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Multicenter Study
. 2019 Jan 7;19(1):11.
doi: 10.1186/s12913-018-3796-0.

Extending alcohol brief advice into non-clinical community settings: a qualitative study of experiences and perceptions of delivery staff

Nicola Hall  1 , John D Mooney  2 , Zeibeda Sattar  2   3 , Jonathan Ling  2
Affiliations
Multicenter Study

Extending alcohol brief advice into non-clinical community settings: a qualitative study of experiences and perceptions of delivery staff

Nicola Hall et al. BMC Health Serv Res. .

Abstract

Background: At a population level, the majority of alcohol-related harm is attributable to drinkers whose consumption exceeds recommended drinking levels, rather than those with severe alcohol dependency. Identification and Brief Advice (IBA) interventions offer a cost-effective approach for reducing this harm. Traditionally, IBA interventions have been delivered in healthcare settings and therefore contextual influences on their use in non-clinical settings are not well understood.

Methods: Qualitative face-to-face and telephone interviews with staff responsible for delivering a pilot IBA intervention across community settings in the UK. Interviews were recorded and transcribed verbatim. Inductive thematic analysis was used to identify key issues and the constant comparison method was employed to compare barriers and facilitators to implementation across and within settings.

Results: A number of facilitators and barriers to delivery and implementation was identified across settings. These included familiarity with the customer base, working within public spaces, and assimilation of the intervention within existing role boundaries. Despite underlying concerns relating to the sensitive nature of the topic, most delivery staff felt their respective settings were appropriate for the delivery of the intervention and had proactively engaged members of the public with varying levels of risky drinking and readiness for behaviour change. Perceptions of actual or potential intervention success were conceptualised in relation to existing day-to-day role boundaries and responsibilities and the contexts in which they took place.

Conclusions: Findings support the potential value of multi-setting community approaches to facilitate more inclusive engagement with IBA. By comparing experiences and views from staff responsible for delivering the intervention across different community settings, our findings provide insight into how intervention acceptability and success are framed across settings, and how the intervention is assimilated within everyday practice and role boundaries. This study also highlights key areas to be addressed when implementing IBAs in non-clinical community settings by staff with diverse levels of health-related knowledge, skills and support needs. Although essential, the need for adaptable training and delivery approaches across different setting types is likely to result in methodological challenges that need to be addressed when evaluating future interventions and setting-specific influences on behaviour change and health outcomes.

Keywords: Acceptability; Alcohol; Brief intervention; Community; Experiences; IBA; Perceptions; Qualitative.

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Conflict of interest statement

Ethics approval and consent to participate

Ethics approval was obtained from the University of Sunderland Ethics Committee (ref: 000276). Written informed consent was obtained by all interviewees.

Consent for publication

Written Informed consent was obtained from all study participants for the publication of anonymised interview quotes.

Competing interests

The authors have no competing interests to declare.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
A conceptual model of reach, engagement and assimilation of the intervention within perceived role boundaries
See this image and copyright information in PMC

References

    1. Rehm J, Mathers C, Popova S, Thavorncharoensap M, Teerawattananon Y, Patra J. Global burden of disease and injury and economic cost attributable to alcohol use and alcohol-use disorders. Lancet. 2009;373(9682):2223–2233. doi: 10.1016/S0140-6736(09)60746-7. - DOI - PubMed
    1. Kaner EF, Dickinson HO, Beyer F, Pienaar E, Schlesinger C, Campbell F, et al. The effectiveness of brief alcohol interventions in primary care settings: a systematic review. Drug and Alcohol Review. 2009;28(3):301–323. doi: 10.1111/j.1465-3362.2009.00071.x. - DOI - PubMed
    1. World Health Organization. Global strategy to reduce the harmful use of alcohol. http://www.who.int/substance_abuse/publications/global_strategy_reduce_h.... Accessed 1 June 2017.
    1. HM Government. The Government's Alcohol Strategy 2012 https://assets.publishing.service.gov.uk/government/uploads/system/uploa.... Accessed 1 June 2017.
    1. Kaner EF, Beyer F, Dickinson HO, Pienaar E, Campbell F. Schlesinger C, er al. Effectiveness of brief alcohol interventions in primary care populations The Cochrane Database of Systematic Reviews. 2007;2. CD004148. - PubMed

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