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

Hdl Handle:
http://hdl.handle.net/10147/297634
Title:
Psychosocial INTerventions for Alcohol use among problem drug users (PINTA): protocol for a feasibility study in primary care.
Authors:
Klimas, J; Anderson R; Bourke M; Bury G; Field C-A; Kaner, E; Keane R; Keenan E; Meagher D; O’Gorman CSM; O’Toole T; Saunders J; Smyth B; Dunne C; Cullen W
Publisher:
Research Protocols
Issue Date:
2013
URI:
http://hdl.handle.net/10147/297634
DOI:
10.2196/resprot.2678
Item Type:
Article In Press
Language:
en
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.
Keywords:
DRUGS MISUSE; ALCOHOL MISUSE; PRIMARY CARE SERVICE; GENERAL PRACTITIONER
Local subject classification:
Complex intervention; Methadone maintenance; Substance-related disorders

Full metadata record

DC FieldValue Language
dc.contributor.authorKlimas, Jen_GB
dc.contributor.authorAnderson Ren_GB
dc.contributor.authorBourke Men_GB
dc.contributor.authorBury Gen_GB
dc.contributor.authorField C-Aen_GB
dc.contributor.authorKaner, Een_GB
dc.contributor.authorKeane Ren_GB
dc.contributor.authorKeenan Een_GB
dc.contributor.authorMeagher Den_GB
dc.contributor.authorO’Gorman CSMen_GB
dc.contributor.authorO’Toole Ten_GB
dc.contributor.authorSaunders Jen_GB
dc.contributor.authorSmyth Ben_GB
dc.contributor.authorDunne Cen_GB
dc.contributor.authorCullen Wen_GB
dc.date.accessioned2013-08-09T14:52:40Z-
dc.date.available2013-08-09T14:52:40Z-
dc.date.issued2013-
dc.identifier.doi10.2196/resprot.2678-
dc.identifier.urihttp://hdl.handle.net/10147/297634-
dc.descriptionAbstract 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_GB
dc.language.isoenen
dc.publisherResearch Protocolsen_GB
dc.subjectDRUGS MISUSEen_GB
dc.subjectALCOHOL MISUSEen_GB
dc.subjectPRIMARY CARE SERVICEen_GB
dc.subjectGENERAL PRACTITIONERen_GB
dc.subject.otherComplex interventionen_GB
dc.subject.otherMethadone maintenanceen_GB
dc.subject.otherSubstance-related disordersen_GB
dc.titlePsychosocial INTerventions for Alcohol use among problem drug users (PINTA): protocol for a feasibility study in primary care.en_GB
dc.typeArticle In Pressen
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