Using Consolidated Framework for Implementation Research to investigate facilitators and barriers of implementing alcohol screening and brief intervention among primary care health professionals: a systematic review

Abstract Background Alcohol screening and brief intervention (SBI) is recommended to be implemented in primary care settings to intervene against hazardous/harmful drinking. However, studies showed that the uptake rate was low in many regions/countries. This systematic review presented current findi...

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Autores principales:	Paul Shing-fong Chan, Yuan Fang, Martin Chi-sang Wong, Junjie Huang, Zixin Wang, Eng Kiong Yeoh
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Consolidated Framework for Implementation Research Alcohol screening Brief intervention Facilitators Barriers Primary care Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/0cfcf01ac5194eb4bdea0414fbb4e8a1
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spelling	oai:doaj.org-article:0cfcf01ac5194eb4bdea0414fbb4e8a12021-11-21T12:27:20ZUsing Consolidated Framework for Implementation Research to investigate facilitators and barriers of implementing alcohol screening and brief intervention among primary care health professionals: a systematic review10.1186/s13012-021-01170-81748-5908https://doaj.org/article/0cfcf01ac5194eb4bdea0414fbb4e8a12021-11-01T00:00:00Zhttps://doi.org/10.1186/s13012-021-01170-8https://doaj.org/toc/1748-5908Abstract Background Alcohol screening and brief intervention (SBI) is recommended to be implemented in primary care settings to intervene against hazardous/harmful drinking. However, studies showed that the uptake rate was low in many regions/countries. This systematic review presented current findings on the facilitators and barriers of SBI implemented by health professionals in primary care settings using the Consolidated Framework for Implementation Research (CFIR). Methods We included qualitative, quantitative, and mixed-method studies identified through four electronic databases (PubMed, MEDLINE, PsycInfo, and Web of Science) from inception to June 2020. Included articles had to address barriers and facilitators of SBI implementation and provide sufficient details that the CFIR domains could be identified and data were abstracted using a standardized extraction form. Results A total of 74 studies published from 1985 to 2019 were finally analysed and summarized. The most common facilitators were knowledge and positive beliefs about SBI (characteristics of the individuals) and available resources (inner setting). In contrast, the most common barriers were cost related to implementing SBI (intervention characteristics), negative beliefs about SBI (characteristics of the individuals), and lack of self-efficacy in implementing SBI (characteristics of the individuals). It could be observed that factors related to the inner setting and characteristics of individuals were extensively studied whilst the process received the least attention. Conclusions Most of the facilitators and barriers are modifiable. Additionally, most literature focused on various kinds of available assets to implement SBI. To promote the spread of SBI implementation, more high-quality studies on the implementation process are needed. This systematic review could serve as a reference framework for health authorities to devise strategies for improving the implementation of SBI in primary care settings. Trial registration This systematic review was registered in PROSPERO ( CRD42021258833 ).Paul Shing-fong ChanYuan FangMartin Chi-sang WongJunjie HuangZixin WangEng Kiong YeohBMCarticleConsolidated Framework for Implementation ResearchAlcohol screeningBrief interventionFacilitatorsBarriersPrimary careMedicine (General)R5-920ENImplementation Science, Vol 16, Iss 1, Pp 1-40 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Consolidated Framework for Implementation Research Alcohol screening Brief intervention Facilitators Barriers Primary care Medicine (General) R5-920
spellingShingle	Consolidated Framework for Implementation Research Alcohol screening Brief intervention Facilitators Barriers Primary care Medicine (General) R5-920 Paul Shing-fong Chan Yuan Fang Martin Chi-sang Wong Junjie Huang Zixin Wang Eng Kiong Yeoh Using Consolidated Framework for Implementation Research to investigate facilitators and barriers of implementing alcohol screening and brief intervention among primary care health professionals: a systematic review
description	Abstract Background Alcohol screening and brief intervention (SBI) is recommended to be implemented in primary care settings to intervene against hazardous/harmful drinking. However, studies showed that the uptake rate was low in many regions/countries. This systematic review presented current findings on the facilitators and barriers of SBI implemented by health professionals in primary care settings using the Consolidated Framework for Implementation Research (CFIR). Methods We included qualitative, quantitative, and mixed-method studies identified through four electronic databases (PubMed, MEDLINE, PsycInfo, and Web of Science) from inception to June 2020. Included articles had to address barriers and facilitators of SBI implementation and provide sufficient details that the CFIR domains could be identified and data were abstracted using a standardized extraction form. Results A total of 74 studies published from 1985 to 2019 were finally analysed and summarized. The most common facilitators were knowledge and positive beliefs about SBI (characteristics of the individuals) and available resources (inner setting). In contrast, the most common barriers were cost related to implementing SBI (intervention characteristics), negative beliefs about SBI (characteristics of the individuals), and lack of self-efficacy in implementing SBI (characteristics of the individuals). It could be observed that factors related to the inner setting and characteristics of individuals were extensively studied whilst the process received the least attention. Conclusions Most of the facilitators and barriers are modifiable. Additionally, most literature focused on various kinds of available assets to implement SBI. To promote the spread of SBI implementation, more high-quality studies on the implementation process are needed. This systematic review could serve as a reference framework for health authorities to devise strategies for improving the implementation of SBI in primary care settings. Trial registration This systematic review was registered in PROSPERO ( CRD42021258833 ).
format	article
author	Paul Shing-fong Chan Yuan Fang Martin Chi-sang Wong Junjie Huang Zixin Wang Eng Kiong Yeoh
author_facet	Paul Shing-fong Chan Yuan Fang Martin Chi-sang Wong Junjie Huang Zixin Wang Eng Kiong Yeoh
author_sort	Paul Shing-fong Chan
title	Using Consolidated Framework for Implementation Research to investigate facilitators and barriers of implementing alcohol screening and brief intervention among primary care health professionals: a systematic review
title_short	Using Consolidated Framework for Implementation Research to investigate facilitators and barriers of implementing alcohol screening and brief intervention among primary care health professionals: a systematic review
title_full	Using Consolidated Framework for Implementation Research to investigate facilitators and barriers of implementing alcohol screening and brief intervention among primary care health professionals: a systematic review
title_fullStr	Using Consolidated Framework for Implementation Research to investigate facilitators and barriers of implementing alcohol screening and brief intervention among primary care health professionals: a systematic review
title_full_unstemmed	Using Consolidated Framework for Implementation Research to investigate facilitators and barriers of implementing alcohol screening and brief intervention among primary care health professionals: a systematic review
title_sort	using consolidated framework for implementation research to investigate facilitators and barriers of implementing alcohol screening and brief intervention among primary care health professionals: a systematic review
publisher	BMC
publishDate	2021
url	https://doaj.org/article/0cfcf01ac5194eb4bdea0414fbb4e8a1
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Using Consolidated Framework for Implementation Research to investigate facilitators and barriers of implementing alcohol screening and brief intervention among primary care health professionals: a systematic review

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