A qualitative exploration of the barriers and facilitators to the implementation of the alcohol assertive outreach model.
Alcohol use disorder has adverse implications for individuals' health, utilisation of healthcare services, and societal costs. There are a group of individuals who frequently attend hospital for alcohol-related issues, have complex co-morbid needs, and experience barriers to engaging with specialise...
| Publicado en: | Alcohol & Alcoholism Vol. 60; no. 2; pp. 1 - 8 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Mar2025
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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=183846554&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 183846554 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 07350414 FA3 jtl: Alcohol & Alcoholism issn: 07350414 maglogo: N pubinfo: dt: Mar2025 vid: 60 iid: 2 pid: 622 pub: Oxford University Press / USA artinfo: ui: 183846554 183846554 183846554 10.1093/alcalc/agaf003 183846554 ppf: 1 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: A qualitative exploration of the barriers and facilitators to the implementation of the alcohol assertive outreach model. aug: au: Scoles, Laura H Mylonas, Nikolaos Priyam, Aansha Blood, Stephen O'Donnell, Amy Drummond, Colin Lovell, Karina Kaar, Stephen J affil: Division of Psychology and Mental Health, School of Health Sciences, Faculty of Biology, Medicine, and Health, The University of Manchester, Hathersage Road, Manchester M13 9WL, UK sug: subj: Implementation Science Conceptual Framework Health Services Accessibility Alcoholism Therapy Patient Compliance Community Mental Health Services Human Qualitative Studies Semi-Structured Interview England Health Care Costs Cost Savings Health Resource Utilization Coding Thematic Analysis ab: Alcohol use disorder has adverse implications for individuals' health, utilisation of healthcare services, and societal costs. There are a group of individuals who frequently attend hospital for alcohol-related issues, have complex co-morbid needs, and experience barriers to engaging with specialised alcohol treatment services. To support these individuals and reduce healthcare system costs, Alcohol Assertive Outreach Treatment (AAOT) has been recommended. However, AAOT is not routinely used in the UK. Understanding the determinants of the implementation of AAOT can increase its utilisation and effectiveness. This study therefore employed the Consolidated Framework for Implementation Research (CFIR) framework to highlight barriers and facilitators to the successful and sustainable implementation of AAOT. Semi-structured interviews were conducted with twenty AAOT team staff members (team managers and outreach workers) from two North West England AAOT teams. Twenty-eight stakeholders (clinicians, commissioners, policy makers and academics across England) were also interviewed, who were considered to be key contributors to AAOT implementation, both within and external to North West England. Framework analysis based on the CFIR was conducted, whilst allowing for inductive coding where appropriate. Overall, participants recognised AAOT as acceptable and beneficial. Three main themes were identified: organisational and individual level factors, including team culture and staff characteristics; systemic partnerships and interagency communication; and an adaptable model driven by research and evaluation. Each theme relates to various CFIR domains and constructs which were perceived to influence the implementation of AAOT. Readers are encouraged to consider the findings in the development and implementation of AAOT teams, new or existing. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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