ODHIN Optimizing delivery of health care interventions

WP 5 - Stepped Cluster RCT comparing incentives for implementation

Lead by Preben Bendtsen - Linköping University (LIU), Sweden

The overall objective was to study a number of factors that might increase implementation of evidence-based methods of identification and brief intervention for excessive alcohol consumption in routine primary health care.

The study design was a stepped cluster RCT in 5 countries and the endpoint of the study is the number of interventions delivered during a certain time period.

More specifically, this work package examined:

1. The effect of Continuous Medical Education (CME) to PHC providers
2. The effect of financial reimbursement to PHC providers as a pay-for-performance of brief alcohol interventions
3. Whether an alternative internet based method of delivering brief intervention can increase the proportion of patients reached
4. If an additional implementation strategy will give an added value to one already adopted.

Work package 5 outputs

• WP5 Factsheet
• Deliverable 5.1 - RCT protocol
• Deliverable 5.2 - Implementation science
• Deliverable 5.3 - Implementation guide
• Randomised controlled trial datasets (for logged-in users)
  • Scientific Publications
    

    • Anderson P, Kaner E, Keurhorst M, Bendtsen P, Steenkiste BV, Reynolds J, et al. (2017) Attitudes and Learning through Practice Are Key to Delivering Brief Interventions for Heavy Drinking in Primary Health Care: Analyses from the ODHIN Five Country Cluster Randomized Factorial Trial. IJERPH 2017: 14(2):121.

    • Anderson P, Bendtsen P, Spak F, Reynolds J, Drummond C, Segura L et al. (2016) Improving the delivery of brief interventions for heavy drinking in primary health care: outcome results of the ODHIN five-country cluster randomized factorial trial. Addiction 2016; 111: 935–45.

    • Keurhorst, M., Heinen, M., Colom, J., Linderoth, C., Müssener, U., Okulicz-Kozaryn, K. et al. (2016) Strategies in primary healthcare to implement early identification of risky alcohol consumption: why do they work or not? A qualitative evaluation of the ODHIN study. BMC Family Practice 2016;17(1), 1.

    • Bendtsen, P, Anderson, P, Wojnar, M, Newbury-Birch, D, Müssener, U, Colom, J et al. (2015) Professional's attitudes do not influence screening and brief interventions rates for hazardous and harmful drinkers: results from ODHIN Study. Alcohol and Alcoholism 2015; 50(4), 430-437.

    • Keurhorst, M., Anderson, P., Heinen, M., Bendtsen, P., Baena, B., Brzozka, K., ... & Wensing, M. (2016). Impact of primary health care providers’ initial role security and therapeutic commitment on implementing brief interventions in managing risky alcohol consumption: a cluster randomised factorial trial. Implementation Science 11(1), 96.

    • Bendtsen, P., Müssener, U., Karlsson, N., López-Pelayo, H., Palacio-Vieira, J., Colom, J., Gual, A., Reynolds, J., Wallace, P., Segura, L. & Anderson, P. (2016). Implementing referral to an electronic alcohol brief advice website in primary healthcare: results from the ODHIN implementation trial. BMJ open, 6(6), e010271.

    • Anderson, P., Gual, A., Spak, F., Bendtsen, P., Keurhorst, M., Segura, L. et al. (2013). Implementing brief interventions for heavy drinking in primary health care - ODHIN baseline and preliminary outcome results. Alcohol and Alcoholism, 48(suppl 1),58

    • Anderson, P., Gual, A., Spak, F., Bendtsen, P., Keurhorst, M., Segura, L. et al. (2013). Scientific challenges of European implementation research - experiences from the ODHIN five country study on implementing brief interventions for heavy drinking in primary health care. Alcohol and Alcoholism, 48(suppl 1), 59

    • Anderson, P., Gual, A., Spak, F., Bendtsen, P., Keurhorst, M., Segura, L., ... Wojnar, M. (2013). Design of the ODHIN five country study - implementing brief interventions for heavy drinking in primary health care. Alcohol and Alcoholism, 48(suppl 1), 58

    • Keurhorst, M. N., Anderson, P., Spak, F., Bendtsen, P., Segura, L., Colom, J. et al. (2013). Implementing training and support, financial reimbursement, and referral to an internet-based brief advice program to improve the early identification of hazardous and harmful alcohol consumption in primary care (ODHIN): study protocol for a cluster randomized factorial trial. Implementation Science, 8(1), 11.

Countries' own-language information and material:

• Catalonia (Spain)
  • Recommended electronic screening and brief intervention (eBI) referral website

• Netherlands
  • Recommended electronic screening and brief intervention (eBI) referral website

• Poland
  • Recommended electronic screening and brief intervention (eBI) referral website

• Sweden
  • Recommended electronic screening and brief intervention (eBI) referral website

(Tryck på länken gå till test, välj språk och sedan kommer man till en meny där man kan välja alkoholtetstet.)

• United Kingdom
  • Recommended electronic screening and brief intervention (eBI) referral website