Blended-eLearning Improves Alcohol Use Care in Kenya: Pragmatic Randomized Control Trial Results and Parallel Qualitative Study Implications.

Journal: International journal of mental health and addiction

Volume: 20

Issue: 6

Year of Publication: 

Affiliated Institutions:  School of Population and Public Health, University of British Columbia, Vancouver, Canada. Africa Mental Health Research and Training Foundation, Nairobi, Kenya.

Abstract summary 

Alcohol use is the 5th most important risk factor contributing to the global burden of diseases, with stigma and a lack of trained health workers as the main barriers to adequate care. This study assesses the impact of providing blended-eLearning courses teaching the alcohol, smoking, and substance involvement screening test (ASSIST) screening and its linked brief intervention (BI). In public and private facilities, two randomized control trials (RCTs) showed large and similar decreases in alcohol use in those receiving the BI compared to those receiving only the ASSIST feedback. Qualitative findings confirm a meaningful reduction in alcohol consumption; decrease in stigma and significant practice change, suggesting lay health workers and clinicians can learn effective interventions through blended-eLearning; and significantly improve alcohol use care in a low- and middle-income country (LMIC) context. In addition, our study provides insight into why lay health workers feedback led to a similar decrease in alcohol consumption compared to those who also received a BI by clinicians.The online version contains supplementary material available at 10.1007/s11469-022-00841-x.

Authors & Co-authors:  Clair Musau Mutiso Tele Atkinson Rossa-Roccor Bosire Ndetei Frank

Study Outcome 

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Citations :  Assanangkornchai S, Nima P, McNeil EB, Edwards JG. Comparative trial of the WHO ASSIST-linked brief intervention and simple advice for substance abuse in primary care. Asian Journal of Psychiatry. 2015 doi: 10.1016/j.ajp.2015.09.003.
Authors :  9
Identifiers
Doi : 10.1007/s11469-022-00841-x
SSN : 1557-1874
Study Population
Male,Female
Mesh Terms
Other Terms
Alcohol use;Health Education;Kenya;Low and Middle-income Countries;blended learning;continuing medical education;eLearning;human ressources for health;mixed-methods;pragmatic randomized control trial;qualitative research;screening and brief interventions;stigma
Study Design
Randomized Control Trial
Study Approach
Qualitative
Country of Study
Kenya
Publication Country
United States