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Open Access 01-02-2022 | Care

Effect of Community Support on the Implementation of Primary Health Care-Based Measurement of Alcohol Consumption

Authors: Adriana Solovei, Eva Jané-Llopis, Liesbeth Mercken, Inés Bustamante, Daša Kokole, Juliana Mejía-Trujillo, Perla Sonia Medina Aguilar, Guillermina Natera Rey, Amy O’Donnell, Marina Piazza, Christiane Sybille Schmidt, Peter Anderson, Hein de Vries

Published in: Prevention Science | Issue 2/2022

Abstract

Alcohol measurement delivered by health care providers in primary health care settings is an efficacious and cost-effective intervention to reduce alcohol consumption among patients. However, this intervention is not yet routinely implemented in practice. Community support has been recommended as a strategy to stimulate the delivery of alcohol measurement by health care providers, yet evidence on the effectiveness of community support in this regard is scarce. The current study used a pre-post quasi-experimental design in order to investigate the effect of community support in three Latin American municipalities in Colombia, Mexico, and Peru on health care providers’ rates of measuring alcohol consumption in their patients. The analysis is based on the first 5 months of implementation. Moreover, the study explored possible mechanisms underlying the effects of community support, through health care providers’ awareness of support, as well as their attitudes, subjective norms, self-efficacy, and subsequent intention toward delivering the intervention. An ANOVA test indicated that community support had a significant effect on health care providers’ rates of measuring alcohol consumption in their patients (F (1, 259) = 4.56, p = 0.034, η_p² = 0.018). Moreover, a path analysis showed that community support had a significant indirect positive effect on providers’ self-efficacy to deliver the intervention (b = 0.07, p = 0.008), which was mediated through awareness of support. Specifically, provision of community support resulted in a higher awareness of support among health care providers (b = 0.31, p < 0.001), which then led to higher self-efficacy to deliver brief alcohol advice (b = 0.23, p = 0.010). Results indicate that adoption of an alcohol measurement intervention by health care providers may be aided by community support, by directly impacting the rates of alcohol measurement sessions, and by increasing providers’ self-efficacy to deliver this intervention, through increased awareness of support. Trial Registration ID: NCT03524599; Registered 15 May 2018; https://clinicaltrials.gov/ct2/show/NCT03524599

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Title: Effect of Community Support on the Implementation of Primary Health Care-Based Measurement of Alcohol Consumption
Authors: Adriana Solovei
Eva Jané-Llopis
Liesbeth Mercken
Inés Bustamante
Daša Kokole
Juliana Mejía-Trujillo
Perla Sonia Medina Aguilar
Guillermina Natera Rey
Amy O’Donnell
Marina Piazza
Christiane Sybille Schmidt
Peter Anderson
Hein de Vries
Publication date: 01-02-2022
Publisher: Springer US
Keyword: Care
Published in: Prevention Science / Issue 2/2022
Print ISSN: 1389-4986
Electronic ISSN: 1573-6695
DOI: https://doi.org/10.1007/s11121-021-01329-1

At a glance: The STEP trials

Springer Medicine

Effect of Community Support on the Implementation of Primary Health Care-Based Measurement of Alcohol Consumption

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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