在初级保健中实施数字酒精干预措施的建议:挪威可行性研究的教训
Sebastian Potthoff1,2, Håvar Brendryen1,3, Haris Bosnic1,4
1Centre for Alcohol and Drug Research, Stavanger University Hospital, Stavanger, Norway.
Frontiers in health services
|October 29, 2024
概括
数字酒精干预措施显示出希望,但在挪威初级保健中面临实施挑战. 缺乏量身定制的支持和员工参与阻碍了整合,尽管一些员工对未来使用的信心.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 初级保健实施科学初级保健实施科学
- 酒精使用障碍 治疗 治疗
背景情况:
- 过度饮酒是全球主要的健康风险.
- 数字酒精干预措施是有效的,但采用速度很慢.
- 规范化过程理论 (NPT) 可以解释实施障碍.
研究的目的:
- 确定促进或抑制在挪威初级保健中实施数字酒精干预的因素.
- 评估使用NPT的"Endre"数字干预的感知正常化.
- 了解全科医生和辅助人员所面临的挑战.
主要方法:
- 在四个GP实践中进行混合方法可行性研究.
- 定量数据:干预使用日志,全科医生调查,对工作人员的NoMAD调查.
- 定性数据:用NPT分析的半结构化小组访谈.
主要成果:
- 较低的正常化得分表明"Endre"并没有完全嵌入.
- 工作人员表示有一定的信心,但指出缺乏量身定制的支持,参与和反.
- 随着COVID-19的流行,干预措施的使用进一步受到限制.
结论:
- 在现实世界中实施数字酒精干预面临重大挑战.
- 支持人员参与开发和实施对于工作流的兼容性至关重要.
- 像临床医生仪表板这样的增强功能可以改善整合.
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