Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Center for Interdisciplinary Addiction Research, University of Hamburg, Hamburg, Germany.
Pavlodar Branch of Semey State Medical University, Pavlodar, Kazakhstan.
Int J Public Health. 2022 Oct 10;67:1604803. doi: 10.3389/ijph.2022.1604803. eCollection 2022.
The aim of this pilot trial was to assess the feasibility of ASBI in primary health care units (PHCUs) in Kazakhstan. A two-arm cluster randomised trial in five PHCUs based on the RE-AIM framework for implementation studies was carried out. Patients with AUDIT-C scores ≥4 for females and ≥5 for males received a brief face-to-face intervention delivered by a trained physician plus information leaflet (intervention group, IG) or simple feedback including a leaflet (control group, CG). Among 7327 patients eligible for alcohol screening according to the inclusion criteria 1148 patients were screened (15.7%, IG: 11.5%, CG: 27.3%). 12.3% (N = 141) were tested AUDIT-C positive (IG: 9.9%, CG: 15.1%). Out of 112 physicians invited, 48 took part in the ASBI training, 31 finally participated in the study, 21 in the IG (2 PHCUs), 10 in the CG (3 PHCUs). The majority of physicians did not have difficulties in performing the intervention. ASBI is feasible and can be implemented into PHC settings in Kazakhstan. However, the implementation depends on the willingness and interest of the PHCU and the physicians.
本试点研究旨在评估在哈萨克斯坦初级卫生保健单位（PHCU）中实施酒精使用障碍筛查干预（ASBI）的可行性。该研究采用基于实施研究的 RE-AIM 框架，在五家 PHCU 中进行了一项两臂集群随机试验。在 AUDIT-C 评分方面，女性得分≥4 分、男性得分≥5 分的患者接受由经过培训的医生提供的简短面对面干预措施，并附有信息传单（干预组，IG），或仅提供包括传单在内的简单反馈（对照组，CG）。根据纳入标准，共有 7327 名患者有资格接受酒精筛查，其中有 1148 名患者接受了筛查（15.7%，IG：11.5%，CG：27.3%）。有 12.3%（N=141）的患者 AUDIT-C 检测呈阳性（IG：9.9%，CG：15.1%）。在受邀的 112 名医生中，有 48 名参加了 ASBI 培训，最终有 31 名医生参与了研究，其中 21 名在干预组（2 家 PHCU），10 名在对照组（3 家 PHCU）。大多数医生在实施干预措施方面没有困难。ASBI 是可行的，可以在哈萨克斯坦的 PHCU 中实施。然而，实施取决于 PHCU 和医生的意愿和兴趣。
