Determinants of implementing the 15-method in Danish general practice using the consolidated framework for...

Area of Science:

• Implementation science
• Primary care research
• Public health interventions

Background:

• Excessive alcohol consumption is a global health concern often overlooked in primary care settings.
• The 15-method offers a structured approach for opportunistic screening and treatment of alcohol-related issues.
• Motivational Interviewing and the Screening, Brief Intervention and Referral to Treatment framework underpin the 15-method.

Purpose of the Study:

• To assess healthcare professionals' perceptions of implementation determinants for the 15-method in Danish general practice.
• To classify these determinants using the Consolidated Framework for Implementation Research (CFIR).

Main Methods:

• Qualitative study involving 28 general practitioners and nurses across 12 practices.
• Semi-structured interviews guided by the CFIR framework.
• Directed content analysis to identify and rate implementation determinants.

Main Results:

• Facilitators included the 15-method's adaptability, evidence base, and compatibility.
• Barriers involved practice structural characteristics and local conditions.
• A key tension exists between patient motivation and healthcare professional capacity to deliver the intervention.

Conclusions:

• The 15-method is feasible in Danish general practice but requires addressing identified barriers.
• Tailored, multifaceted implementation strategies are needed to enhance healthcare professionals' capabilities and opportunities.
• Addressing contextual variations across practices is crucial for successful intervention delivery.