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The aim of this project was to identify factors influencing routine alcohol screening and brief intervention (SBI) delivery in Aboriginal Community Controlled Health Services (ACCHSs); and to examine the effect of a tailored intervention on the delivery of alcohol SBI among healthcare practitioners in ACCHSs.
A pre-post-test design method using group interviews with healthcare practitioners to identify factors influencing delivery of alcohol SBI in ACCHSs was used, and a clinical audit of alcohol information in electronic patient records to examine the effect of an intervention on the frequency and quality of alcohol SBI delivery in ACCHSs was undertaken.
Focus groups identified four key factors influencing alcohol SBI delivery in ACCHS settings:
An intervention combining education and tailored outreach support was implemented and evaluated in each ACCHS. Baseline percentages of alcohol screening were less than 5% in three ACCHSs and approximately 20% in one ACCHS. There was a two to three fold increase in the percentage of eligible clients with some record of alcohol screening/information and those with a complete alcohol screen in two ACCHSs. There were increases in the percentage of at-risk drinkers with brief intervention in three ACCHSs.
Abstract adapted from National Drug and Alcohol Research Centre
National Drug and Alcohol Research Centre
University of New South Wales
Sydney NSW 2052
Ph: (02) 9385 0333
Fax: (02) 9385 0222