Abstract
Introduction:
Screening adults for risky alcohol consumption and provision of brief intervention should be routine practice in
secondary care
1
. The feasibility of implementing this in endoscopy departments has not been studied. The aim of this study was to
evaluate the feasibility of routine implementation of alcohol screening and brief intervention (ASBI) and understand associated
healthcare professional behaviour change in a 12-week pilot in a busy endoscopy department in a university teaching hospital.
Methods:
Using the
MRC's framework for developing and evaluating complex interventions, an evaluation was completed.
Normalisation Process Theory and the Theoretical Domains Framework theory was applied, in conjunction with evidence based tools
for professional behaviour change. The evaluation included the utilisation of clinical champions, one hour face to face alcohol
training sessions, tailored education materials bespoke to endoscopy and a twelve week pilot delivering ASBI as part of routine
practice.
During the twelve week pilot, anonymised patient data was collected on Alcohol Use Disorders Identification Tool (AUDIT) score
and whether patients received a brief intervention. Statistical analysis of the AUDIT questionnaires was performed using SPSS.
Quantitative questionnaires and qualitative focus groups were used to assess the behaviour change of endoscopy nurses. Staff
questionnaires were completed at 3 time points (before alcohol training, immediately after alcohol training, after 12 weeks) and
included the validated Shortened Alcohol and Alcohol Problems Questionnaire (SAAPPQ). Transcripts from the focus groups were
analysed using a framework analysis approach.
Results:
During the 12-week pilot, most (n=1136, 71%) endoscopy patients completed an AUDIT questionnaire. Of these, 96%
received personalised feedback on their score and 65% of patients drinking at increasing risk levels or above accepted a brief
intervention. Quantitative staff questionnaire (including SAAPQ) results and qualitative focus group analysis demonstrated a positive
shift in nurses’ attitudes towards discussing alcohol with patients. An increase in nurses’ knowledge, skills and confidence to talk to
patients about alcohol was also demonstrated.
Conclusion:
A multi-method approach to implementation can result in the pragmatic application of theory, leading to successful
embedding of evidence based practice. It is feasible to embed ASBI into routine practice in endosccopy, thus fulfilling the objective
of making every contact a health-improving opportunity
Screening adults for risky alcohol consumption and provision of brief intervention should be routine practice in
secondary care
1
. The feasibility of implementing this in endoscopy departments has not been studied. The aim of this study was to
evaluate the feasibility of routine implementation of alcohol screening and brief intervention (ASBI) and understand associated
healthcare professional behaviour change in a 12-week pilot in a busy endoscopy department in a university teaching hospital.
Methods:
Using the
MRC's framework for developing and evaluating complex interventions, an evaluation was completed.
Normalisation Process Theory and the Theoretical Domains Framework theory was applied, in conjunction with evidence based tools
for professional behaviour change. The evaluation included the utilisation of clinical champions, one hour face to face alcohol
training sessions, tailored education materials bespoke to endoscopy and a twelve week pilot delivering ASBI as part of routine
practice.
During the twelve week pilot, anonymised patient data was collected on Alcohol Use Disorders Identification Tool (AUDIT) score
and whether patients received a brief intervention. Statistical analysis of the AUDIT questionnaires was performed using SPSS.
Quantitative questionnaires and qualitative focus groups were used to assess the behaviour change of endoscopy nurses. Staff
questionnaires were completed at 3 time points (before alcohol training, immediately after alcohol training, after 12 weeks) and
included the validated Shortened Alcohol and Alcohol Problems Questionnaire (SAAPPQ). Transcripts from the focus groups were
analysed using a framework analysis approach.
Results:
During the 12-week pilot, most (n=1136, 71%) endoscopy patients completed an AUDIT questionnaire. Of these, 96%
received personalised feedback on their score and 65% of patients drinking at increasing risk levels or above accepted a brief
intervention. Quantitative staff questionnaire (including SAAPQ) results and qualitative focus group analysis demonstrated a positive
shift in nurses’ attitudes towards discussing alcohol with patients. An increase in nurses’ knowledge, skills and confidence to talk to
patients about alcohol was also demonstrated.
Conclusion:
A multi-method approach to implementation can result in the pragmatic application of theory, leading to successful
embedding of evidence based practice. It is feasible to embed ASBI into routine practice in endosccopy, thus fulfilling the objective
of making every contact a health-improving opportunity
Original language | English |
---|---|
Publication status | Published - 2014 |
Event | British Society of Gerontology Annual Conference 2014 - University of Southampton, Southampton, United Kingdom Duration: 1 Sept 2014 → 3 Sept 2014 |
Conference
Conference | British Society of Gerontology Annual Conference 2014 |
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Abbreviated title | BSG2014 |
Country/Territory | United Kingdom |
City | Southampton |
Period | 1/09/14 → 3/09/14 |