NCT01501552

Trial Testing the Effect of Strategies on Performance of Brief Intervention Programmes for Harmful Alcohol Consumption

Randomised Controlled Trial Testing the Incremental Effect of Strategies That Raise Awareness, Acceptance and Performance of Identification and Brief Intervention Programmes for Harmful Alcohol Consumption in Primary Health Care

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 120 (actual)
• Sponsor: Fundacion Clinic per a la Recerca Biomédica · Academic / Other
• Sex: All
• Age: —
• Healthy volunteers: Not accepted

Summary

The overall objective is to study if training and support, financial reimbursement and referral to an internet based brief intervention programme, singly or in combination, may increase implementation of evidence based methods of identification and brief intervention for excessive alcohol consumption in routine primary health care.

Detailed description

The study will be a stepped cluster RCT in 5 countries and the endpoint of the study is the number of interventions delivered during a certain time period. More specifically, the RCT will examine: * The effect of Continuous Medical Education (CME) to PHC providers * The effect of financial reimbursement to PHC providers as a pay-for-performance of brief alcohol interventions * Whether an alternative internet based method of delivering brief intervention can increase the proportion of patients reached * If one implementation strategy will give an added value to one already enforced.

Conditions

• Alcoholism

Interventions

Type	Name	Description
OTHER	Training and support (T&S)	Two face-to-face educational meetings of at least one hour and a maximum of 2 hours, and one telephone support call of at least ten minutes and a maximum of 30 minutes. The telephone call will be offered to one of the GPs ('leader'). Depending on the needs of the PHCU, one additional face to face training (1 to 2 hours) may be offered. The time interval between meetings will be on average 2 weeks. The training sessions will address improving knowledge, skills, attitudes, and perceived barriers and facilitators by combining theory and practice-based training.
OTHER	Financial incentive	Groups will receive a financial incentive depending on their screening and brief intervention activities. They will be paid for the performance, with the country dependent system of pay (fee for item or fee for achieving set rates) and based on normal practices and financial rates for financial incentives for clinical preventive activities.
OTHER	E-SBI (online screening and brief intervention)	Referring identified at-risk patients to an approved e-SBI programme, which will be either country specific (where these exist) or based on the WHO e-SBI programme (Poland).

Timeline

• Start date: 2012-01-01
• Primary completion: 2014-05-01
• Completion: 2014-12-01
• First posted: 2011-12-29
• Last updated: 2016-09-07

Locations

10 sites across 5 countries: Netherlands, Poland, Spain, Sweden, United Kingdom