Universidad Peruana Cayetano Heredia

Effect of Community Support on the Implementation of Primary Health Care-Based Measurement of Alcohol Consumption

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dc.contributor.author Solovei, Adriana
dc.contributor.author Jane-Llopis, Eva
dc.contributor.author Mercken, Liesbeth
dc.contributor.author Bustamante Chavez, Ines Veronica
dc.contributor.author Kokole, Dasa
dc.contributor.author Mejia-Trujillo, Juliana
dc.contributor.author Medina Aguilar, Perla Sonia
dc.contributor.author Natera Rey, Guillermina
dc.contributor.author O'Donnell, Amy
dc.contributor.author Piazza Ferrand, Marina Julia
dc.contributor.author Schmidt, Christiane Sybille
dc.contributor.author Anderson, Peter
dc.contributor.author de Vries, Hein
dc.date.accessioned 2022-02-17T19:23:13Z
dc.date.available 2022-02-17T19:23:13Z
dc.date.issued 2022
dc.identifier.uri https://hdl.handle.net/20.500.12866/11394
dc.description.abstract 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, eta(2)(p) = 0.018). 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. en_US
dc.language.iso eng
dc.publisher Springer
dc.relation.ispartofseries Prevention Science
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Alcohol measurement en_US
dc.subject Brief alcohol advice en_US
dc.subject Community support en_US
dc.subject Alcohol prevention en_US
dc.subject Primary health care en_US
dc.title Effect of Community Support on the Implementation of Primary Health Care-Based Measurement of Alcohol Consumption en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1007/s11121-021-01329-1
dc.relation.issn 1573-6695


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