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Blended-eLearning Improves Alcohol Use Care in Kenya: Pragmatic Randomized Control Trial Results and Parallel
Veronic Clair1,2, Abednego Musau2, Victoria Mutiso2
1School of Population and Public Health, University of British Columbia, Vancouver, Canada.
International Journal of Mental Health and Addiction
|August 17, 2022
Summary
Blended eLearning effectively trained health workers to reduce alcohol use. This approach decreased consumption and stigma, improving care in low-income countries.
Area of Science:
- Public Health
- Health Services Research
- Substance Use Disorders
Background:
- Alcohol use is a major global health risk, hindered by stigma and workforce shortages.
- Effective interventions are needed, especially in low- and middle-income countries (LMICs).
Purpose of the Study:
- To assess the impact of blended eLearning for the Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST) and brief intervention (BI).
- To evaluate the effectiveness of training lay health workers and clinicians in LMICs.
Main Methods:
- Two randomized control trials (RCTs) in public and private facilities.
- Blended eLearning delivery of ASSIST screening and BI training.
- Qualitative data collection to understand participant experiences.
Main Results:
- Significant reductions in alcohol use were observed in both BI and ASSIST feedback groups compared to controls.
- Qualitative data indicated reduced alcohol consumption, decreased stigma, and practice changes.
- Lay health workers and clinicians successfully learned and applied interventions via eLearning.
Conclusions:
- Blended eLearning is an effective method for training health workers to manage alcohol use disorders in LMICs.
- This approach can reduce alcohol consumption, mitigate stigma, and improve healthcare delivery.
- Understanding the impact of ASSIST feedback alone is crucial for optimizing interventions.
Keywords:
Alcohol useHealth EducationKenyaLow and Middle-income Countriesblended learningcontinuing medical educationeLearninghuman ressources for healthmixed-methodspragmatic randomized control trialqualitative researchscreening and brief interventionsstigmaMore Related Videos
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