Implementation Protocol To Increase Problematic Alcohol Use Screening and Brief Intervention in Brazil’s National Health System

Abstract

Heavy drinking, defined as the consumption of five or more doses of alcoholic beverages on a single occasion by men or four for women at least once in the last 2 weeks (Macinko et al. 2015), has become a major health issue in Brazil. In primary care settings, screening and brief intervention reduces heavy drinking (Kaner et al. 2018; Soares and Vargas 2019), yet it is rarely used in Brazil (Macinko et al. 2015). This protocol describes a screening and brief intervention implementation feasibility study to be implemented in Rio de Janeiro’s Family Health Strategy primary care units.

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Acknowledgements

The authors would like to thank the senior mental health and addictions staff within the city of Rio de Janeiro, the area coordinators, managers, and the staff at the primary care health units in programmatic areas 1.0 and 2.2. The authors would also like to thank the Fulbright Commission, CAPES, UERJ, staff at the Coordinating Study Centers, and the following individuals for their support of the project: Bianca Pereira de Souza, Adriana Teixeira dos Santos, Gabriella Souza Oliberia Freitas, Angela Machado da Silva, Alice Lopes do Amaral Menezes, and Natalia Lelou Fazzioni.

Funding

Fulbright Scholars Award and in-kind support from Universidade do Estado do Rio de Janeiro.

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Correspondence to Sean J. Haley.

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The study received ethical approval from the respective Brazilian and American Universities and was submitted for ethical approval to the city of Rio de Janeiro on July 25 and approved on November 8, 2018.

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The authors declare that they have no conflicts of interest.

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Haley, S.J., Athié, K., Wyka, K.E. et al. Implementation Protocol To Increase Problematic Alcohol Use Screening and Brief Intervention in Brazil’s National Health System. Int J Ment Health Addiction 19, 72–90 (2021). https://doi.org/10.1007/s11469-019-00127-9

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Keywords

  • alcohol
  • screening, brief intervention, and referral to treatment
  • primary care
  • low/middle income countries