Universidad Peruana Cayetano Heredia

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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dc.contributor.author Anderson, Peter
dc.contributor.author Manthey, Jakob
dc.contributor.author Llopis, Eva Jané
dc.contributor.author Rey, Guillermina Natera
dc.contributor.author Bustamante Chavez, Ines Veronica
dc.contributor.author Piazza Ferrand, Marina Julia
dc.contributor.author Medina Aguilar, Perla Sonia
dc.contributor.author Mejía Trujillo, Juliana
dc.contributor.author Pérez Gómez, Augusto
dc.contributor.author Rowlands, Gill
dc.contributor.author Lopez Pelayo, Hugo
dc.contributor.author Mercken, Liesbeth
dc.contributor.author Kokole, Dasa
dc.contributor.author O'Donnell, Amy
dc.contributor.author Solovei, Adriana
dc.contributor.author Kaner, Eileen
dc.contributor.author Schulte, Bernd
dc.contributor.author de Vries, Hein
dc.contributor.author Schmidt, Christiane
dc.contributor.author Gual, Antoni
dc.contributor.author Rehm, Jürgen
dc.date.accessioned 2021-04-13T20:50:59Z
dc.date.available 2021-04-13T20:50:59Z
dc.date.issued 2021
dc.identifier.uri https://hdl.handle.net/20.500.12866/9135
dc.description.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 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. en_US
dc.language.iso eng
dc.publisher Springer
dc.relation.ispartofseries Journal of General internal Medicine
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject AUDIT-C en_US
dc.subject brief advice en_US
dc.subject Colombia en_US
dc.subject heavy drinking en_US
dc.subject implementation en_US
dc.subject Institute for Health Care Improvement en_US
dc.subject measurement of alcohol consumption en_US
dc.subject Mexico en_US
dc.subject municipal action en_US
dc.subject Peru en_US
dc.subject primary health care en_US
dc.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 en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1007/s11606-020-06503-9
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.27
dc.relation.issn 1525-1497


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