Stakeholder-informed solutions to address barriers for alcohol screening and brief intervention in Thai hypertension care

• Verfasst von: Lemp, Julia M. [VerfasserIn]
• Verfasst von: Supa Pengpid [VerfasserIn]
• Verfasst von: Buntup, Doungjai [VerfasserIn]
• Verfasst von: Sornpaisarn, Bundit [VerfasserIn]
• Verfasst von: Peltzer, Karl [VerfasserIn]
• Verfasst von: Geldsetzer, Pascal [VerfasserIn]
• Verfasst von: Probst, Charlotte [VerfasserIn]
• Titel: Stakeholder-informed solutions to address barriers for alcohol screening and brief intervention in Thai hypertension care
• Verf.angabe: Julia M. Lemp, Supa Pengpid, Doungjai Buntup, Bundit Sornpaisarn, Karl Peltzer, Pascal Geldsetzer, Charlotte Probst
• Jahr: 2024
• Umfang: 10 S.
• Fussnoten: Gesehen am 19.11.2024
• Titel Quelle: Enthalten in: Journal of prevention
• Ort Quelle: [New York] : [Springer US], 2022
• Jahr Quelle: 2024
• Band/Heft Quelle: 45(2024), 2, Seite 227-236
• ISSN Quelle: 2731-5541
• DOI: doi:10.1007/s10935-023-00763-x
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Alcohol use Screening
• Sach-SW: Brief Intervention
• Sach-SW: Digital Health
• Sach-SW: Hypertension
• Sach-SW: Primary Health Care
• K10plus-PPN: 1909005452

Abstract

Premature deaths from NCDs disproportionately affect people in low- and middle-income countries. Since alcohol use is one of the most common causes of reversible hypertension, interventions targeting alcohol use may be a feasible and effective low-cost approach to synergistically reduce the prevalence of harmful drinking and high blood pressure. This study sought to identify key factors in successfully implementing alcohol use screening and brief intervention in hypertension care in Thailand. For this purpose, we surveyed participants (NRound 1 = 91, NRound 2 = 27) from three different groups of Thai stakeholders (policy- and decisionmakers, primary healthcare practitioners, and patients diagnosed with hypertension) in a two-round stakeholder elicitation. In round 1, we identified limited resources, lack of clear guidelines for lifestyle intervention, stigmatization, and inconsistent monitoring of patients’ alcohol use as important barriers. In round 2, we sought to elicit solutions for the barriers identified in round 1. While stakeholders emphasized the need for adaptability to existing realities in Thai primary healthcare such as a high workload and limited digitization, they favorably evaluated a digital alcohol assessment tool with integrated, tailored advice for brief intervention as a potential scalable solution. Findings suggest that as one possible route to reduce the NCD burden caused by hypertension in Thailand, primary healthcare services may be enhanced by digital tools that support resource-effective, intuitive, and seamless delivery of alcohol screening and brief intervention.