Implementing an Online Program to Change Benzodiazepine Prescription

Detalhes bibliográficos
Autor(a) principal: Reis, Teresa
Data de Publicação: 2022
Outros Autores: Serra, Helena, Azeredo, Sofia, Xavier, Miguel
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/137120
Resumo: Funding Information: This project was awarded with the Academic Excellence Scholarship 2016-2017 (Bolsa de Excelência Académica 2016-2017) from Fundação Eugénio de Almeida. Publisher Copyright: © 2022 The Author(s). Published by S. Karger AG, Basel on behalf of NOVA National School of Public Health.
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spelling Implementing an Online Program to Change Benzodiazepine PrescriptionProtocol of a Hybrid Type 1 Cluster-Randomised TrialBenzodiazepinesDigital Behaviour Change InterventionPrescriptionPrimary health careHealth PolicyPublic Health, Environmental and Occupational HealthSDG 3 - Good Health and Well-beingFunding Information: This project was awarded with the Academic Excellence Scholarship 2016-2017 (Bolsa de Excelência Académica 2016-2017) from Fundação Eugénio de Almeida. Publisher Copyright: © 2022 The Author(s). Published by S. Karger AG, Basel on behalf of NOVA National School of Public Health.Introduction: Excessive benzodiazepine (BZD) prescription has long been considered a serious mental health concern in many countries. Many interventions using different methodologies have been implemented to change BZD prescription patterns in primary health care settings, with limited positive results. Objectives: The primary objective of our study was to analyse the effectiveness and implementation process of an intervention aimed at changing BZD prescription patterns in a primary health care setting in Portugal. Methodology: We chose as methodology an effectiveness-implementation hybrid type 1 intervention. Our intervention was based on the development of an online platform, named ePrimaPrescribe, which was delivered using a Digital Behaviour Change Intervention (DBCI), using a two-arm cluster-randomised clinical trial. Results: We primarily aimed to evaluate the effectiveness of our DBCI in changing BZD prescription patterns using the frequency of BZD prescriptions issued per month as an outcome measure. Secondarily, we aimed to analyse the effect of ePrimaPrescribe on antidepressant prescriptions, to study the effect of the platform on diagnosis registration associated with BZDs and antidepressant prescription, and to perform a cost analysis considering the monthly National Health Service spending on BZD co-payments. Finally, we aimed to analyse the implementation process using quantitative and qualitative methods. Conclusion: With this study, we expect to contribute with a cost-effective intervention to change the complex matter of excessive BZD prescriptions, and also to improve insight into the challenges to intervention implementation processes in primary health care settings. We believe that our findings are relevant not only to the specific setting where the study was implemented, but also to all countries where primary health care plays a central role in care provision.Comprehensive Health Research Centre (CHRC) - pólo NMSNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)Centro Interdisciplinar de Ciências Sociais (CICS.NOVA - NOVA FCSH)Centro de Estudos de Doenças Crónicas (CEDOC)RUNReis, TeresaSerra, HelenaAzeredo, SofiaXavier, Miguel2022-04-28T22:34:06Z2022-042022-04-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article10application/pdfhttp://hdl.handle.net/10362/137120eng2504-3137PURE: 43332708https://doi.org/10.1159/000522220info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:14:49Zoai:run.unl.pt:10362/137120Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:48:48.115180Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Implementing an Online Program to Change Benzodiazepine Prescription
Protocol of a Hybrid Type 1 Cluster-Randomised Trial
title Implementing an Online Program to Change Benzodiazepine Prescription
spellingShingle Implementing an Online Program to Change Benzodiazepine Prescription
Reis, Teresa
Benzodiazepines
Digital Behaviour Change Intervention
Prescription
Primary health care
Health Policy
Public Health, Environmental and Occupational Health
SDG 3 - Good Health and Well-being
title_short Implementing an Online Program to Change Benzodiazepine Prescription
title_full Implementing an Online Program to Change Benzodiazepine Prescription
title_fullStr Implementing an Online Program to Change Benzodiazepine Prescription
title_full_unstemmed Implementing an Online Program to Change Benzodiazepine Prescription
title_sort Implementing an Online Program to Change Benzodiazepine Prescription
author Reis, Teresa
author_facet Reis, Teresa
Serra, Helena
Azeredo, Sofia
Xavier, Miguel
author_role author
author2 Serra, Helena
Azeredo, Sofia
Xavier, Miguel
author2_role author
author
author
dc.contributor.none.fl_str_mv Comprehensive Health Research Centre (CHRC) - pólo NMS
NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
Centro Interdisciplinar de Ciências Sociais (CICS.NOVA - NOVA FCSH)
Centro de Estudos de Doenças Crónicas (CEDOC)
RUN
dc.contributor.author.fl_str_mv Reis, Teresa
Serra, Helena
Azeredo, Sofia
Xavier, Miguel
dc.subject.por.fl_str_mv Benzodiazepines
Digital Behaviour Change Intervention
Prescription
Primary health care
Health Policy
Public Health, Environmental and Occupational Health
SDG 3 - Good Health and Well-being
topic Benzodiazepines
Digital Behaviour Change Intervention
Prescription
Primary health care
Health Policy
Public Health, Environmental and Occupational Health
SDG 3 - Good Health and Well-being
description Funding Information: This project was awarded with the Academic Excellence Scholarship 2016-2017 (Bolsa de Excelência Académica 2016-2017) from Fundação Eugénio de Almeida. Publisher Copyright: © 2022 The Author(s). Published by S. Karger AG, Basel on behalf of NOVA National School of Public Health.
publishDate 2022
dc.date.none.fl_str_mv 2022-04-28T22:34:06Z
2022-04
2022-04-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/137120
url http://hdl.handle.net/10362/137120
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 2504-3137
PURE: 43332708
https://doi.org/10.1159/000522220
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 10
application/pdf
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instacron:RCAAP
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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