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Alcohol Prevention in Urgent and Emergency Care (APUEC): Development and Evaluation of Workforce Digital Training on Screening, Brief Intervention, and Referral for Treatment

Author

Listed:
  • Holly Blake

    (School of Health Sciences, University of Nottingham, Nottingham NG7 2HA, UK
    NIHR Nottingham Biomedical Research Centre, Nottingham NG7 2UH, UK)

  • Emma J. Adams

    (School of Health Sciences, University of Nottingham, Nottingham NG7 2HA, UK)

  • Wendy J. Chaplin

    (School of Health Sciences, University of Nottingham, Nottingham NG7 2HA, UK)

  • Lucy Morris

    (Department of Research and Education in Emergency Medicine, Nottingham University Hospitals NHS Trust, Nottingham NG7 2UH, UK)

  • Ikra Mahmood

    (General Surgery Department, Nottingham University Hospitals NHS Trust, Nottingham NG7 2UH, UK)

  • Michael G. Taylor

    (School of Health Sciences, University of Nottingham, Nottingham NG7 2HA, UK)

  • Gillian Langmack

    (School of Health Sciences, University of Nottingham, Nottingham NG7 2HA, UK)

  • Lydia Jones

    (School of Health Sciences, University of Nottingham, Nottingham NG7 2HA, UK)

  • Philip Miller

    (Health Innovation East Midlands, Nottingham NG7 2TU, UK)

  • Frank Coffey

    (School of Health Sciences, University of Nottingham, Nottingham NG7 2HA, UK
    Department of Research and Education in Emergency Medicine, Nottingham University Hospitals NHS Trust, Nottingham NG7 2UH, UK)

Abstract

Excessive alcohol consumption carries a significant health, social and economic burden. Screening, brief intervention and referral to treatment (SBIRT) is one approach to identifying patients with excessive alcohol consumption and providing interventions to help them reduce their drinking. However, healthcare workers in urgent and emergency care settings do not routinely integrate SBIRT into clinical practice and raise a lack of training as a barrier to SBIRT delivery. Therefore, “Alcohol Prevention in Urgent and Emergency Care” (APUEC) training was developed, delivered, and evaluated. APUEC is a brief, stand-alone, multimedia, interactive digital training package for healthcare workers. The aim of APUEC is to increase positive attitudes, knowledge, confidence and skills related to SBIRT through the provision of (a) education on the impact of alcohol and the role of urgent and emergency care in alcohol prevention, and (b) practical guidance on patient assessment, delivery of brief advice and making referral decisions. Development involved collaborative–participatory design approaches and a rigorous six-step ASPIRE methodology (involving n = 28 contributors). APUEC was delivered to healthcare workers who completed an online survey ( n = 18) and then participated in individual qualitative interviews ( n = 15). Analysis of data was aligned with Levels 1–3 of the Kirkpatrick Model of Training Evaluation. Survey data showed that all participants (100%) found the training useful and would recommend it to others. Insights from the qualitative data showed that APUEC digital training increases healthcare workers’ perceived knowledge, confidence and skills related to alcohol prevention in urgent and emergency care settings. Participants viewed APUEC to be engaging and relevant to urgent and emergency care workers. This digital training was perceived to be useful for workforce skills development and supporting the implementation of SBIRT in clinical practice. While the impact of APUEC on clinician behaviour and patient outcomes is yet to be tested, APUEC digital training could easily be embedded within education and continuing professional development programmes for healthcare workers and healthcare trainees of any discipline. Ultimately, this may facilitate the integration of SBIRT into routine care and contribute to population health improvement.

Suggested Citation

  • Holly Blake & Emma J. Adams & Wendy J. Chaplin & Lucy Morris & Ikra Mahmood & Michael G. Taylor & Gillian Langmack & Lydia Jones & Philip Miller & Frank Coffey, 2023. "Alcohol Prevention in Urgent and Emergency Care (APUEC): Development and Evaluation of Workforce Digital Training on Screening, Brief Intervention, and Referral for Treatment," IJERPH, MDPI, vol. 20(22), pages 1-24, November.
  • Handle: RePEc:gam:jijerp:v:20:y:2023:i:22:p:7028-:d:1275349
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    References listed on IDEAS

    as
    1. Holly Blake & Aaron Fecowycz & Hollie Starbuck & Wendy Jones, 2022. "COVID-19 Vaccine Education (CoVE) for Health and Care Workers to Facilitate Global Promotion of the COVID-19 Vaccines," IJERPH, MDPI, vol. 19(2), pages 1-23, January.
    2. Holly Blake & Sarah Somerset & Catrin Evans, 2020. "Development and Fidelity Testing of the Test@Work Digital Toolkit for Employers on Workplace Health Checks and Opt-In HIV Testing," IJERPH, MDPI, vol. 17(1), pages 1-15, January.
    3. Holly Blake & Benjamin Vaughan & Craig Bartle & Jo Yarker & Fehmidah Munir & Steven Marwaha & Guy Daly & Sean Russell & Caroline Meyer & Juliet Hassard & Louise Thomson, 2022. "Managing Minds at Work: Development of a Digital Line Manager Training Program," IJERPH, MDPI, vol. 19(13), pages 1-19, June.
    Full references (including those not matched with items on IDEAS)

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