Strategies to implement alcohol screening and brief intervention in primary care settings: a structured literature review.
Strategies to implement alcohol screening and brief intervention in primary care settings: a structured literature review.
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在初级保健机构中实施酒精筛查和简短干预的策略：结构化文献综述。
DOI：
10.1037/a0022102
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发表时间：
2011
期刊：
影响因子：
--
通讯作者：
K. Bradley
中科院分区：
文献类型：
--
作者：
E. Williams;M. L. Johnson;Gwen Lapham;Ryan M Caldeiro;Lisa D. Chew;Grant S. Fletcher;Kinsey A. McCormick;W. Weppner;K. Bradley
虽然酒精筛查和短暂干预（SBI）减少了不健康饮酒的初级保健患者的饮酒，但将SBI纳入临床环境一直具有挑战性。我们系统地回顾了文献中关于酒精SBI的实施研究，使用广泛的实施概念模型，实施研究的综合框架（CFIR），以确定实现高筛查率和/或简短干预（BI）的项目所涉及的领域。纳入了来自8个实施项目的17篇文章;研究在9个国家进行，代表了533，903例患者（筛选了127，304例患者），2，001名提供者和1，805家诊所。各文献的SBI发生率不同（筛选为2-93%，BI为0.9-73.1%）。实施方案描述了使用39个CFIR元件中的7-25个。大多数程序使用跨越CFIR所有5个域的策略，并对特定域和子域进行不同的强调。SBI率的比较受到大多数研究由2个实施方案进行以及不同结果测量、范围和持续时间的限制。然而，一个实施方案报告了较高的筛选率相对于其他方案（93%），并可以区分其使用的战略，有关的内部设置，外部设置，和过程的实施领域的CFIR。未来的研究可以评估在实施过程中关注CFIR的内部设置，外部设置和实施过程要素是否与成功实施酒精筛查相关，以及哪些要素可能与成功，持续实施BI相关。
Although alcohol screening and brief intervention (SBI) reduces drinking in primary care patients with unhealthy alcohol use, incorporating SBI into clinical settings has been challenging. We systematically reviewed the literature on implementation studies of alcohol SBI using a broad conceptual model of implementation, the Consolidated Framework for Implementation Research (CFIR), to identify domains addressed by programs that achieved high rates of screening and/or brief intervention (BI). Seventeen articles from 8 implementation programs were included; studies were conducted in 9 countries and represented 533,903 patients (127,304 patients screened), 2,001 providers, and 1,805 clinics. Rates of SBI varied across articles (2-93% for screening and 0.9-73.1% for BI). Implementation programs described use of 7-25 of the 39 CFIR elements. Most programs used strategies that spanned all 5 domains of the CFIR with varying emphases on particular domains and sub-domains. Comparison of SBI rates was limited by most studies' being conducted by 2 implementation programs and by different outcome measures, scopes, and durations. However, one implementation program reported a high rate of screening relative to other programs (93%) and could be distinguished by its use of strategies that related to the Inner Setting, Outer Setting, and Process of Implementation domains of the CFIR. Future studies could assess whether focusing on Inner Setting, Outer Setting, and Process of Implementation elements of the CFIR during implementation is associated with successful implementation of alcohol screening, as well as which elements may be associated with successful, sustained implementation of BI.
影响因子：
2.8
作者：
Hardt, J.;Schwarzbach, M.;Ronellenfitsch, U.
通讯作者：
Ronellenfitsch, U.
评估电子临床提醒，以促进初级保健中的简短酒精咨询干预。
影响因子：
3.4
作者：
Williams,EmilyC;Achtmeyer,CarolE;Kivlahan,DanielR;Greenberg,Diane;Merrill,JosephO;Wickizer,ThomasM;Koepsell,ThomasD;Heagerty,PatrickJ;Bradley,KatharineA
通讯作者：
Bradley,KatharineA
在退伍军人健康管理局实施循证酒精筛查。
DOI：
--
发表时间：
2006
期刊：
The American journal of managed care
影响因子：
--
作者：
Bradley,KatharineA;Williams,EmilyC;Achtmeyer,CarolE;Volpp,Bryan;Collins,BonnyJ;Kivlahan,DanielR
通讯作者：
Kivlahan,DanielR