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Computerized Clinical Decision Support System for Prompting Brief Alcohol Interventions with Treatment Seeking Smokers

A Sex-Based Secondary Analysis of a Cluster Randomized Trial

Bibliographic Data

ID15501340
AuthorsNadia Minian (0000-0001-8179-3628, University of Toronto), Anna Ivanova (0000-0001-5357-7602, Centre for Addiction and Mental Health), Sabrina Voci (0000-0002-5692-7863, Centre for Addiction and Mental Health), Scott Veldhuizen (0000-0003-3969-2756, Centre for Addiction and Mental Health), Laurie Zawertailo (0000-0002-4547-1565, University of New Brunswick), Dolly Baliunas (0000-0001-5685-0715, Centre for Addiction and Mental Health), Aliya Noormohamed (0000-0003-1118-7790, Centre for Addiction and Mental Health), Norman Giesbrecht (0000-0002-4469-0563, University of Toronto), Peter Selby (0000-0001-5401-2996, University of Toronto, corresponding author)
Year2020
Volume17
Issue3
Pages1024-1024
Publication date2020-02-06
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph17031024
PMID32041190
OpenAlexW3004698786
LanguageEN
References cited18

Although brief alcohol intervention can reduce alcohol use for both men and women, health care providers (HCPs) are less likely to discuss alcohol use or deliver brief intervention to women compared to men. This secondary analysis examined whether previously reported outcomes from a cluster randomized trial of a clinical decision support system (CDSS)-prompting delivery of a brief alcohol intervention (an educational alcohol resource) for patients drinking above cancer guidelines-were moderated by patients' sex. Patients ( n = 5702) enrolled in a smoking cessation program at primary care sites across Ontario, Canada, were randomized to either the intervention (CDSS) or control arm (no CDSS). Logistic generalized estimating equations models were fit for the primary and secondary outcome (HCP offer of resource and patient acceptance of resource, respectively). Previously reported results showed no difference between treatment arms in HCP offers of an educational alcohol resource to eligible patients, but there was increased acceptance of the alcohol resource among patients in the intervention arm. The results of this study showed that these CDSS intervention effects were not moderated by sex, and this can help inform the development of a scalable strategy to overcome gender disparities in alcohol intervention seen in other studies

Brief intervention · Clinical trial · Cluster (spacecraft · Cluster randomised controlled trial · Family medicine · Intervention (counseling · Logistic regression · Psychological intervention · Randomized controlled trial · Health Policy Implementation Science · Medicine · Nursing · Smoking Behavior and Cessation · Substance Abuse Treatment and Outcomes · Internal Medicine · Surgery

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Citation velocityhistorical
Highly citedNo

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