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dc.contributor.authorConigrave, James H
dc.contributor.authorLee, KS Kylie
dc.contributor.authorHarrison, Kristie
dc.contributor.authorDobbins, Timothy
dc.contributor.authorHayman, Noel
dc.contributor.authorWilson, Scott
dc.contributor.authorIvers, Rowena
dc.contributor.authorHaber, Paul S
dc.contributor.authorHummerston, Beth
dc.contributor.authorJohnson, David
dc.contributor.authorGray, Dennis
dc.contributor.authorConigrave, Katherine M
dc.date.accessioned2021-01-29T00:20:30Z
dc.date.available2021-01-29T00:20:30Z
dc.date.issued2019
dc.identifier.issn0959-5236
dc.identifier.urihttp://hdl.handle.net/10072/401526
dc.description.abstractIntroduction: Aboriginal and Torres Strait Islander communities have identified alcohol harms as a key concern. Aboriginal and Torres Strait Islander community controlled health services (ACCHS) are in a unique position to detect unhealthy drinking and to provide treatment. We aimed to determine whether training and off‐site support can increase the uptake of evidence‐based screening and brief‐interventions in ACCHSs. Methods: We performed a cluster‐randomised‐trial in which 22 ACCHSs were randomly allocated to an early‐support, or to a wait list (control) group. Early support services received training, data feedback, and access to online resources, phone support, and a second‐monthly teleconference to facilitate sharing of experience and learning between service representatives. Rates of screening and brief interventions for unhealthy alcohol‐use were examined, using practice‐software data from 2016‐2018. Multi‐level logistic regression assessed the odds of receiving screening or brief intervention. Results: Early results suggest the support provided was successful in increasing evidence‐based screening. In any two‐month period, clients who attended services which were actively receiving support were significantly more likely to be screened with Alcohol Use Disorders Identification Test‐Consumption. Support provided was also linked to significantly higher odds of receiving brief intervention, however, base rates were low so this model was unstable. Discussions and Conclusions: ACCHS have a unique ability to engage their communities. Providing ACCHSs with training and support may be an effective way to increase evidence‐based screening for unhealthy alcohol use in Australia’s Indigenous peoples. Further analyses will examine whether these benefits are sustained in the longer‐term. Disclosure of Interest Statement: This project is supported by the Australian National Health and Medical Research Council by a project grant (APP1105339), a Centre of Research Excellence (APP1117198) and a Practitioner Fellowship for KMC (APP1117582).
dc.languageEnglish
dc.publisherWiley
dc.publisher.urihttps://onlinelibrary.wiley.com/doi/10.1111/dar.12991
dc.relation.ispartofconferencenameAPSAD 2019 Conference
dc.relation.ispartofconferencetitleDrug and Alcohol Review
dc.relation.ispartofdatefrom2019-11-10
dc.relation.ispartofdateto2019-11-13
dc.relation.ispartoflocationHobart, Australia
dc.relation.ispartofpagefromS37
dc.relation.ispartofpagetoS37
dc.relation.ispartofissueS1
dc.relation.ispartofvolume38
dc.subject.fieldofresearchBiomedical and clinical sciences
dc.subject.fieldofresearchHuman society
dc.subject.fieldofresearchPsychology
dc.subject.fieldofresearchcode32
dc.subject.fieldofresearchcode44
dc.subject.fieldofresearchcode52
dc.subject.keywordsScience & Technology
dc.subject.keywordsLife Sciences & Biomedicine
dc.subject.keywordsSubstance Abuse
dc.titleSupporting Aboriginal Community Controlled Health Services to Reduce the Harms from Alcohol
dc.typeConference output
dc.type.descriptionE3 - Conferences (Extract Paper)
dcterms.bibliographicCitationConigrave, JH; Lee, KSK; Harrison, K; Dobbins, T; Hayman, N; Wilson, S; Ivers, R; Haber, PS; Hummerston, B; Johnson, D; Gray, D; Conigrave, KM, Supporting Aboriginal Community Controlled Health Services to Reduce the Harms from Alcohol, Drug and Alcohol Review, 2019, 38 (S1), pp. S37-S37
dc.date.updated2021-01-29T00:16:58Z
dc.description.versionVersion of Record (VoR)
gro.hasfulltextNo Full Text
gro.griffith.authorHayman, Noel E.


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