Adjusting the 15-method to Danish general practice: identification of barriers, facilitators, and user needs.
Background: The 15-method is an opportunistic screening and brief intervention tool for alcohol-related problems in primary healthcare. A Danish feasibility study of the 15-method indicated that adjustments were needed to improve its contextual fit to Danish general practice. This adjustment process...
| Publicado en: | BMC Primary Care Vol. 25; no. 1; pp. 1 - 14 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
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BioMed Central
7/6/2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=178294227&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 178294227 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 27314553 MZZU jtl: BMC Primary Care issn: 27314553 maglogo: N pubinfo: dt: 7/6/2024 vid: 25 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 178294227 178294227 178294227 10.1186/s12875-024-02508-z 178294227 ppf: 1 ppct: 13 formats: tig: atl: Adjusting the 15-method to Danish general practice: identification of barriers, facilitators, and user needs. aug: au: Schøler, Peter Næsborg Søndergaard, Jens Rasmussen, Sanne Nielsen, Anette Søgaard affil: https://ror.org/03yrrjy16 Unit for Clinical Alcohol Research, Research Unit of Psychiatry, Department of Clinical Research, University of Southern Denmark, Odense, Denmark sug: subj: Family Practice Evaluation Alcohol-Related Disorders Health Services Accessibility Needs Assessment Adaptation, Psychological Human Denmark Female Male Qualitative Studies Action Research Primary Health Care Semi-Structured Interview Focus Groups Health Personnel Patient Attitudes Health Screening Physician-Patient Relations Implementation Science Purposive Sample Snowball Sample Interviews Time Factors Interview Guides Quality Improvement Risk Assessment Data Analysis Software Descriptive Statistics Content Analysis Thematic Analysis Funding Source Female Male ab: Background: The 15-method is an opportunistic screening and brief intervention tool for alcohol-related problems in primary healthcare. A Danish feasibility study of the 15-method indicated that adjustments were needed to improve its contextual fit to Danish general practice. This adjustment process was conducted in two parts. The first part focused on identifying barriers, facilitators, and user needs for addressing alcohol using the 15-method. The second part will address the identified barriers and user needs to finalize a Danish version of the method. This study reports on part one of the adjustment process. Methods: Semi-structured individual interviews and focus group interviews with healthcare professionals (n = 8) and patients (n = 5) from general practice in Denmark. Data analysis was conducted using thematic content analysis. The results were condensed into two focus areas that will form the basis for user workshops in part two of the adjustment process. Results: The main barriers for addressing alcohol using the 15-method were patients and healthcare professionals not having the same agenda, having difficulty opening a conversation on alcohol, and workflow in the practices. Main facilitators included high interpersonal skills, taking the patient's perspective, and good routines and interdisciplinary work. Suggested adjustments and additions to the method included digitalization, visual icebreakers, quotes and examples, and development of a quick guide. The identified focus areas for user workshops were Communication and Material, and Integration to Workflows. Conclusion: Healthcare professionals found the opportunistic screening approach exemplified by the 15-method to be beneficial in identifying and addressing alcohol-related problems. They appreciate the method's structured framework that assists in presenting treatment options. Identified adjustment areas to the 15-method will lay the groundwork for future efforts to develop a finalized Danish version of the 15-method. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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