Blended-eLearning Improves Alcohol Use Care in Kenya: Pragmatic Randomized Control Trial Results and Parallel Qualitative Study Implications.
Alcohol use
Health Education
Kenya
Low and Middle-income Countries
blended learning
continuing medical education
eLearning
human ressources for health
mixed-methods
pragmatic randomized control trial
qualitative research
screening and brief interventions
stigma
Journal
International journal of mental health and addiction
ISSN: 1557-1874
Titre abrégé: Int J Ment Health Addict
Pays: United States
ID NLM: 101256588
Informations de publication
Date de publication:
2022
2022
Historique:
accepted:
04
05
2022
pubmed:
18
8
2022
medline:
18
8
2022
entrez:
17
8
2022
Statut:
ppublish
Résumé
Alcohol use is the 5th most important risk factor contributing to the global burden of diseases, with stigma and a lack of trained health workers as the main barriers to adequate care. This study assesses the impact of providing blended-eLearning courses teaching the alcohol, smoking, and substance involvement screening test (ASSIST) screening and its linked brief intervention (BI). In public and private facilities, two randomized control trials (RCTs) showed large and similar decreases in alcohol use in those receiving the BI compared to those receiving only the ASSIST feedback. Qualitative findings confirm a meaningful reduction in alcohol consumption; decrease in stigma and significant practice change, suggesting lay health workers and clinicians can learn effective interventions through blended-eLearning; and significantly improve alcohol use care in a low- and middle-income country (LMIC) context. In addition, our study provides insight into why lay health workers feedback led to a similar decrease in alcohol consumption compared to those who also received a BI by clinicians. The online version contains supplementary material available at 10.1007/s11469-022-00841-x.
Identifiants
pubmed: 35975214
doi: 10.1007/s11469-022-00841-x
pii: 841
pmc: PMC9373889
doi:
Types de publication
Journal Article
Langues
eng
Pagination
3410-3437Informations de copyright
© The Author(s) 2022.
Déclaration de conflit d'intérêts
Conflict of InterestThe authors declare no competing interests.
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