Dzidowska Monika, Conigrave James H, Wilson Scott, Hayman Noel, Cook Jim, Gu Lydia, Phung Darren, Dawson Angela, Percival Nikki, Stearne Annalee, Tracy Marguerite, Perry Jimmy, Chikritzhs Tanya, Fitts Michelle, Weatherall Teagan J, Bullen Lynette, Holloway Craig, Morley Kirsten, Ansari Mustafa Al, Lee K S Kylie
Faculty of Medicine and Health, Sydney Pharmacy School, The University of Sydney, Badham Building (A15), Sydney, NSW, Australia.
School of Psychology and Public Health, La Trobe University, Centre for Alcohol Policy Research, NR1, Bundoora, Melbourne, 3086, Australia.
Addict Sci Clin Pract. 2025 Sep 2;20(1):70. doi: 10.1186/s13722-025-00602-w.
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.
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.
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.
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.
常规使用简短、结构化的筛查工具对于发现饮酒量超过推荐水平的澳大利亚人并为其提供支持至关重要。然而，在澳大利亚原住民和托雷斯海峡岛民的初级保健环境中，检测饮酒量超过推荐水平的情况很复杂。在填写诸如酒精使用障碍识别测试-消费量等筛查工具时出现的不准确情况，可能会导致在原住民背景下估计饮酒量时出现错误，因为群体共享饮酒和偶尔饮酒使得使用假定为常规饮酒模式的工具难以准确估计酒精消费量。这可能导致对饮酒情况检测不足，并与随后提供的护理不匹配。因此，需要考虑这些背景因素的筛查工具，以便澳大利亚原住民初级保健服务机构更容易筛查出饮酒量超过推荐水平的情况。电子筛查工具提供了考虑饮酒背景的技术灵活性。此外，对于酒精和其他药物等敏感话题，与面对面访谈相比，在普通人群中基于计算机的筛查已被证明能提供更准确和全面的回答。
通过改编格罗格应用程序（Grog App）——一种在澳大利亚原住民和托雷斯海峡岛民群体中经过验证可用于初级保健的社区调查工具，促进澳大利亚原住民初级保健环境中的酒精筛查和简短干预。
该项目将在五个研究阶段使用混合方法技术：1 - 利益相关者咨询；2 - 技术开发；3 - 重新验证和用户界面可接受性；4 - 在澳大利亚原住民和托雷斯海峡岛民初级保健环境中实施；5 - 实施六个月后的可接受性研究。
该项目将产生一种新颖的、符合文化背景的数字健康工具和实施资源，以便在初级保健环境中更轻松地对重点人群进行常规酒精筛查，这可能会提高筛查率和酒精护理率。它还将首次提供有关专注于电子酒精消费筛查工具的新卫生服务改进策略实施情况的背景数据，而同行评审文献中缺乏此类数据。本研究还将为在初级保健环境中使用持续质量改进作为实施方法提供重要的证据基础。
