PMID- 22775591
OWN - NLM
STAT- MEDLINE
DCOM- 20131126
LR  - 20211203
IS  - 1465-3362 (Electronic)
IS  - 0959-5236 (Linking)
VI  - 32
IP  - 1
DP  - 2013 Jan
TI  - Training and tailored outreach support to improve alcohol screening and brief 
      intervention in Aboriginal Community Controlled Health Services.
PG  - 72-9
LID - 10.1111/j.1465-3362.2012.00488.x [doi]
AB  - INTRODUCTION AND AIMS: Aboriginal Community Controlled Health Services (ACCHSs) 
      are often the primary point of contact for Indigenous Australians experiencing 
      alcohol-related harms. Screening and brief intervention (SBI) is a cost-effective 
      treatment for reducing these harms. Factors influencing evidence-based alcohol 
      SBI delivery in ACCHSs have been identified. Evaluations of strategies targeting 
      these factors are required. The aim of this paper is to quantify the effect of 
      training and tailored outreach support on the delivery of alcohol SBI in four 
      Aboriginal Community Controlled Health Services (ACCHSs). DESIGN AND METHODS: A 
      pre- post- assessment of alcohol information recorded in computerised patient 
      information systems of four ACCHSs. RESULTS: For ACCHSs combined there was a 
      statistically significant increase in the proportion of eligible clients with an 
      electronic record of any alcohol information (3.2% to 7.5%, P < 0.0001) and a 
      valid alcohol screen (1.6% to 6.5%, P < 0.0001), and brief intervention (25.75% 
      to 47.7%, P < 0.0001). All four ACCHSs achieved statistically significant 
      increases in the proportion of clients with a complete alcohol screen (10.3%; 
      7.4%; 2%, P < 0.0001 and 1.3%, P < 0.05), and two in the proportion with a heavy 
      drinking screen (7% and 3.1%, P < 0.0001). DISCUSSION AND CONCLUSIONS: 
      Implementing evidence-based alcohol SBI in ACCHSs is likely to require multiple 
      strategies tailored to the characteristics of specific services. Outreach support 
      provided by local drug and alcohol practitioners and a one item heavy drinking 
      screen offer considerable promise for increasing routine alcohol SBI delivery in 
      ACCHSs. Training and outreach support appear to be effective for achieving modest 
      improvements in alcohol SBI delivery in ACCHSs.
CI  - (c) 2012 Australasian Professional Society on Alcohol and other Drugs.
FAU - Clifford, Anton
AU  - Clifford A
AD  - School of Population Health, Faculty of Health Science, University of Queensland, 
      Brisbane, Australia. a.clifford@uq.edu.au
FAU - Shakeshaft, Anthony
AU  - Shakeshaft A
FAU - Deans, Catherine
AU  - Deans C
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, Non-U.S. Gov't
DEP - 20120710
PL  - Australia
TA  - Drug Alcohol Rev
JT  - Drug and alcohol review
JID - 9015440
SB  - IM
MH  - Alcoholism/*diagnosis/*ethnology
MH  - Australia/ethnology
MH  - Community Health Services/*methods/standards
MH  - Early Medical Intervention/*methods/standards
MH  - Evidence-Based Medicine/methods/standards
MH  - Humans
MH  - Mass Screening/*methods/standards
MH  - Native Hawaiian or Other Pacific Islander/*ethnology
EDAT- 2012/07/11 06:00
MHDA- 2013/12/16 06:00
CRDT- 2012/07/11 06:00
PHST- 2011/12/08 00:00 [received]
PHST- 2012/05/31 00:00 [accepted]
PHST- 2012/07/11 06:00 [entrez]
PHST- 2012/07/11 06:00 [pubmed]
PHST- 2013/12/16 06:00 [medline]
AID - 10.1111/j.1465-3362.2012.00488.x [doi]
PST - ppublish
SO  - Drug Alcohol Rev. 2013 Jan;32(1):72-9. doi: 10.1111/j.1465-3362.2012.00488.x. 
      Epub 2012 Jul 10.