Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/32159
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dc.contributor.authorRosário, Fredericoen_UK
dc.contributor.authorSantos, Maria Inêsen_UK
dc.contributor.authorAngus, Kathrynen_UK
dc.contributor.authorPas, Leoen_UK
dc.contributor.authorRibeiro, Cristinaen_UK
dc.contributor.authorFitzgerald, Niamhen_UK
dc.date.accessioned2021-01-14T01:03:13Z-
dc.date.available2021-01-14T01:03:13Z-
dc.date.issued2021en_UK
dc.identifier.other6en_UK
dc.identifier.urihttp://hdl.handle.net/1893/32159-
dc.description.abstractBackground Alcohol is a leading risk factor contributing to the global burden of disease. Several national and international agencies recommend that screening and brief interventions (SBI) should be routinely delivered in primary care settings to reducing patients’ alcohol consumption. However, evidence shows that such activities are seldom implemented in practice. A review of the barriers and facilitators mediating implementation, and how they fit with theoretical understandings of behaviour change, to inform the design of implementation interventions is lacking. This study aimed to conduct a theory-informed review of the factors influencing general practitioners’ and primary care nurses’ routine delivery of alcohol SBI in adults. Methods A systematic literature search was carried out in four electronic databases (Medline, CINAHL, CENTRAL, PsycINFO) using comprehensive search strategies. Both qualitative and quantitative studies were included. Two authors independently abstracted and thematically grouped the data extracted. The barriers and facilitators identified were mapped to the domains of the Capability-Opportunity-Motivation-Behaviour system/Theoretical Domains Framework (TDF). Results Eighty-four out of the 258 studies identified met the selection criteria. The majority of the studies reported data on the views of general practitioners (n = 60) and used a quantitative design (n = 49). A total of 660 data items pertaining to barriers and 253 data items pertaining to facilitators were extracted and thematically grouped into 46 themes. The themes mapped to at least one of the 14 domains of the TDF. The three TDF domains with the highest number of data units coded were ‘Environmental Context and Resources’ (n = 158, e.g. lack of time), ‘Beliefs about Capabilities’ (n = 134, e.g. beliefs about the ability to deliver screening and brief advice and in helping patients to cut down) and ‘Skills’ (n = 99, e.g. lack of training). Conclusions This study identified a range of potential barriers and facilitators to the implementation of alcohol SBI delivery in primary care and adds to the scarce body of literature that identifies the barriers and facilitators from a theoretical perspective. Given that alcohol SBI is seldom implemented, this review provides researchers with a tool for designing novel theory-oriented interventions to support the implementation of such activity.en_UK
dc.language.isoenen_UK
dc.publisherSpringer Science and Business Media LLCen_UK
dc.relationRosário F, Santos MI, Angus K, Pas L, Ribeiro C & Fitzgerald N (2021) Factors influencing the implementation of screening and brief interventions for alcohol use in primary care practices: a systematic review using the COM-B system and Theoretical Domains Framework. Implementation Science, 16 (1), Art. No.: 6. https://doi.org/10.1186/s13012-020-01073-0en_UK
dc.rightsThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.en_UK
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_UK
dc.subjectAlcohol-induced disordersen_UK
dc.subjectScreeningen_UK
dc.subjectCounsellingen_UK
dc.subjectPrimary health careen_UK
dc.subjectReview (publication type)en_UK
dc.subjectPsychological theoryen_UK
dc.titleFactors influencing the implementation of screening and brief interventions for alcohol use in primary care practices: a systematic review using the COM-B system and Theoretical Domains Frameworken_UK
dc.typeJournal Articleen_UK
dc.identifier.doi10.1186/s13012-020-01073-0en_UK
dc.identifier.pmid33413487en_UK
dc.citation.jtitleImplementation Scienceen_UK
dc.citation.issn1748-5908en_UK
dc.citation.volume16en_UK
dc.citation.issue1en_UK
dc.citation.publicationstatusPublisheden_UK
dc.citation.peerreviewedRefereeden_UK
dc.type.statusVoR - Version of Recorden_UK
dc.citation.date07/01/2021en_UK
dc.contributor.affiliationUniversity of Lisbonen_UK
dc.contributor.affiliationHospital Casa de Saúde São Mateus SAen_UK
dc.contributor.affiliationInstitute for Social Marketingen_UK
dc.contributor.affiliationKU Leuvenen_UK
dc.contributor.affiliationUniversity of Lisbonen_UK
dc.contributor.affiliationInstitute for Social Marketingen_UK
dc.identifier.isiWOS:000608277600006en_UK
dc.identifier.scopusid2-s2.0-85098846414en_UK
dc.identifier.wtid1695255en_UK
dc.contributor.orcid0000-0002-5351-4422en_UK
dc.contributor.orcid0000-0002-3643-8165en_UK
dc.date.accepted2020-12-10en_UK
dcterms.dateAccepted2020-12-10en_UK
dc.date.filedepositdate2021-01-13en_UK
rioxxterms.apcpaiden_UK
rioxxterms.typeJournal Article/Reviewen_UK
rioxxterms.versionVoRen_UK
local.rioxx.authorRosário, Frederico|en_UK
local.rioxx.authorSantos, Maria Inês|en_UK
local.rioxx.authorAngus, Kathryn|0000-0002-5351-4422en_UK
local.rioxx.authorPas, Leo|en_UK
local.rioxx.authorRibeiro, Cristina|en_UK
local.rioxx.authorFitzgerald, Niamh|0000-0002-3643-8165en_UK
local.rioxx.projectInternal Project|University of Stirling|https://isni.org/isni/0000000122484331en_UK
local.rioxx.freetoreaddate2021-01-13en_UK
local.rioxx.licencehttp://creativecommons.org/licenses/by/4.0/|2021-01-13|en_UK
local.rioxx.filenames13012-020-01073-0.pdfen_UK
local.rioxx.filecount1en_UK
local.rioxx.source1748-5908en_UK
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