Factors influencing the implementation of screening and brief interventions for alcohol use in primary care practices : a systematic review using the COM-B system and Theoretical Domains Framework

Detalhes bibliográficos
Autor(a) principal: Rosário, Frederico
Data de Publicação: 2021
Outros Autores: Santos, Maria Inês, Angus, Kathryn, Pas, Leo, Ribeiro, Cristina, Fitzgerald, Niamh
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10451/45718
Resumo: © The Author(s). 2021 Open Access. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data
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spelling Factors influencing the implementation of screening and brief interventions for alcohol use in primary care practices : a systematic review using the COM-B system and Theoretical Domains FrameworkAlcohol-induced disordersCounsellingPrimary health carePsychological theoryReview (publication type)Screening© The Author(s). 2021 Open Access. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the dataBackground: Alcohol is a leading risk factor contributing to the global burden of disease. Several national and international agencies recommend that screening and brief interventions (SBI) should be routinely delivered in primary care settings to reducing patients' alcohol consumption. However, evidence shows that such activities are seldom implemented in practice. A review of the barriers and facilitators mediating implementation, and how they fit with theoretical understandings of behaviour change, to inform the design of implementation interventions is lacking. This study aimed to conduct a theory-informed review of the factors influencing general practitioners' and primary care nurses' routine delivery of alcohol SBI in adults. Methods: A systematic literature search was carried out in four electronic databases (Medline, CINAHL, CENTRAL, PsycINFO) using comprehensive search strategies. Both qualitative and quantitative studies were included. Two authors independently abstracted and thematically grouped the data extracted. The barriers and facilitators identified were mapped to the domains of the Capability-Opportunity-Motivation-Behaviour system/Theoretical Domains Framework (TDF). Results: Eighty-four out of the 258 studies identified met the selection criteria. The majority of the studies reported data on the views of general practitioners (n = 60) and used a quantitative design (n = 49). A total of 660 data items pertaining to barriers and 253 data items pertaining to facilitators were extracted and thematically grouped into 46 themes. The themes mapped to at least one of the 14 domains of the TDF. The three TDF domains with the highest number of data units coded were 'Environmental Context and Resources' (n = 158, e.g. lack of time), 'Beliefs about Capabilities' (n = 134, e.g. beliefs about the ability to deliver screening and brief advice and in helping patients to cut down) and 'Skills' (n = 99, e.g. lack of training). Conclusions: This study identified a range of potential barriers and facilitators to the implementation of alcohol SBI delivery in primary care and adds to the scarce body of literature that identifies the barriers and facilitators from a theoretical perspective. Given that alcohol SBI is seldom implemented, this review provides researchers with a tool for designing novel theory-oriented interventions to support the implementation of such activity.BMCRepositório da Universidade de LisboaRosário, FredericoSantos, Maria InêsAngus, KathrynPas, LeoRibeiro, CristinaFitzgerald, Niamh2021-01-11T13:30:04Z20212021-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/45718engImplementation Sci 16, 6 (2021).10.1186/s13012-020-01073-01748-5908info: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:RCAAP2023-11-08T16:47:41Zoai:repositorio.ul.pt:10451/45718Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:58:04.219599Repositório 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 Factors influencing the implementation of screening and brief interventions for alcohol use in primary care practices : a systematic review using the COM-B system and Theoretical Domains Framework
title Factors influencing the implementation of screening and brief interventions for alcohol use in primary care practices : a systematic review using the COM-B system and Theoretical Domains Framework
spellingShingle Factors influencing the implementation of screening and brief interventions for alcohol use in primary care practices : a systematic review using the COM-B system and Theoretical Domains Framework
Rosário, Frederico
Alcohol-induced disorders
Counselling
Primary health care
Psychological theory
Review (publication type)
Screening
title_short Factors influencing the implementation of screening and brief interventions for alcohol use in primary care practices : a systematic review using the COM-B system and Theoretical Domains Framework
title_full Factors influencing the implementation of screening and brief interventions for alcohol use in primary care practices : a systematic review using the COM-B system and Theoretical Domains Framework
title_fullStr Factors influencing the implementation of screening and brief interventions for alcohol use in primary care practices : a systematic review using the COM-B system and Theoretical Domains Framework
title_full_unstemmed Factors influencing the implementation of screening and brief interventions for alcohol use in primary care practices : a systematic review using the COM-B system and Theoretical Domains Framework
title_sort Factors influencing the implementation of screening and brief interventions for alcohol use in primary care practices : a systematic review using the COM-B system and Theoretical Domains Framework
author Rosário, Frederico
author_facet Rosário, Frederico
Santos, Maria Inês
Angus, Kathryn
Pas, Leo
Ribeiro, Cristina
Fitzgerald, Niamh
author_role author
author2 Santos, Maria Inês
Angus, Kathryn
Pas, Leo
Ribeiro, Cristina
Fitzgerald, Niamh
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Repositório da Universidade de Lisboa
dc.contributor.author.fl_str_mv Rosário, Frederico
Santos, Maria Inês
Angus, Kathryn
Pas, Leo
Ribeiro, Cristina
Fitzgerald, Niamh
dc.subject.por.fl_str_mv Alcohol-induced disorders
Counselling
Primary health care
Psychological theory
Review (publication type)
Screening
topic Alcohol-induced disorders
Counselling
Primary health care
Psychological theory
Review (publication type)
Screening
description © The Author(s). 2021 Open Access. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data
publishDate 2021
dc.date.none.fl_str_mv 2021-01-11T13:30:04Z
2021
2021-01-01T00:00:00Z
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/10451/45718
url http://hdl.handle.net/10451/45718
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Implementation Sci 16, 6 (2021).
10.1186/s13012-020-01073-0
1748-5908
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv BMC
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dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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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