Evaluation of an authority innovation-decision: Brief alcohol intervention for pregnant women receiving women, infants, and children services at two illinois health departments

Imelda K. Moise, David Green, Janine Toth, Peter F. Mulhall

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Despite the availability of clinical tools and evidence-based screening recommendations, there has been little discussion regarding screening of prenatal alcohol exposure in community-based settings, including adoption and implementation. This study's aim is to evaluate and validatethrough surveys and focus groupsobstacles and challenges that shape efficacious implementation of the BAI at two Illinois health departments. Results suggest that BAI implementation is facilitated by staff perceptions of its benefits, readiness to implement the intervention, and organizational support for it. Limitations of the management information system, ambiguous screening questions, and high case-loads present barriers to effective BAI implementation.

Original languageEnglish (US)
Pages (from-to)804-812
Number of pages9
JournalSubstance Use and Misuse
Volume49
Issue number7
DOIs
StatePublished - Jun 2014
Externally publishedYes

Keywords

  • Brief alcohol intervention (BAI)
  • Diffusion of innovations
  • Evaluation
  • Fetal alcohol spectrum disorder (FASD)
  • Focus groups

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Health(social science)
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

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