• Login
    View Item 
    •   Home
    • University of Alaska Anchorage
    • Center for Behavioral Health Research & Services
    • Reports
    • View Item
    •   Home
    • University of Alaska Anchorage
    • Center for Behavioral Health Research & Services
    • Reports
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of Scholarworks@UACommunitiesPublication DateAuthorsTitlesSubjectsTypeThis CollectionPublication DateAuthorsTitlesSubjectsType

    My Account

    Login

    First Time Submitters, Register Here

    Register

    Statistics

    Display statistics

    Examining the sustainability potential of a multisite pilot to integrate alcohol screening and brief intervention within three primary care systems.

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Thumbnail
    Name:
    Examining the sustainability ...
    Size:
    172.2Kb
    Format:
    PDF
    Download
    Author
    King, Diane
    Hanson, Bridget
    Keyword
    sustainability
    primary care
    health
    Metadata
    Show full item record
    URI
    https://doi.org/10.1093/tbm/iby032; http://hdl.handle.net/11122/11120
    Abstract
    The U.S. Preventive Services Task Force recommends that clinicians adopt universal alcohol screening and brief intervention as a routine preventive service for adults, and efforts are underway to support its widespread dissemination. The likelihood that healthcare systems will sustain this change, once implemented, is under-reported in the literature. This article identifies factors that were important to post implementation sustainability of an evidence-based practice change to address alcohol misuse that was piloted within three diverse primary care organizations. The Centers for Disease Control and Prevention funded three academic teams to pilot and evaluate implementation of alcohol screening and brief intervention within multi clinic healthcare systems in their respective regions. Following the completion of the pilots, teams used the Program Sustainability Assessment Tool to retrospectively describe and compare differences across eight sustainability domains, identify strengths and potential threats to sustainability, and make recommendations for improvement. Health systems varied across all domains, with greatest differences noted for Program Evaluation, Strategic Planning, and Funding Stability. Lack of funding to sustain practice change, or data monitoring to promote fit and fidelity, was an indication of diminished Organizational Capacity in systems that discontinued the service after the pilot. Early assessment of sustainability factors may identify potential threats that could be addressed prior to, or during implementation to enhance Organizational Capacity. Although this study provides a retrospective assessment conducted by external academic teams, it identifies factors that may be relevant for translating evidence-based behavioral interventions in a way that assures that they are sustained within healthcare systems.
    Date
    1/23/2018
    Source
    Translational Behavioral Medicine
    Publisher
    Oxford Academic
    Type
    Article
    Peer-Reviewed
    Yes
    Citation
    King, D.K., Gonzalez, S.J, Hartje, J.A., Hanson, B.L., Edney, C., Snell, H.,�Roget, N.A. (2018). Examining the sustainability potential of a multisite pilot to integrate alcohol screening and brief intervention within three primary care systems. Translational Behavioral Medicine. 2018 Jan 23. doi: 10.1093/tbm/ibx020. [Epub ahead of print] PMID: 29370421
    Collections
    Reports

    entitlement

     
    ABOUT US|HELP|BROWSE|ADVANCED SEARCH

    The University of Alaska Fairbanks is an affirmative action/equal opportunity employer and educational institution and is a part of the University of Alaska system.

    ©UAF 2013 - 2023 | Questions? ua-scholarworks@alaska.edu | Last modified: September 25, 2019

    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.