Universidad Peruana Cayetano Heredia

Factors associated with primary health care providers' alcohol screening behavior in Colombia, Mexico and Peru

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dc.contributor.author Kokole, Daša
dc.contributor.author Jané-Llopis, Eva
dc.contributor.author Mercken, Liesbeth
dc.contributor.author Piazza Ferrand, Marina Julia
dc.contributor.author Bustamante Chavez, Ines Veronica
dc.contributor.author Natera Rey, Guillermina
dc.contributor.author Medina, Perla
dc.contributor.author Pérez-Gómez, Augusto
dc.contributor.author Mejía-Trujillo, Juliana
dc.contributor.author O'Donnell, Amy
dc.contributor.author Kaner, Eileen
dc.contributor.author Gual, Antoni
dc.contributor.author Schmidt, Christiane Sybille
dc.contributor.author Schulte, Bernd
dc.contributor.author Candel, Math J. J. M.
dc.contributor.author de Vries, Hein
dc.contributor.author Anderson, Peter
dc.date.accessioned 2021-05-18T21:44:15Z
dc.date.available 2021-05-18T21:44:15Z
dc.date.issued 2021
dc.identifier.uri https://hdl.handle.net/20.500.12866/9371
dc.description.abstract Background: Screening for unhealthy alcohol use in routine consultations can aid primary health care (PHC) providers in detecting patients with hazardous or harmful consumption and providing them with appropriate care. As part of larger trial testing strategies to improve implementation of alcohol screening in PHC, this study investigated the motivational (role security, therapeutic commitment, self-efficacy) and organizational context (leadership, work culture, resources, monitoring, community engagement) factors that were associated with the proportion of adult patients screened with AUDIT-C by PHC providers in Colombia, Mexico and Peru. Additionally, the study investigated whether the effect of the factors interacted with implementation strategies and the country. Methods: Pen-and-paper questionnaires were completed by 386 providers at the start of their study participation (79% female, M(age) = 39.5, 37.6% doctors, 15.0% nurses, 9.6% psychologists, 37.8% other professional roles). They were allocated to one of four intervention arms: control group; short training only; short training in presence of municipal support; and standard (long) training in presence of municipal support. Providers documented their screening practice during the five-month implementation period. Data were collected between April 2019 and March 2020. Results: Negative binomial regression analysis found an inverse relationship of role security with the proportion of screened patients. Self-efficacy was associated with an increase in the proportion of screened patients only amongst Mexican providers. Support from leadership (formal leader in organization) was the only significant organizational context factor, but only in non-control arms. Conclusion: Higher self-efficacy is a relevant factor in settings where screening practice is already ongoing. Leadership support can enhance effects of implementation strategies en_US
dc.language.iso eng
dc.publisher Taylor and Francis
dc.relation.ispartofseries Substance abuse
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject primary health care en_US
dc.subject self-efficacy en_US
dc.subject Alcohol screening en_US
dc.subject attitudes en_US
dc.subject implementation research en_US
dc.subject organizational context en_US
dc.title Factors associated with primary health care providers' alcohol screening behavior in Colombia, Mexico and Peru en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1080/08897077.2021.1903658
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.24
dc.relation.issn 1547-0164


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