Process evaluation of the implementation of a screening and brief intervention program for alcohol risk in primary health care: An experience in Brazil

Process evaluation of the implementation of a screening and brief intervention program for alcohol risk in primary health care: An experience in Brazil

Author Amaral-Sabadini, Michaela Bitarello do Autor UNIFESP Google Scholar
Ronzani, Telmo M. Google Scholar
Souza-Formigoni, Maria Lucia Oliveira de Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Univ Fed Juiz Fora
Abstract Introduction and Aims. Screening and brief intervention (SBI) are considered good prevention strategies for alcohol-related problems in Primary Health Care (PHC). the aim of this study was to evaluate the process of an SBI implementation program for alcohol risk use and evaluate the factors that facilitated or impeded this implementation, in two PHC settings at the Brazilian city of Juiz de Fora. Design and Methods. Case 1 public PHC services and case 2 the PHC service of the Military Police. Participants were trained on SBI strategies and supervised during 6 months. the qualitative methodology of action research was used. Data were analysed using thematic analysis. Results. Case 1: 70 participants; facilitating factors: good expectations about the project; simplicity of SBI technique; collaborative way the project was planned. Barriers: lack of time; discomfort in dealing with alcohol issues; focus on alcohol-dependence; unstable political environment; other priorities; difficulties in patients' referral. Case 2: nine participants. Facilitating factors: simplicity of SBI technique; collaborative way the project was planned; importance of alcohol issues; data confidentiality and the voluntary work to do SBI. Barriers: only one health professional in the group; the variability of the institutional support; organisational culture about alcohol use. Discussion and Conclusions. the barriers and facilitators were related to two main factors: organisational culture and personal attitudes. the action research provided the opportunity to bridge the gap between research and practice, but it also showed that SBI faces significant challenges before it can be implemented as a routine procedure in PHC settings in Brazil. [Amaral MB, Ronzani TM, Souza-Formigoni MLO. Process evaluation of the implementation of a screening and brief intervention program for alcohol risk in primary health care: An experience in Brazil. Drug Alcohol Rev 2009].
Keywords alcohol
screening
brief intervention
primary health care
action research
Language English
Date 2010-03-01
Published in Drug and Alcohol Review. Malden: Wiley-Blackwell Publishing, Inc, v. 29, n. 2, p. 162-168, 2010.
ISSN 0959-5236 (Sherpa/Romeo, impact factor)
Publisher Wiley-Blackwell
Extent 162-168
Origin http://dx.doi.org/10.1111/j.1465-3362.2009.00120.x
Access rights Closed access
Type Article
Web of Science ID WOS:000275142500008
URI http://repositorio.unifesp.br/handle/11600/32371

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