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Factors associated with primary health care providers' alcohol screening behavior in Colombia, Mexico and Peru

dc.creatorKokole, Dašaes_ES
dc.creatorJané-Llopis, Evaes_ES
dc.creatorMercken, Liesbethes_ES
dc.creatorPiazza, Marinaes_ES
dc.creatorBustamante, Ineses_ES
dc.creatorNatera Rey, Guillerminaes_ES
dc.creatorMedina, Perlaes_ES
dc.creatorPérez-Gómez, Augustoes_ES
dc.creatorMejía-Trujillo, Julianaes_ES
dc.creatorO'Donnell, Amyes_ES
dc.creatorKaner, Eileenes_ES
dc.creatorGual, Antonies_ES
dc.creatorSybille Schmidt, Christianees_ES
dc.creatorSchulte, Berndes_ES
dc.creatorCandel, Math J. J. M.es_ES
dc.creatorVries, Hein dees_ES
dc.creatorAnderson, Peteres_ES
dc.date2021
dc.date.accessioned2024-04-04T18:22:37Z
dc.date.available2024-04-04T18:22:37Z
dc.date.issued2021
dc.identifierJC63DIEP21es_ES
dc.identifier.issn0889-7077
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/7936
dc.identifier.urihttps://doi.org/10.1080/08897077.2021.1903658
dc.descriptionBackground: Screening for unhealthy alcohol use in routine consultations can aid primary health care (PHC) providers in detecting patients with hazardous or harmful consumption and providing them with appropriate care. As part of larger trial testing strategies to improve implementation of alcohol screening in PHC, this study investigated the motivational (role security, therapeutic commitment, self-efficacy) and organizational context (leadership, work culture, resources, monitoring, community engagement) factors that were associated with the proportion of adult patients screened with AUDIT-C by PHC providers in Colombia, Mexico and Peru. Additionally, the study investigated whether the effect of the factors interacted with implementation strategies and the country. Methods: Pen-and-paper questionnaires were completed by 386 providers at the start of their study participation (79% female, Mage = 39.5, 37.6% doctors, 15.0% nurses, 9.6% psychologists, 37.8% other professional roles). They were allocated to one of four intervention arms: control group; short training only; short training in presence of municipal support; and standard (long) training in presence of municipal support. Providers documented their screening practice during the five-month implementation period. Data were collected between April 2019 and March 2020. Results: Negative binomial regression analysis found an inverse relationship of role security with the proportion of screened patients. Self-efficacy was associated with an increase in the proportion of screened patients only amongst Mexican providers. Support from leadership (formal leader in organization) was the only significant organizational context factor, but only in non-control arms. Conclusion: Higher self-efficacy is a relevant factor in settings where screening practice is already ongoing. Leadership support can enhance effects of implementation strategies.es_ES
dc.formatPDFes_ES
dc.language.isoenges_ES
dc.publisherEstados Unidoses_ES
dc.relation42(4):1007-1015
dc.rightsAcceso Cerradoes_ES
dc.titleFactors associated with primary health care providers' alcohol screening behavior in Colombia, Mexico and Perues_ES
dc.typeArtículoes_ES
dc.contributor.affiliationDepartment of Health Promotion, CAPHRI Care and Public Health Research Institute, Maastricht University, Maastricht, The Netherlands
dc.contributor.emaild.kokole@maastrichtuniversity.nl
dc.relation.jnabreviadoSUBST ABUS
dc.relation.journalSubstance Abuse
dc.identifier.placeEstados Unidos
dc.date.published2021
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.eissn1547-0164
dc.identifier.doi10.1080/08897077.2021.1903658
dc.subject.kwAlcohol screening
dc.subject.kwPrimary health care
dc.subject.kwAttitudes
dc.subject.kwSelf-efficacy
dc.subject.kwOrganizational context
dc.subject.kwImplementation research


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