A5010446339- Substance Abuse Treatment and Outcomes
- Mental Health and Patient Involvement
- Health Policy Implementation Science
- Alcohol Consumption and Health Effects
- Mental Health Treatment and Access
- Health Systems, Economic Evaluations, Quality of Life
- Homelessness and Social Issues
- Asthma and respiratory diseases
- Pharmaceutical Practices and Patient Outcomes
- Healthcare Policy and Management
- Clinical practice guidelines implementation
- Alcoholism and Thiamine Deficiency
- Dementia and Cognitive Impairment Research
- Primary Care and Health Outcomes
- Digital Mental Health Interventions
- Air Quality and Health Impacts
- Schizophrenia research and treatment
- Employment and Welfare Studies
- Opioid Use Disorder Treatment
- Usability and User Interface Design
- Social Media in Health Education
- Healthcare Systems and Technology
- Cardiac Health and Mental Health
- Noise Effects and Management
- Chronic Disease Management Strategies
Regional Education Centre for the area of primary care
2012-2017
University of Trieste
2014-2017
Ospedale di Monfalcone
2017
University of Udine
2002-2017
Regione Autonoma Friuli Venezia Giulia
2013-2016
Fundació Clínic per a la Recerca Biomèdica
2015
Alcohol dependence (AD) in Europe is prevalent and causes considerable health burden. Recognition by general practitioners (GPs) provision of or referral to treatment may contribute reduce this This paper studied AD prevalence varying European primary care settings examined who received treatment. In a cross-sectional multi-centre study six countries, 358 assessed 13,003 patients between January 2013 2014, which 8,476 were interviewed, collecting information on socio-demographics, physical...
<h3>PURPOSE</h3> Although alcohol dependence causes marked mortality and disease burden in Europe, the treatment rate is low. Primary care could play a key role reducing alcohol-attributable harm by screening, brief interventions, initiating or referral to treatment. This study investigates identification of European primary settings. <h3>METHODS</h3> Assessments from 13,003 general practitioners, 9,098 interviews (8,476 joint number interviewed patients with physician's assessment) were...
Aims: To document the attitudes of general practitioners (GPs) from eight European countries to alcohol and problems how these are associated with self-reported activity in managing patients problems. Methods: A total 2345 GPs were surveyed. The questionnaire included questions on GP's demographics, reported education training alcohol, towards estimates numbers managed for during previous year. Results: estimated mean number year ranged 5 21 across countries. who higher levels felt more...
Summary Background Environmental factors are likely to be involved in explaining the wide geographical variation asthma and atopic diseases that has been documented many recent epidemiological studies. Aim To evaluate what extent climate outdoor NO 2 pollution can explain prevalence of allergic rhinitis, estimate relative risk for exposure different levels these two factors. Methods The impact long‐term nitrogen dioxide (NO ) on rhinitis was assessed a cross‐sectional study, carried out...
Aim: To provide a description of patients receiving alcohol treatment in eight different European countries, including the level comorbidities and functional limitations. Methods: Drinking behaviours, DSM-IV use disorder (AUD), mental somatic comorbidities, disability health services utilization 1767 from various specialized settings were assessed as representative for regions countries. Severity dependence (AD) terms drinking was compared with large US sample. Results: Patients care AUDs...
Abstract Background Alcohol use disorders (AUDs) are highly prevalent in Europe, but only a minority of those affected receive treatment. It is therefore important to identify factors that predict treatment order reframe strategies aimed at improving rates. Methods Representative cross-sectional study with patients aged 18–64 from primary health care (PC, six European countries, n = 8476, data collection 01/13–01/14) and specialized (SC, eight 1762, 01/13–03/14). For descriptive purposes,...
As alcohol-related health problems continue to rise, the attention of policy-makers is increasingly turning Screening and Brief Intervention (SBI) programmes. The effectiveness such programmes in primary healthcare well evidenced, but very few cost-effectiveness analyses have been conducted none which specifically consider Italian context. Sheffield Alcohol Policy Model has used model government pricing public policies several countries including England. This study adapts using data...
Aims. Alcohol use disorders (AUDs) are prevalent in Europe but occurrence primary care and the proportion of treated cases understudied. This study reports prevalence AUDs their treatment European health settings compares them with general population estimates. Procedure. We sampled 358 practitioners (GPs, refusal rate: 56.4%) across six countries (Germany, Hungary, Italy, Latvia, Poland, Spain) who assessed 13,003 patients including providing AUD diagnoses. A subsample 8,476 (refusal 17.8%)...
