Universidad Peruana Cayetano Heredia

Perceived appropriateness of alcohol screening and brief advice programmes in Colombia, Mexico and Peru and barriers to their implementation in primary health care - a cross-sectional survey

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dc.contributor.author Kokole, Daša
dc.contributor.author Mercken, Liesbeth
dc.contributor.author Jané-Llopis, Eva
dc.contributor.author Natera Rey, Guillermina
dc.contributor.author Arroyo, Miriam
dc.contributor.author Medina, Perla
dc.contributor.author Pérez-Gómez, Augusto
dc.contributor.author Mejía-Trujillo, Juliana
dc.contributor.author Piazza Ferrand, Marina Julia
dc.contributor.author Bustamante Chavez, Ines Veronica
dc.contributor.author O'Donnell, Amy
dc.contributor.author Kaner, Eileen
dc.contributor.author Gual, Antoni
dc.contributor.author Lopez-Pelayo, Hugo
dc.contributor.author Schulte, Bernd
dc.contributor.author Manthey, Jakob
dc.contributor.author Rehm, Jürgen
dc.contributor.author Anderson, Peter
dc.contributor.author de Vries, Hein
dc.date.accessioned 2021-04-13T20:50:58Z
dc.date.available 2021-04-13T20:50:58Z
dc.date.issued 2021
dc.identifier.uri https://hdl.handle.net/20.500.12866/9120
dc.description.abstract BACKGROUND: Providing alcohol screening and brief advice (SBA) in primary health care (PHC) can be an effective measure to reduce alcohol consumption. To aid successful implementation in an upper middle-income country context, this study investigates the perceived appropriateness of the programme and the perceived barriers to its implementation in PHC settings in three Latin American countries: Colombia, Mexico and Peru, as part of larger implementation study (SCALA). METHODS: An online survey based on the Tailored Implementation for Chronic Diseases (TICD) implementation framework was disseminated in the three countries to key stakeholders with experience in the topic and/or setting (both health professionals and other roles, for example regional health administrators and national experts). In total, 55 respondents participated (66% response rate). For responses to both appropriateness and barriers questions, frequencies were computed, and country comparisons were made using Chi square and Kruskal-Wallis non-parametric tests. RESULTS: Alcohol SBA was seen as an appropriate programme to reduce heavy alcohol use in PHC and a range of providers were considered suitable for its delivery, such as general practitioners, nurses, psychologists and social workers. Contextual factors such as patients' normalised perception of their heavy drinking, lack of on-going support for providers, difficulty of accessing referral services and lenient alcohol control laws were the highest rated barriers. Country differences were found for two barriers: Peruvian respondents rated SBA guidelines as less clear than Mexican (Mann-Whitney U = -18.10, P = 0.001), and more strongly indicated lack of available screening instruments than Colombian (Mann-Whitney U = -12.82, P = 0.035) and Mexican respondents (Mann-Whitney U = -13.56, P = 0.018). CONCLUSIONS: The study shows the need to address contextual factors for successful implementation of SBA in practice. General congruence between the countries suggests that similar approaches can be used to encourage widespread implementation of SBA in all three studied countries, with minor tailoring based on the few country-specific barriers. en_US
dc.language.iso eng
dc.publisher Cambridge University Press
dc.relation.ispartofseries Primary Health Care Research and Development
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject alcohol screening and brief advice en_US
dc.subject appropriateness en_US
dc.subject barriers en_US
dc.subject implementation en_US
dc.subject middle-income country en_US
dc.title Perceived appropriateness of alcohol screening and brief advice programmes in Colombia, Mexico and Peru and barriers to their implementation in primary health care - a cross-sectional survey en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1017/S1463423620000675
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.05
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.03
dc.relation.issn 1477-1128


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