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Perceived appropriateness of alcohol screening and brief advice programmes in Colombia, Mexico and Peru and barriers to their implementation in primary health care - a cross-sectional survey

dc.creatorKokole, Dašaes_ES
dc.creatorMercken, Liesbethes_ES
dc.creatorJané-Llopis, Evaes_ES
dc.creatorNatera Rey, Guillerminaes_ES
dc.creatorArroyo, Miriames_ES
dc.creatorMedina, Perlaes_ES
dc.creatorPérez-Gómez, Augustoes_ES
dc.creatorMejía-Trujillo, Julianaes_ES
dc.creatorPiazza, Marinaes_ES
dc.creatorBustamente, Ines V.es_ES
dc.creatorO'Donnell, Amyes_ES
dc.creatorKaner, Eileenes_ES
dc.creatorGual, Antonies_ES
dc.creatorLopez-Pelayo, Hugoes_ES
dc.creatorSchulte, Berndes_ES
dc.creatorManthey, Jakobes_ES
dc.creatorRehm, Jürgenes_ES
dc.creatorAnderson, Peteres_ES
dc.creatorVries, Hein dees_ES
dc.date2021
dc.date.accessioned2024-03-14T18:31:37Z
dc.date.available2024-03-14T18:31:37Z
dc.date.issued2021
dc.identifierJC48DIEP21es_ES
dc.identifier.issn1463-4236
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/7920
dc.identifier.urihttps://doi.org/10.1017/S1463423620000675
dc.descriptionBackground: Providing alcohol screening and brief advice (SBA) in primary health care (PHC) can be an effective measure to reduce alcohol consumption. To aid successful implementation in an upper middle-income country context, this study investigates the perceived appropriateness of the programme and the perceived barriers to its implementation in PHC settings in three Latin American countries: Colombia, Mexico and Peru, as part of larger implementation study (SCALA). Methods: An online survey based on the Tailored Implementation for Chronic Diseases (TICD) implementation framework was disseminated in the three countries to key stakeholders with experience in the topic and/or setting (both health professionals and other roles, for example regional health administrators and national experts). In total, 55 respondents participated (66% response rate). For responses to both appropriateness and barriers questions, frequencies were computed, and country comparisons were made using Chi square and Kruskal-Wallis non-parametric tests. Results: Alcohol SBA was seen as an appropriate programme to reduce heavy alcohol use in PHC and a range of providers were considered suitable for its delivery, such as general practitioners, nurses, psychologists and social workers. Contextual factors such as patients' normalised perception of their heavy drinking, lack of on-going support for providers, difficulty of accessing referral services and lenient alcohol control laws were the highest rated barriers. Country differences were found for two barriers: Peruvian respondents rated SBA guidelines as less clear than Mexican (Mann-Whitney U = -18.10, P = 0.001), and more strongly indicated lack of available screening instruments than Colombian (Mann-Whitney U = -12.82, P = 0.035) and Mexican respondents (Mann-Whitney U = -13.56, P = 0.018). Conclusions: The study shows the need to address contextual factors for successful implementation of SBA in practice. General congruence between the countries suggests that similar approaches can be used to encourage widespread implementation of SBA in all three studied countries, with minor tailoring based on the few country-specific barriers.es_ES
dc.formatPDFes_ES
dc.language.isoenges_ES
dc.publisherCambridge University Presses_ES
dc.relation22(e4): 1-13
dc.rightsAcceso Cerradoes_ES
dc.titlePerceived appropriateness of alcohol screening and brief advice programmes in Colombia, Mexico and Peru and barriers to their implementation in primary health care - a cross-sectional surveyes_ES
dc.typeArtículoes_ES
dc.contributor.affiliationDepartment of Health Promotion, CAPHRI Care and Public Health Research Institute, Maastricht University, 6200MD, Maastricht, The Netherlands
dc.contributor.emaild.kokole@maastrichtuniversity.n (Daša Kokole)
dc.relation.jnabreviadoPRIM HEALTH CARE RES DEV
dc.relation.journalPrimary Health Care Research and Development
dc.identifier.placeInglaterra
dc.date.published2021
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.eissn1477-1128
dc.identifier.doi10.1017/S1463423620000675
dc.subject.kwAlcohol screening and brief advice
dc.subject.kwAppropriateness
dc.subject.kwBarriers
dc.subject.kwImplementation
dc.subject.kwMiddle-income country


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