Adapting the Grog survey app for alcohol screening and feedback in aboriginal and Torres Strait Islander health services: a mixed methods study protocol.

IF 3.2 2区 医学 Q1 SUBSTANCE ABUSE
Monika Dzidowska, James H Conigrave, Scott Wilson, Noel Hayman, Jim Cook, Lydia Gu, Darren Phung, Angela Dawson, Nikki Percival, Annalee Stearne, Marguerite Tracy, Jimmy Perry, Tanya Chikritzhs, Michelle Fitts, Teagan J Weatherall, Lynette Bullen, Craig Holloway, Kirsten Morley, Mustafa Al Ansari, K S Kylie Lee
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引用次数: 0

Abstract

Background: Routine use of brief, structured screening tools is essential to detect and provide support for Australians who drink above recommended levels. However, detecting drinking above recommended levels in Aboriginal and Torres Strait Islander Australian primary care settings is complex. Inaccuracies in completing a screening tool such as Alcohol Use Disorders Identification Test - Consumption, can lead to errors in estimating drinking in First Nations contexts where group sharing and episodic drinking make it difficult to accurately estimate alcohol consumption with tools that assume regular drinking patterns. This can lead to under-detection of drinking and a mismatch with the subsequent care that is offered. Hence, screening tools that consider these contextual factors are needed to make it easier for First Nations Australian primary care services to screen for alcohol consumption above recommended levels. Electronic screening tools offer the technical flexibility to consider the drinking contexts Furthermore, for sensitive topics such as alcohol and other drugs, computer-based screening in the general population has been shown to provide more accurate and comprehensive responses compared with face-to-face interviews.

Aim: To facilitate alcohol screening and brief intervention in First Nations Australian primary care settings by adapting the Grog App - a community survey tool validated in Aboriginal and Torres Strait Islander populations for use in primary care.

Methods: The project will use mixed-methods techniques across five study stages: 1 - Interest-holder consultation; 2 - technical development; 3 - re-validation and user interface acceptability; 4 - implementation in an Aboriginal and Torres Strait Islander primary care setting; 5 - acceptability study, six months after implementation.

Discussion: The project will produce a novel, culturally appropriate digital health tool and implementation resources to make it easier to conduct routine alcohol screening in primary care contexts for a priority population, which may lead to increased screening and alcohol care rates. It will also provide first-ever contextual data about implementation of new health service improvement strategy focused on an electronic alcohol consumption screening tool, which is lacking in peer-reviewed literature. This study will also provide an important evidence base for using continuous quality improvement as an implementation approach in primary care settings.

Abstract Image

Abstract Image

在原住民和托雷斯海峡岛民健康服务中调整格罗格调查应用程序进行酒精筛查和反馈:混合方法研究协议。
背景:常规使用简短、结构化的筛查工具对于发现饮酒量超过建议水平的澳大利亚人并为其提供支持至关重要。然而,在澳大利亚土著居民和托雷斯海峡岛民的初级保健机构中,检测饮酒超过建议水平是很复杂的。在完成诸如酒精使用障碍识别测试-消费等筛查工具时的不准确性可能导致在第一民族情况下估计饮酒量的错误,在这种情况下,群体共享和间歇性饮酒使得难以使用假设有规律饮酒模式的工具准确估计酒精消费量。这可能导致对饮酒的检测不足,并与随后提供的护理不匹配。因此,需要考虑这些背景因素的筛查工具,以使澳大利亚原住民初级保健服务更容易筛查酒精消费量超过建议水平。电子筛查工具提供了考虑饮酒背景的技术灵活性,此外,对于酒精和其他药物等敏感话题,与面对面访谈相比,在普通人群中进行的基于计算机的筛查已被证明可以提供更准确和全面的反应。目的:通过采用Grog App -一种在土著和托雷斯海峡岛民群体中用于初级保健的社区调查工具,促进澳大利亚原住民初级保健机构的酒精筛查和简短干预。方法:该项目将在五个研究阶段使用混合方法技术:1 -利益持有人咨询;2 -技术开发;3 -重新验证和用户界面可接受性;在土著人和托雷斯海峡岛民的初级保健环境中实施;可接受性研究,实施后6个月。讨论:该项目将产生一种新颖的、文化上适当的数字卫生工具和实施资源,以便更容易在初级保健背景下对重点人群进行常规酒精筛查,这可能导致筛查和酒精护理率的提高。它还将首次提供有关实施以电子酒精消费筛查工具为重点的新的卫生服务改进战略的背景数据,这在同行评议的文献中是缺乏的。本研究也将提供一个重要的证据基础,使用持续的质量改进作为实施方法在初级保健设置。
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来源期刊
Addiction Science & Clinical Practice
Addiction Science & Clinical Practice Psychology-Clinical Psychology
CiteScore
3.90
自引率
10.80%
发文量
64
审稿时长
28 weeks
期刊介绍: Addiction Science & Clinical Practice provides a forum for clinically relevant research and perspectives that contribute to improving the quality of care for people with unhealthy alcohol, tobacco, or other drug use and addictive behaviours across a spectrum of clinical settings. Addiction Science & Clinical Practice accepts articles of clinical relevance related to the prevention and treatment of unhealthy alcohol, tobacco, and other drug use across the spectrum of clinical settings. Topics of interest address issues related to the following: the spectrum of unhealthy use of alcohol, tobacco, and other drugs among the range of affected persons (e.g., not limited by age, race/ethnicity, gender, or sexual orientation); the array of clinical prevention and treatment practices (from health messages, to identification and early intervention, to more extensive interventions including counseling and pharmacotherapy and other management strategies); and identification and management of medical, psychiatric, social, and other health consequences of substance use. Addiction Science & Clinical Practice is particularly interested in articles that address how to improve the quality of care for people with unhealthy substance use and related conditions as described in the (US) Institute of Medicine report, Improving the Quality of Healthcare for Mental Health and Substance Use Conditions (Washington, DC: National Academies Press, 2006). Such articles address the quality of care and of health services. Although the journal also welcomes submissions that address these conditions in addiction speciality-treatment settings, the journal is particularly interested in including articles that address unhealthy use outside these settings, including experience with novel models of care and outcomes, and outcomes of research-practice collaborations. Although Addiction Science & Clinical Practice is generally not an outlet for basic science research, we will accept basic science research manuscripts that have clearly described potential clinical relevance and are accessible to audiences outside a narrow laboratory research field.
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