Background: Few data are available on the management of asthma in general population. The aim this study was to evaluate level control Italian patients, a decade after publication international guidelines. Materials and methods: Within framework multicentre, population‐based people aged 20–44 years, 18 873 subjects replied postal screening questionnaire (response rate = 72.7%) presence symptoms exacerbations, their impact daily life. All reporting having ever had doctor diagnosis either...
There is a strong body of evidence demonstrating the effectiveness brief interventions by primary care professionals for risky drinkers. However, implementation levels remain low because time constraints and other factors. Facilitated access to an alcohol reduction website offers time-saving alternative standard face-to-face intervention, but it not known whether as effective.
Background Brief interventions (BIs) delivered in primary care have been shown to be effective reducing risky drinking, but implementation is limited. Facilitated access a digital application offers novel alternative face-to-face intervention, its relative effectiveness unknown. Methods Primary care-based, non-inferiority, randomised controlled trial comparing general practitioner (GP) facilitated an interactive alcohol reduction website (FA) with BI for drinking. Patients screening positive...
Introduction Obesity is a growing health problem in Europe and it causes many diseases. Many weight-reducing methods are reported medical literature, but none of them proved to be effective maintaining the results achieved over time. Self-empowerment can an important innovative method, effectiveness study necessary. In order standardise procedures for randomised controlled study, pilot will run observe, measure evaluate effects period self-empowerment group treatment on overweight/obese...
165 patients (106 males, 59 females) entered an open group comparative study of a 12-week test treatment on bronchial hyperresponsiveness (BHR) determined by methacholine challenge. Patients were randomly allocated to receive nedocromil sodium (4 mg q.i.d.), cromoglycate (10 μg q.i.d.) and beclomethasone dipropionate (500 t.i.d.). At the end study, 2.25-fold increase PD20FEV1 was noted in all treated patients. No significant difference among treatments.
Objectives To evaluate the 12-month costs and quality-adjusted life years (QALYs) gained to Italian National Health Service of facilitated access a website for hazardous drinkers compared with standard face-to-face brief intervention (BI). Design Randomised 1:1 non-inferiority trial. Setting Practices 58 general practitioners (GPs) in Italy. Participants Of 9080 patients (>18 old) approached take part trial, 4529 (49·9%) logged on 3841 (84.8%) undertook online screening drinking. 822...
Introduction There is a strong body of evidence demonstrating the effectiveness brief interventions by primary care professionals for risky drinkers. However, implementation levels remain low because time constraints and other factors. Facilitated access to an alcohol reduction website offers time-saving alternative standard face-to-face intervention, but it not known whether as effective. Methods analysis A randomised controlled non-inferiority trial drinkers comparing facilitated dedicated...
Brief interventions delivered in primary health care are effective reducing excessive drinking; online behavior-changing technique may be helpful. Physicians actively encourage the use of such by helping patients access selected websites (a process known as "facilitated access"). Although therapeutic working alliance plays a significant role achievement positive outcomes face-to-face psychotherapy and its development has been shown to feasible online, little research done on impact brief...
Alcohol and tobacco use are important determinants of illness have country-specific dimensions. It's to also consider them at community primary health care (PHC) levels. A collaborative qualitative research (Delphi study focus groups methodology) was conducted during the process 10 new countries joining European Union (EU) implemented in culturally socio-economically different countries: four EU (Belgium, Brussels region; Hungary, Pest County; Italy, Friuli Venezia Giulia Latvia, Riga...
There is a strong body of evidence demonstrating effectiveness brief interventions by primary care professionals for risky drinkers but implementation levels remain low. Facilitated access to an alcohol reduction website constitutes innovative approach intervention, offering time-saving alternative face it not known whether as effective.
Optimizing Delivery of Health care Interventions (ODHIN) is an ongoing European project (EC, FP7) involving research institutions from 9 countries using the implementation Early Identification and Brief Intervention (EIBI) programmes for Hazardous Harmful Alcohol Consumption (HHAC) in Primary Care (PHC) as a case study to better understand how translate results clinical into everyday practice. The Italian National Service (ISS) leader Work Package 6 assessment tool. aim ODHIN tool formalise,...
"OBJECTIVES: to identify the differences among patients of general practictioners (GPs) in both Tuscany Region (Central Italy) and Friuli Venezia Giulia (FVG) (Northern Italy), which are different for drinking cultures, as motivation consultation, hazardous alcohol dependence, health problems, use services.cross-sectional study by means a medical examination subsequent structured interview carried out with questionnaire. Data were analysed using chi-square test, logistic regression...