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5 years ago

NAT 6/08 - THL

NAT 6/08 - THL

telMo M. ronZani

telMo M. ronZani Michaela Bitarello do aMaral Maria l. o. souZa-ForMiGoni thoMas F. BaBor Evaluation of a training program to implement alcohol screening, brief intervention and referral to treatment in primary health care in Minas Gerais, Brazil Introduction Primary Health Care (PHC) professionals are in an ideal position to focus on health risk reduction and health promotion, including prevention of alcohol and other drug (AOD) abuse. However, most PHC professionals do not carry out these preventive measures in their daily routines. One of the reasons for this failure to adopt clinical preventive services may be the lack of appropriate training for health care professionals (Ronzani et al. 2005). Screening and Brief Intervention (SBI) techniques have been used in PHC services in many countries and are considered effective strategies for detecting risky alcohol use and reducing the consequences of alcohol abuse (Kaner et al. 2007; Babor et al. 2001). Researchers supported by the World Health Organization (WHO) have developed screening instruments such as the Alcohol Use This study was part of an international collaborative project (Evaluating Alcohol Brief Intervention Implementation) supported by the Brazilian agency CNPq (408753/2006-4), the World Health Organization (WHO) and NIH/NIAAA-R21 AA014635. This study was also supported by Associação Fundo de Incentivo à Psicofarmacologia (AFIP), Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq – MLOSF research fellowship), Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP 05/57603- 2 - MBA). A B S T R A C T T. M. Ronzani & M. Bitarello do Amaral & M. L. O. Souza-Formigoni & T. F. Babor: Evaluation of a training program to implement alcohol screening, brief intervention and referral to treatment in primary health care in Minas Gerais, Brazil INTRODUCTION This article describes the implementation of a Screening, Brief Intervention and Referral to Treatment (SBIRT) training program in primary health care centers in the state of Minas Gerais, Brazil. Attention is given to the impact of an SBI training program on attitudes and knowledge, as well as predictors of screening and brief intervention practices following the training. METHODS A before-after repeated measures group design was used to test changes in the attitudes of four types of Primary Health Care (PHC) professionals who received eight hours of training on alcohol screening and brief intervention. The professionals (n=195) were categorized into four groupings: general practitioners (GPs, n=25), nurses (n=35), auxiliary nurses and community health workers (n=99), and psychologists and social workers (n=36). RESULTS Following training, significant improvements were found in measures of knowledge, self-efficacy, confidence and expectations about the effectiveness of SBI. In addition, perceived obstacles NORDIC STUDIES ON ALCOHOL AND DRUGS V O L . 25. 2008 . 6 Research report 529

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