Blended-eLearning Improves Alcohol Use Care in Kenya: Pragmatic Randomized Control Trial Results and Parallel Qualitative Study Implications.
Alcohol use is the 5th most important risk factor contributing to the global burden of diseases, with stigma and a lack of trained health workers as the main barriers to adequate care. This study assesses the impact of providing blended-eLearning courses teaching the alcohol, smoking, and substance...
| Publicado en: | International Journal of Mental Health & Addiction Vol. 20; no. 6; pp. 3410 - 3438 |
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| Autores principales: | , , , , , , , , |
| Formato: | Artículo |
| Publicado: |
Springer Nature
Dec2022
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=160457990&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 160457990 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 15571874 46AW jtl: International Journal of Mental Health & Addiction issn: 15571874 maglogo: N pubinfo: dt: Dec2022 vid: 20 iid: 6 pid: 237 pub: Springer Nature artinfo: ui: 160457990 10.1007/s11469-022-00841-x ppf: 3410 ppct: 28 formats: fmt: – @attributes: type: T – @attributes: type: P size: 1.1MB tig: atl: Blended-eLearning Improves Alcohol Use Care in Kenya: Pragmatic Randomized Control Trial Results and Parallel Qualitative Study Implications. aug: au: Clair, Veronic Musau, Abednego Mutiso, Victoria Tele, Albert Atkinson, Katlin Rossa-Roccor, Verena Bosire, Edna Ndetei, David Frank, Erica affil: School of Population and Public Health, University of British Columbia, Vancouver, Canada Africa Mental Health Research and Training Foundation, Nairobi, Kenya Department of Psychiatry, University of Nairobi, Nairobi, Kenya Annenberg Physician Training Program in Addiction Medicine, Vancouver, Canada su: Kenya Alcohol drinking Medical screening Qualitative research Global burden of disease Middle-income countries sug: subj: Alcohol drinking Medical screening Qualitative research Kenya Drinking Places (Alcoholic Beverages) All Other Miscellaneous Ambulatory Health Care Services Global burden of disease Middle-income countries keyword: Alcohol use blended learning continuing medical education eLearning Health Education human ressources for health Low and Middle-income Countries mixed-methods pragmatic randomized control trial qualitative research screening and brief interventions stigma Alcohol use blended learning continuing medical education eLearning Health Education human ressources for health Low and Middle-income Countries mixed-methods pragmatic randomized control trial qualitative research screening and brief interventions stigma ab: Alcohol use is the 5th most important risk factor contributing to the global burden of diseases, with stigma and a lack of trained health workers as the main barriers to adequate care. This study assesses the impact of providing blended-eLearning courses teaching the alcohol, smoking, and substance involvement screening test (ASSIST) screening and its linked brief intervention (BI). In public and private facilities, two randomized control trials (RCTs) showed large and similar decreases in alcohol use in those receiving the BI compared to those receiving only the ASSIST feedback. Qualitative findings confirm a meaningful reduction in alcohol consumption; decrease in stigma and significant practice change, suggesting lay health workers and clinicians can learn effective interventions through blended-eLearning; and significantly improve alcohol use care in a low- and middle-income country (LMIC) context. In addition, our study provides insight into why lay health workers feedback led to a similar decrease in alcohol consumption compared to those who also received a BI by clinicians. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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