Clair Veronic, Musau Abednego, Mutiso Victoria, Tele Albert, Atkinson Katlin, Rossa-Roccor Verena, Bosire Edna, Ndetei David, Frank Erica
School of Population and Public Health, University of British Columbia, Vancouver, Canada.
Africa Mental Health Research and Training Foundation, Nairobi, Kenya.
Int J Ment Health Addict. 2022;20(6):3410-3437. doi: 10.1007/s11469-022-00841-x. Epub 2022 Aug 12.
Alcohol use is the 5th most important risk factor contributing to the global burden of diseases, with stigma and a lack of trained health workers as the main barriers to adequate care. This study assesses the impact of providing blended-eLearning courses teaching the alcohol, smoking, and substance involvement screening test (ASSIST) screening and its linked brief intervention (BI). In public and private facilities, two randomized control trials (RCTs) showed large and similar decreases in alcohol use in those receiving the BI compared to those receiving only the ASSIST feedback. Qualitative findings confirm a meaningful reduction in alcohol consumption; decrease in stigma and significant practice change, suggesting lay health workers and clinicians can learn effective interventions through blended-eLearning; and significantly improve alcohol use care in a low- and middle-income country (LMIC) context. In addition, our study provides insight into why lay health workers feedback led to a similar decrease in alcohol consumption compared to those who also received a BI by clinicians.
The online version contains supplementary material available at 10.1007/s11469-022-00841-x.
酒精使用是导致全球疾病负担的第五大重要风险因素，耻辱感和缺乏训练有素的卫生工作者是获得充分护理的主要障碍。本研究评估了提供混合式电子学习课程的影响，该课程教授酒精、吸烟和物质使用筛查测试（ASSIST）筛查及其相关的简短干预（BI）。在公立和私立机构中，两项随机对照试验（RCT）表明，与仅接受ASSIST反馈的人相比，接受BI的人酒精使用量有大幅且相似的下降。定性研究结果证实酒精消费量有显著减少；耻辱感降低且实践有显著变化，这表明非专业卫生工作者和临床医生可以通过混合式电子学习学习有效的干预措施；并在低收入和中等收入国家（LMIC）背景下显著改善酒精使用护理。此外，我们的研究深入探讨了为什么非专业卫生工作者的反馈与那些也接受临床医生BI的人相比，酒精消费量下降幅度相似。
在线版本包含可在10.1007/s11469-022-00841-x获取的补充材料。
