Evaluating Alcohol Brief Intervention Implementation

描述（由申请人提供）：酒精筛查和简短干预（SBI）程序已在过去二十年的临床研究计划的背景下进行了评估。在欧洲、澳大利亚和北美的发达国家，履行机构的努力已经发展到实际示范和一些全系统应用的程度。但酒精SBI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的项目，该项目将涉及在巴西和南非的人口众多地区实施方案（但不进行评价）。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SBI实施项目。拟议的评价有两个具体目标。首先，这项研究将评估SBI实施的影响，在卫生保健工作者的水平，测量知识，态度和筛查的做法，并提供简短的干预措施的变化。第二，该研究将评估SBI实施项目在吸引和雇用社区合作伙伴参与联盟方面的成功，该联盟导致区域和国家卫生系统通过和实施SBI作为护理标准。这一评估的结果与发达国家先前的研究结果相结合，将为规划、监测和评估履行机构执行情况的全面国际办法奠定基础。

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.