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
{"title":"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。","authors":"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","doi":"10.1186/s13722-025-00602-w","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Aim: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Discussion: </strong>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.</p>","PeriodicalId":54223,"journal":{"name":"Addiction Science & Clinical Practice","volume":"20 1","pages":"70"},"PeriodicalIF":3.2000,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12403270/pdf/","citationCount":"0","resultStr":"{\"title\":\"Adapting the Grog survey app for alcohol screening and feedback in aboriginal and Torres Strait Islander health services: a mixed methods study protocol.\",\"authors\":\"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\",\"doi\":\"10.1186/s13722-025-00602-w\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>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.</p><p><strong>Aim: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Discussion: </strong>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.</p>\",\"PeriodicalId\":54223,\"journal\":{\"name\":\"Addiction Science & Clinical Practice\",\"volume\":\"20 1\",\"pages\":\"70\"},\"PeriodicalIF\":3.2000,\"publicationDate\":\"2025-09-02\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12403270/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Addiction Science & Clinical Practice\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1186/s13722-025-00602-w\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"SUBSTANCE ABUSE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Addiction Science & Clinical Practice","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s13722-025-00602-w","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"SUBSTANCE ABUSE","Score":null,"Total":0}
Adapting the Grog survey app for alcohol screening and feedback in aboriginal and Torres Strait Islander health services: a mixed methods study protocol.
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.
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.