured (coverage).RESULTS: The combination of municipal support and training did not result in higher coverage than training alone (incidence rate ratio (IRR) = 1.0, 95% CI = 0.6 to 0.8). Training alone resulted in higher coverage than no training (IRR = 9.8, 95% CI = 4.1 to 24.7). Coverage did not differ by intensity of the clinical and training package (coefficient = 0.8, 95% CI 0.4 to 1.5).CONCLUSIONS: Training of providers is key to increasing coverage of alcohol measurement amongst primary health care patients. Although municipal support provided no added value, it is too early to conclude this finding, since full implementation was shortened due to COVID-19 restrictions.TRIAL REGISTRATION: Clinical Trials.gov ID: NCT03524599; Registered 15 May 2018; https://clinicaltrials.gov/ct2/show/NCT03524599.

AB - PURPOSE: We aimed to test the effects of providing municipal support and training to primary health care providers compared to both training alone and to care as usual on the proportion of adult patients having their alcohol consumption measured.METHODS: We undertook a quasi-experimental study reporting on a 5-month implementation period in 58 primary health care centres from municipal areas within Bogotá (Colombia), Mexico City (Mexico), and Lima (Peru). Within the municipal areas, units were randomized to four arms: (1) care as usual (control); (2) training alone; (3) training and municipal support, designed specifically for the study, using a less intensive clinical and training package; and (4) training and municipal support, designed specifically for the study, using a more intense clinical and training package. The primary outcome was the cumulative proportion of consulting adult patients out of the population registered within the centre whose alcohol consumption was measured (coverage).RESULTS: The combination of municipal support and training did not result in higher coverage than training alone (incidence rate ratio (IRR) = 1.0, 95% CI = 0.6 to 0.8). Training alone resulted in higher coverage than no training (IRR = 9.8, 95% CI = 4.1 to 24.7). Coverage did not differ by intensity of the clinical and training package (coefficient = 0.8, 95% CI 0.4 to 1.5).CONCLUSIONS: Training of providers is key to increasing coverage of alcohol measurement amongst primary health care patients. Although municipal support provided no added value, it is too early to conclude this finding, since full implementation was shortened due to COVID-19 restrictions.TRIAL REGISTRATION: Clinical Trials.gov ID: NCT03524599; Registered 15 May 2018; https://clinicaltrials.gov/ct2/show/NCT03524599.

KW - Adult

KW - Alcohol Drinking/epidemiology

KW - Humans

KW - Latin America/epidemiology

KW - Primary Health Care

U2 - 10.1007/s11606-020-06503-9

DO - 10.1007/s11606-020-06503-9

M3 - SCORING: Journal article

C2 - 33469752

VL - 36

SP - 2663

EP - 2671

JO - J GEN INTERN MED

JF - J GEN INTERN MED

SN - 0884-8734

IS - 9

ER -