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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

Author

Listed:
  • Nadia Minian

    (Nicotine Dependence Service, Centre for Addiction and Mental Health, 175 College St, Toronto, ON M5T 1P7, Canada
    Department of Family and Community Medicine, University of Toronto, 500 University Ave, Toronto, ON M5G 1V7, Canada
    Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, 60 White Squirrel Way, Toronto, ON M6J 1H4, Canada)

  • Anna Ivanova

    (Nicotine Dependence Service, Centre for Addiction and Mental Health, 175 College St, Toronto, ON M5T 1P7, Canada)

  • Sabrina Voci

    (Nicotine Dependence Service, Centre for Addiction and Mental Health, 175 College St, Toronto, ON M5T 1P7, Canada)

  • Scott Veldhuizen

    (Nicotine Dependence Service, Centre for Addiction and Mental Health, 175 College St, Toronto, ON M5T 1P7, Canada)

  • Laurie Zawertailo

    (Nicotine Dependence Service, Centre for Addiction and Mental Health, 175 College St, Toronto, ON M5T 1P7, Canada
    Department of Pharmacology and Toxicology, University of Toronto, 1 King’s College Cir, Toronto, ON M5S 1A8, Canada)

  • Dolly Baliunas

    (Nicotine Dependence Service, Centre for Addiction and Mental Health, 175 College St, Toronto, ON M5T 1P7, Canada
    Dalla Lana School of Public Health, University of Toronto, 155 College, Toronto, ON M5T 3M7, Canada)

  • Aliya Noormohamed

    (Nicotine Dependence Service, Centre for Addiction and Mental Health, 175 College St, Toronto, ON M5T 1P7, Canada)

  • Norman Giesbrecht

    (Dalla Lana School of Public Health, University of Toronto, 155 College, Toronto, ON M5T 3M7, Canada
    Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, 33 Russell St, Toronto, ON M5S 2S1, Canada)

  • Peter Selby

    (Nicotine Dependence Service, Centre for Addiction and Mental Health, 175 College St, Toronto, ON M5T 1P7, Canada
    Department of Family and Community Medicine, University of Toronto, 500 University Ave, Toronto, ON M5G 1V7, Canada
    Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, 60 White Squirrel Way, Toronto, ON M6J 1H4, Canada
    Dalla Lana School of Public Health, University of Toronto, 155 College, Toronto, ON M5T 3M7, Canada)

Abstract

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.

Suggested Citation

  • Nadia Minian & Anna Ivanova & Sabrina Voci & Scott Veldhuizen & Laurie Zawertailo & Dolly Baliunas & Aliya Noormohamed & Norman Giesbrecht & Peter Selby, 2020. "Computerized Clinical Decision Support System for Prompting Brief Alcohol Interventions with Treatment Seeking Smokers: A Sex-Based Secondary Analysis of a Cluster Randomized Trial," IJERPH, MDPI, vol. 17(3), pages 1-14, February.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:3:p:1024-:d:317219
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    References listed on IDEAS

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    1. Gomel, Michelle K. & Wutzke, Sonia E. & Hardcastle, Deborah M. & Lapsley, Helen & Reznik, Robert B., 1998. "Cost-effectiveness of strategies to market and train primary health care physicians in brief intervention techniques for hazardous alcohol use," Social Science & Medicine, Elsevier, vol. 47(2), pages 203-211, July.
    2. Graham, G.N. & Spengler, R.F., 2009. "Collaborating to end health disparities in our lifetime," American Journal of Public Health, American Public Health Association, vol. 99(11), pages 1930-1932.
    3. Philip J. Cook, 2007. "Introduction to Paying the Tab: The Costs and Benefits of Alcohol Control," Introductory Chapters, in: Paying the Tab: The Costs and Benefits of Alcohol Control, Princeton University Press.
    4. Donald A Brand & Michaela Saisana & Lisa A Rynn & Fulvia Pennoni & Albert B Lowenfels, 2007. "Comparative Analysis of Alcohol Control Policies in 30 Countries," PLOS Medicine, Public Library of Science, vol. 4(4), pages 1-8, April.
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    Cited by:

    1. Lorraine Greaves, 2020. "Missing in Action: Sex and Gender in Substance Use Research," IJERPH, MDPI, vol. 17(7), pages 1-7, March.

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