Text Messaging Interventions for Unhealthy Alcohol Use in Emergency Departments: Mixed Methods Assessment of Implementation Barriers and Facilitators DOI Creative Commons
Megan A. O’Grady, Lawrence E. Harrison, Adekemi O. Suleiman

et al.

JMIR Formative Research, Journal Year: 2025, Volume and Issue: 9, P. e65187 - e65187

Published: March 3, 2025

Abstract Background Many patients with unhealthy alcohol use (UAU) access health care in emergency departments (EDs). Scalable supports, such as SMS text messaging interventions, are acceptable and feasible to enhance delivery for many issues, including substance use. Further, interventions have been shown improve patient outcomes related consumption (eg, reduced compared no intervention, basic information, or drink tracking), but they rarely offered clinical settings. Objective This paper describes a mixed methods study using the Integrated Promoting Action on Research Implementation Health Services (i-PARIHS) framework. The goal of this was stakeholder-engaged design assess barriers facilitators implementation UAU EDs focus recipient’s characteristics, innovation’s degree fit within existing practice, unique nature inner outer context. Methods conducted large system northeastern United States. We examined electronic record data screening 17 EDs; surveyed 26 ED physician chairpersons feasibility, acceptability, appropriateness; interviewed 18 staff 21 understand implementation. Interviews were analyzed according i-PARIHS framework recipient innovation fit, Results Electronic revealed high variability completion (mean 73%, range 35%‐93%), indicating potential issues identifying eligible offer intervention. chair surveys relatively level confidence 4, SD 0.81), acceptability 0.71), appropriateness 3.75, 0.69) regarding intervention; feasibility 3.5, 0.55) had lowest mean, concerns about integrating intervention busy workflow. Staff concerned buy-in adding additional discussion points already overwhelmed during their visit saw need low-threshold services UAU. Patients interested address drinking health-related goals. Conclusions visits involving increased results formative indicate both promise caution. In general, we found that viewed offering appropriate acceptable; however, there low risk rates). also generally positively, limited drawbacks slight having time read messages). provide information can be used develop strategies tested future studies.

Language: Английский

Text Messaging Interventions for Unhealthy Alcohol Use in Emergency Departments: Mixed Methods Assessment of Implementation Barriers and Facilitators DOI Creative Commons
Megan A. O’Grady, Lawrence E. Harrison, Adekemi O. Suleiman

et al.

JMIR Formative Research, Journal Year: 2025, Volume and Issue: 9, P. e65187 - e65187

Published: March 3, 2025

Abstract Background Many patients with unhealthy alcohol use (UAU) access health care in emergency departments (EDs). Scalable supports, such as SMS text messaging interventions, are acceptable and feasible to enhance delivery for many issues, including substance use. Further, interventions have been shown improve patient outcomes related consumption (eg, reduced compared no intervention, basic information, or drink tracking), but they rarely offered clinical settings. Objective This paper describes a mixed methods study using the Integrated Promoting Action on Research Implementation Health Services (i-PARIHS) framework. The goal of this was stakeholder-engaged design assess barriers facilitators implementation UAU EDs focus recipient’s characteristics, innovation’s degree fit within existing practice, unique nature inner outer context. Methods conducted large system northeastern United States. We examined electronic record data screening 17 EDs; surveyed 26 ED physician chairpersons feasibility, acceptability, appropriateness; interviewed 18 staff 21 understand implementation. Interviews were analyzed according i-PARIHS framework recipient innovation fit, Results Electronic revealed high variability completion (mean 73%, range 35%‐93%), indicating potential issues identifying eligible offer intervention. chair surveys relatively level confidence 4, SD 0.81), acceptability 0.71), appropriateness 3.75, 0.69) regarding intervention; feasibility 3.5, 0.55) had lowest mean, concerns about integrating intervention busy workflow. Staff concerned buy-in adding additional discussion points already overwhelmed during their visit saw need low-threshold services UAU. Patients interested address drinking health-related goals. Conclusions visits involving increased results formative indicate both promise caution. In general, we found that viewed offering appropriate acceptable; however, there low risk rates). also generally positively, limited drawbacks slight having time read messages). provide information can be used develop strategies tested future studies.

Language: Английский

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