Evaluating Alcohol Brief Intervention Implementation

描述（由申请人提供）：在过去的二十年中，酒精筛查和短暂干预（SBI）程序在临床研究项目的背景下进行了评估。在欧洲、澳大利亚和北美的发达国家，SBI的努力已经发展到实际示范和一些全系统应用的地步。但在发展中国家，酒精的SBI几乎没有得到实施。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人口众多的地区实施方案（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的。首先，本研究将评估在卫生保健工作者层面实施SBI的效果，测量知识、态度的变化，以及筛查和提供简短干预措施的实践。其次，该研究将评估SBI实施项目在联盟中吸引和雇用社区合作伙伴方面的成功情况，从而使区域和国家卫生系统将SBI作为一种护理标准加以采用和实施。这一评价的结果与发达国家以前的研究结果相结合，将为规划、监测和评价SBI实施的综合国际方法提供基础。

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.