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Psychosocial INTerventions for Alcohol use among problem drug users (PINTA): protocol for a feasibility study in primary care.

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dc.contributor.author Klimas, Jan
dc.contributor.author Anderson, Rolande
dc.contributor.author Bourke, M.
dc.contributor.author Bury, Gerard
dc.contributor.author Field, Catherine Anne
dc.contributor.author Kaner, E.
dc.contributor.author Keane, Rory
dc.contributor.author Keenan, Eamon
dc.contributor.author Meagher, David
dc.contributor.author Murphy, B.
dc.contributor.author O'Gorman, Clodagh S.
dc.contributor.author O'Toole, Thomas P.
dc.contributor.author Saunders, Jean
dc.contributor.author Smyth, Bobby P.
dc.contributor.author Dunne, Colum P.
dc.contributor.author Walter.Cullen
dc.date.accessioned 2013-08-22T08:51:37Z
dc.date.available 2013-08-22T08:51:37Z
dc.date.issued 2013
dc.identifier.uri http://hdl.handle.net/10344/3342
dc.description peer-reviewed en_US
dc.description.abstract Background Alcohol use is an important issue among problem drug users. Although screening and brief intervention are effective in reducing problem alcohol use in primary care, no research has examined this issue among problem drug users. Objectives To determine if a complex intervention, incorporating screening and brief intervention for problem alcohol use among problem drug users, is feasible and acceptable in practice and effective in reducing the proportion of patients with problem alcohol use. Methods PINTA is a pilot feasibility study of a complex intervention comprising screening and brief intervention for problem alcohol use among problem drug users with cluster randomisation at the level of general practice, integrated qualitative process evaluation, and involving general practices in two socioeconomically deprived regions. Participants: Practices (N=16) will be eligible to participate if they are registered to prescribe methadone and/or at least 10 patients of the practice are currently receiving addiction-treatment. Patient inclusion criteria are: aged 18 or over and receiving addiction treatment / care (e.g. methadone) or known to be a problem drug user. Interventions: A complex intervention, supporting screening and brief intervention for problem alcohol use among problem drug users (experimental group) compared to an ‘assessment only’ control group. A delayed intervention being available to ‘control’ practices after follow up. Page 3 Outcome: Primary outcomes are feasibility and acceptability of the intervention to patients and professionals. Secondary outcome is the effectiveness of the intervention on care process (documented rates of screening and brief intervention) and outcome (proportion of patients with problem alcohol use at the follow up). Randomisation: Stratified random sampling of general practices based on level of training in providing addiction-related care and geographical area. Blinding: Single-blinded; GPs and practice staff, researchers and trainers will not be blinded, but patients and remote randomisers will. Discussion This is the first study to examine feasibility and acceptability of primary care based complex intervention to enhance alcohol screening and brief intervention among problem drug users. Results will inform future research among this high-risk population and guide policy and service development locally and internationally. en_US
dc.language.iso eng en_US
dc.publisher JMIR en_US
dc.relation.ispartofseries JMIR Research Protocols;2:2(2)
dc.relation.uri http://dx.doi.org/10.2196/resprot.2678
dc.subject complex intervention en_US
dc.subject screening en_US
dc.subject brief intervention en_US
dc.subject alcohol en_US
dc.subject methadone maintenance en_US
dc.subject primary health care en_US
dc.subject general practice en_US
dc.subject substance-related disorders en_US
dc.title Psychosocial INTerventions for Alcohol use among problem drug users (PINTA): protocol for a feasibility study in primary care. en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.identifier.doi 10.2196/resprot.2678
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US
dc.internal.rssid 1437471
dc.internal.rssid 1437829


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