Table 1 Description of the support model, with detail on elements relating to screeninga
Component | Description |
|---|---|
1 | A memorandum of understanding outlining the aims of and design of the study, responsibilities of the research team and the service |
2 | Two-day workshop with two nominated service champions to introduce aims and methods of the study, the support model, and to build a champions’ network. Training included screening, brief intervention, and treatment of unhealthy alcohol use |
3 | On-site training: the core program was half-day, face-to-face workshop. Training included: harms related to alcohol; current evidence for screening; culturally secure and accurate administration and interpretation of AUDIT-C; use of annual AUDIT-C screening; responding to a positive AUDIT-C screen; and using service-wide screening data to monitor improvements in screening Implementation approaches incorporated cultural protocols of Aboriginal and Torres Strait peoples such as gender appropriateness, kinship systems and cultural obligations Face-to-face workshops were delivered by an addiction medicine specialist and an Aboriginal health professional (e.g., drug and alcohol worker or other) |
4 | Data feedback report, based on the bi-monthly data provided by services Graphic representation of proportion of clients screened; proportion drinking at risky levels as measured by AUDIT-C; as well as overall rate of screening over 2-month periods and the last 12-months; and recorded treatment provided Presented as a pdf file with graphics and emailed to service champions and key contacts |
5 | Bi-monthly teleconference for service champions to exchange improvement ideas and experiences |
6 | Support to modify practice software to facilitate screening such as inclusion of AUDIT-C in the Adult Health Check, and other electronic forms used for periodic and opportunistic health checks, e.g., over 50Â s, pregnancy, pre-consult examination |
7 | A website with a repository of electronic tools and resources, including screening resources and standard drinks charts, and a private chat platform for champions |
8 | Financial support for purchase of agreed resources e.g., standard drink cups, clinical handbooks, prevention materials |