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Impact of training and municipal support on primary health care-based measurement of alcohol consumption in three Latin American countries: 5-month outcome results of the quasi-experimental randomized SCALA trial

dc.creatorAnderson, Peteres_ES
dc.creatorManthey, Jakobes_ES
dc.creatorLlopis, Eva Janées_ES
dc.creatorNatera Rey, Guillerminaes_ES
dc.creatorBustamante, Ines V.es_ES
dc.creatorPiazza, Marinaes_ES
dc.creatorMedina Aguilar, Perla Soniaes_ES
dc.creatorMejía-Trujillo, Julianaes_ES
dc.creatorPérez-Gómez, Augustoes_ES
dc.creatorRowlands, Gilles_ES
dc.creatorLopez-Pelayo, Hugoes_ES
dc.creatorMercken, Liesbethes_ES
dc.creatorKokole, Dasaes_ES
dc.creatorO'Donnell, Amyes_ES
dc.creatorSolovei, Adrianaes_ES
dc.creatorKaner, Eileenes_ES
dc.creatorSchulte, Berndes_ES
dc.creatorVries, Hein dees_ES
dc.creatorSchmidt, Christianees_ES
dc.creatorGual, Antonies_ES
dc.creatorRehm, Jürgenes_ES
dc.date2021
dc.date.accessioned2024-05-02T17:47:05Z
dc.date.available2024-05-02T17:47:05Z
dc.date.issued2021
dc.identifierJC83DIEP21es_ES
dc.identifier.issn0884-8734
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/7962
dc.identifier.urihttps://doi.org/10.1007/s11606-020-06503-9
dc.descriptionPurpose: We aimed to test the effects of providing municipal support and training to primary health care providers compared to both training alone and to care as usual on the proportion of adult patients having their alcohol consumption measured. Methods: We undertook a quasi-experimental study reporting on a 5-month implementation period in 58 primary health care centres from municipal areas within Bogotá (Colombia), Mexico City (Mexico), and Lima (Peru). Within the municipal areas, units were randomized to four arms: (1) care as usual (control); (2) training alone; (3) training and municipal support, designed specifically for the study, using a less intensive clinical and training package; and (4) training and municipal support, designed specifically for the study, using a more intense clinical and training package. The primary outcome was the cumulative proportion of consulting adult patients out of the population registered within the centre whose alcohol consumption was measured (coverage). Results: The combination of municipal support and training did not result in higher coverage than training alone (incidence rate ratio (IRR) = 1.0, 95% CI = 0.6 to 0.8). Training alone resulted in higher coverage than no training (IRR = 9.8, 95% CI = 4.1 to 24.7). Coverage did not differ by intensity of the clinical and training package (coefficient = 0.8, 95% CI 0.4 to 1.5). Conclusions: Training of providers is key to increasing coverage of alcohol measurement amongst primary health care patients. Although municipal support provided no added value, it is too early to conclude this finding, since full implementation was shortened due to COVID-19 restrictions.es_ES
dc.formatPDFes_ES
dc.language.isoenges_ES
dc.publisherSpringeres_ES
dc.relation36(9):2663-2671
dc.rightsAcceso Cerradoes_ES
dc.titleImpact of training and municipal support on primary health care-based measurement of alcohol consumption in three Latin American countries: 5-month outcome results of the quasi-experimental randomized SCALA triales_ES
dc.typeArtículoes_ES
dc.contributor.affiliationDepartment of Health Promotion, CAPHRI Care and Public Health Research Institute, Maastricht University, Maastricht, The Netherlands
dc.contributor.emailpeter.anderson@maastrichtuniversity.nl
dc.relation.jnabreviadoJ GEN INTERN MED
dc.relation.journalJournal of General Internal Medicine
dc.identifier.placeEstados Unidos
dc.date.published2021
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.eissn1525-1497
dc.identifier.doi10.1007/s11606-020-06503-9
dc.subject.kwPrimary health care
dc.subject.kwMunicipal action
dc.subject.kwHeavy drinking
dc.subject.kwInstitute for Health Care Improvement
dc.subject.kwImplementation
dc.subject.kwMeasurement of alcohol consumption
dc.subject.kwAUDIT-C
dc.subject.kwBrief advice
dc.subject.kwColombia
dc.subject.kwPeru
dc.subject.kwMexico


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