Welcome to the ODHIN project

ODHIN (Optimizing delivery of health care interventions) was a four-year project (2011-2014) involving research institutions from nine European countries funded under the 7th Framework Programme.
The general aim of the project was to improve the delivery of health care interventions by understanding how better to translate the results of clinical research into everyday clinical practice. The research focused on the implementation of identification and brief intervention (IBI) programmes for hazardous and harmful alcohol consumption (HHAC) in primary health care (PHC).

WP 1 – Management and Coordination

Lead by Antoni Gual - Clinic Foundation for Biomedical Research (FCRB), Spain

The main challenge of the coordination of the ODHIN project was achieving integration of the various research fields included in the project. ODHIN combined a global overview provided by the survey (WP4), the systematic review (WP2), the modelling (WP3) and the assessment tool (WP6) with an ambitious stepped cluster randomised controlled trial (RCT - WP5) that will assess the efficacy/efficiency of alternative approaches aimed at overcoming the two main barriers identified to the dissemination and implementation of brief interventions (time and training).

The main objective of the coordination tasks consisted in creating mutual synergies between the various work packages. In order to reach this objective, efficient communication channels between partners were set up by the coordination team, who ensured that tasks were delivered within the agreed timescales, and also strived enhance the synergies between work packages.

 

Work Package 1 outputs

 

WP 2 - Knowledge Base - systematic review

Lead by Miranda Laurant - Radboud University Nijmegen Medical Centre (RUNMC), Netherlands

The overall objective of work package 2 was to bridge the gap between evidence base clinical research and everyday clinical practice by building a knowledge base on how identification and brief interventions (IBI) for lifestyle issues can be successfully disseminated and implemented in everyday routine practice.

The focus of this WP was on primary health care (PHC) and on hazardous and harmful alcohol consumption (HHAC). Nonetheless, the hypothesis was that this knowledge base could be translated to the dissemination and implementation of IBI for other lifestyle issues and in other healthcare settings.

This overall aim was specified in the following two objectives:

  1. To identify effective strategies to disseminate and implement IBI in primary care settings.
  2. To identify factors that foster or limit dissemination and implementation IBI in primary care settings.

 

Work package 2 outputs

 
 

 

Material in other languages

WP 3 - Cost-effectiveness - modelling

Lead by Alan Brennan and Colin Angus - University of Sheffield (USFD), United Kingdom

The objectives of the work package on cost effectiveness were:

  1. To adapt the Sheffield Alcohol Policy Model and its appraisal of the cost-effectiveness of screening and brief interventions from its current England context, to model the effectiveness of screening and brief interventions in the Netherlands, Poland and Italy.
  2. To use the results of the modelling to consider generalisability of interventions across the EU
  3. To investigate modelling long-term cost-effectiveness of dissemination approaches studied in RCTs in other work packages.

 

Work package 3 outputs

 
 

 

Material in other languages

 

WP 4 - Surveys - stakeholders’ attitudes and experience of implementation

Lead by Marcin Wojnar - Medical University of Warsaw (MUW), Poland

Following the methodology and tools of the WHO Phase III strand I study, a semi-structured questionnaire was designed and a survey protocol developed, to be piloted in the project. The Questionnaire covered several areas: background information about the doctors, the alcohol consumption of the doctors, the attitudes of doctors working with drinking patients, their beliefs about their own activities in working with drinkers, extent of academic education and postgraduate training on alcohol received by general practitioners, their views and attitudes towards management of alcohol problems, their diagnostic performance and their reported management of alcohol problems during the past year, including number of patients managed in the previous year, working environment and its impact on intervening for alcohol problems, role security and therapeutic commitment.

The objectives of the work package were:

  1. To consolidate and update knowledge of potential barriers and facilitators for general practitioners to implementing Identification and Brief Intervention programmes;
  2. To increase the understanding of factors that affect whether clinicians will use the IBI intervention;
  3. To compare attitudes and experiences in delivering IBI in participating European countries with differing cultures, and organization and funding of Primary Health Care services;
  4. To learn how information about health care interventions are created, packaged, transmitted, and interpreted among a variety of important stakeholder groups.

 

Work package 4 outputs

 

 

Materials in other languages