Evaluating Alcohol Brief Intervention Implementation

描述(由申请人提供)：酒精筛查和短暂干预(SBI)程序在过去20年的临床研究计划中进行了评估。在欧洲、澳大利亚和北美等发达国家，履行机构的努力已发展到实际示范和一些全系统应用的程度。但酒精履行机构在发展中国家几乎没有实施。世界卫生组织(世卫组织)目前正在开展一个关于在初级保健环境中实施简短干预措施的项目，该项目将涉及在巴西和南非的大人口地区实施方案(但不进行评估)。因此，康涅狄格大学卫生中心(UCHC)提议进行一项国际研究，以评估世卫组织履行机构执行项目。拟议的评估有两个具体目标。首先，这项研究将评估在卫生保健工作者一级实施履行机构的效果，衡量知识、态度和筛查做法的变化，并提供简短的干预措施。第二，该研究将评估履行机构执行项目在吸引和雇用社区合作伙伴参与联盟方面取得的成功，从而促使区域和国家卫生系统采纳和实施履行机构，将其作为一项护理标准。这项评价的结果与发达国家以前的研究结果相结合，将为采用全面的国际办法规划、监测和评价履行机构的执行情况奠定基础。

DESCRIPTION (provided by applicant): Alcohol screening and brief intervention (SBI) procedures have been evaluated in the context of clinical research programs over the past two decades. In the developed countries of Europe, Australia, and North America, SBI efforts have progressed to the point of practical demonstrations and some system-wide applications. But alcohol SBI has seen little implementation in developing countries. The World Health Organization (WHO) is now undertaking a project on the Implementation of Brief Interventions in Primary Care Settings, which will involve program implementation (but no evaluation) within large population areas in Brazil and South Africa. The University of Connecticut Health Center (UCHC) is therefore proposing an international study to evaluate the WHO SBI implementation project. The proposed evaluation has two specific aims. First, the study will evaluate the effects of SBI implementation at the level of health care workers, measuring changes in knowledge, attitudes, and the practice of screening and providing brief interventions. Second, the study will assess the success of the SBI implementation projects in engaging and employing community partners in an alliance that results in the adoption and implementation of SBI by the regional and national health system as a standard of care. The results of this evaluation, when combined with the findings of prior research in developed countries, will provide a foundation for a comprehensive, international approaches for planning, monitoring, and evaluating SBI implementation.