Perspectives in Implementing a Primary Care–Based Intervention to Reduce Alcohol Misuse
In 2013, the U.S. Preventive Services Task Force (USPSTF) recommended screening followed by brief behavioral counseling to reduce alcohol misuse. Our study, Options Regarding Consumption of Alcohol (ORCA), was one of the studies included in an evidence review that comprised 23 RCTs. ORCA was designe...
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ftpubmed:oai:pubmedcentral.nih.gov:4548852 2023-05-15T17:53:34+02:00 Perspectives in Implementing a Primary Care–Based Intervention to Reduce Alcohol Misuse Ludman, Evette Curry, Susan J. 2015-09 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4548852/ http://www.ncbi.nlm.nih.gov/pubmed/26296554 https://doi.org/10.1016/j.amepre.2015.05.016 en eng http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4548852/ http://www.ncbi.nlm.nih.gov/pubmed/26296554 http://dx.doi.org/10.1016/j.amepre.2015.05.016 Article Text 2015 ftpubmed https://doi.org/10.1016/j.amepre.2015.05.016 2016-09-04T00:05:53Z In 2013, the U.S. Preventive Services Task Force (USPSTF) recommended screening followed by brief behavioral counseling to reduce alcohol misuse. Our study, Options Regarding Consumption of Alcohol (ORCA), was one of the studies included in an evidence review that comprised 23 RCTs. ORCA was designed to test whether a primary care–based intervention would reduce alcohol misuse among patients who screened positive for risky or hazardous drinking. Data collection occurred between 1995 and 1999; data analysis was conducted in 2000–2002. Study design and implementation built from a behavioral counseling research paradigm with four components: (1) population-based screening; (2) centralized delivery of intervention components; (3) involvement of primary care practitioners to motivate and reinforce behavior change; and (4) personalization of intervention components. In this paper, we assess the study features using the Pragmatic–Explanatory Continuum Summary Model domains. As a randomized trial, the study included some explanatory features (e.g., standardized follow-up surveys administered by study personnel); however, several aspects of the study were highly pragmatic. Practicable recruitment and training of providers, embedding population-based screening in pre-visit surveys, and keeping the delivery of the primary care intervention components consistent with the tempo and competing priorities of practice are three key features that contributed to the study's success and relevance to the USPSTF. Text Orca PubMed Central (PMC) American Journal of Preventive Medicine 49 3 S194 S199 |
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Article Ludman, Evette Curry, Susan J. Perspectives in Implementing a Primary Care–Based Intervention to Reduce Alcohol Misuse |
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In 2013, the U.S. Preventive Services Task Force (USPSTF) recommended screening followed by brief behavioral counseling to reduce alcohol misuse. Our study, Options Regarding Consumption of Alcohol (ORCA), was one of the studies included in an evidence review that comprised 23 RCTs. ORCA was designed to test whether a primary care–based intervention would reduce alcohol misuse among patients who screened positive for risky or hazardous drinking. Data collection occurred between 1995 and 1999; data analysis was conducted in 2000–2002. Study design and implementation built from a behavioral counseling research paradigm with four components: (1) population-based screening; (2) centralized delivery of intervention components; (3) involvement of primary care practitioners to motivate and reinforce behavior change; and (4) personalization of intervention components. In this paper, we assess the study features using the Pragmatic–Explanatory Continuum Summary Model domains. As a randomized trial, the study included some explanatory features (e.g., standardized follow-up surveys administered by study personnel); however, several aspects of the study were highly pragmatic. Practicable recruitment and training of providers, embedding population-based screening in pre-visit surveys, and keeping the delivery of the primary care intervention components consistent with the tempo and competing priorities of practice are three key features that contributed to the study's success and relevance to the USPSTF. |
format |
Text |
author |
Ludman, Evette Curry, Susan J. |
author_facet |
Ludman, Evette Curry, Susan J. |
author_sort |
Ludman, Evette |
title |
Perspectives in Implementing a Primary Care–Based Intervention to Reduce Alcohol Misuse |
title_short |
Perspectives in Implementing a Primary Care–Based Intervention to Reduce Alcohol Misuse |
title_full |
Perspectives in Implementing a Primary Care–Based Intervention to Reduce Alcohol Misuse |
title_fullStr |
Perspectives in Implementing a Primary Care–Based Intervention to Reduce Alcohol Misuse |
title_full_unstemmed |
Perspectives in Implementing a Primary Care–Based Intervention to Reduce Alcohol Misuse |
title_sort |
perspectives in implementing a primary care–based intervention to reduce alcohol misuse |
publishDate |
2015 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4548852/ http://www.ncbi.nlm.nih.gov/pubmed/26296554 https://doi.org/10.1016/j.amepre.2015.05.016 |
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Orca |
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Orca |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4548852/ http://www.ncbi.nlm.nih.gov/pubmed/26296554 http://dx.doi.org/10.1016/j.amepre.2015.05.016 |
op_doi |
https://doi.org/10.1016/j.amepre.2015.05.016 |
container_title |
American Journal of Preventive Medicine |
container_volume |
49 |
container_issue |
3 |
container_start_page |
S194 |
op_container_end_page |
S199 |
_version_ |
1766161277331177472 |