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Table 2 Components of model of care

From: Evidence based models of care for the treatment of alcohol use disorder in primary health care settings: a systematic review

 

Moore 2010 [19]

Ettner 2014 [20]

Wallhed-Finn 2018 [21]

Drummond 2009 [22]

Coulton 2017 [23]

Oslin 2013 [24]

Watkins 2017 [25]

Upshur 2015 [26]

Bradley 2018 [27]

Saitz 2013 [28]

Willenbring 1999 [29]

Lower intensity models

Higher intensity models (longitudinal care)

Identification

 Screening

X

X

X

X

X

X

X

X

X

X

X

 (E) MR alterations

X

X

    

X

X

X

X

 

Increasing patient engagement

 Follow-up (active)

      

X

 

X

X

X

 Shared-decision making

  

X

   

X

X

X

X

 

 Goal setting (flexibility)

  

X

  

X

 

X

X

 

X

 Self-management support

     

X

X

X

X

X

 

 Patient education (material)

X

X

   

X

 

X

X

  

 Biomarker feedback

        

X

X

X

 Support system involvement

          

X

Education health professionals

 Training of staff (> 1 h)

  

X

X

X

X

X

X

X

X

 

 Feedback/ supervision

    

X

X

X

X

X

  

 Specialist/ expert consultations

    

X

 

X

X

X

X

X

Staff

 Primary care staff**

X

X

X

X

X

X

X

X

X

X*

X

 Psychologist/ alcohol therapist

   

X

X

X

X

+

 

X

 

 Medical specialist

      

X

+

 

X

X

 Case manager/ care coordinator

      

X

X

X

X

X

Treatment

 (Brief) psychosocial therapy

X

X

X

X

X

X

X

X

X

X

X

 AUD pharmacotherapy

  

X

  

X

X

X

X

X

 

 Self-help groups

      

X

X

X

X

X

Linkage to specialty services

 Referral to specialty care

   

X

X

 

X

X

X

X

X

 Social/community services

      

X

X

 

X

X

Duration of intervention (treatment)

 Up to three months

X

 

X

X

X

      

 Three to six months

     

X

X

X

   

 Six to twelve months

 

X

      

X

X

 

 Up to 24 months

          

X

  1. Lower intensity models = e.g. extended brief intervention, stepped care intervention); Higher intensity intervention/longitudinal care plan = e.g. chronic care model, collaborative care model, alcohol care management; (E)MR = (electronic) medical records; AUD = alcohol use disorder;(Brief) psychosocial therapy varies from counselling, motivational enhancement therapy to cognitive behavioural therapy
  2. * intervention staff was a multidisciplinary team separate from any primary care staff but patients in the intervention group do receive a primary care appointment
  3. ** Primary care staff (general physician, nurse (practitioner), health educator)
  4. + both intervention and control group had unrestricted access to specialist care offered in the clinic (e.g. counselling, psychiatry, dental services, vision services, etc.) – not specific to the model
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BMC Primary Care

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