NameIPIB – Identificazione Precoce Intervento Breve
IPIB – Identificazione Precoce Intervento Breve: the formal institutional standard of training for Primary Health Care professionals in Italy allowing participants to be trained themselves and to train other professionals on Early Identification and Brief Intervention on alcohol.
The National Committee on Alcohol, set by the frame law on alcohol 125/2001, indicated the training programmes on the national EIBI (Early Intervention and Brief Intervention; in Italian: IPIB -Identificazione Precoce Intervento Breve) based on PHEPA II project, as the formal institutional standard of training for Primary Health Care (PHC) professionals (the target group), and the National Observatory on Alcohol, National Center for Epidemiology, Surveillance and Health Promotion, of the Istituto Superiore di Sanità (NOA-CNESPS, ISS) as the national provider of the training activities in tight connection with the SIA (Italian Society of Alcohology) and the Regions. Thus, starting from 2006 the NOA-CNESPS played a pivotal role in carrying out a formal activity in preparing a country strategy aimed at the implementation and dissemination of a common standard of training and at the coherent application of the IPIB now explicitly included in all national public health documents and carried out under the frame of different national - international programs.
The ISS-IPIB training courses follow the PHEPA standard: six training sessions for each course (Session 1: Introduction and basic concepts; Session 2: Early Identification; Session 3-4: Brief Intervention; Session 5: Alcohol dependence; Session 6: Implementation of the EIBI alcohol programme). Duration: 1 or 2 days, according to the settings.
As recruitment method, the web page of the ISS publishes the call for the selection of candidates for the training programmes IPIB as well as the programme of the course that allowed to 24 participants (www.iss.it).
- National/regional/local government
The training course has been opened to General Physicians and, generally speaking, to all the physicians involved in the PHC and also to the experts from other services and specialities such as to the Ser.T.S. (Services for the treatment of dependences), family advice bureau, professionals involved in the workplace prevention setting, psychiatrists and psychologists, with the objective of enhancing professional skills, knowledge, attitudes and motivation of health workers engaged in PHC and face the challenge consists of subjects with hazardous and harmful alcohol consumption (HHAC).
- Target group(s)
Scientific: Many reviews and scientific documents on the evidence of effectiveness and cost-effectiveness of EIBI for HHAC in PHC setting (from 2004 with the WHO Collaborative Project on Identification and Management of Alcohol-related Problems in Primary Health Care, Phase IV).
At national level, regarding the screening instruments, the AUDIT has been previously validated in 1997 (Piccinelli M. et al, 1997. BMJ, 314:420-424) as well as a national study to evaluate the feasibility of adapting a shorter version of the WHO AUDIT (AUDIT-C) in a PHC setting has been published in Istituto Superiore di Sanità (Struzzo P. et al, 2006).
Past experience: the IPIB-ISS working team started its activities in April 2006 publishing the national strategy, organising conferences to announce, promote and disseminate the IPIB training programme. IPIB training is not yet compulsory for the professionals of the National Health System, but an example of implementation at the Regional level has been the specific training experience of the Tuscany Region, a programme for all the Regions on IPIB in the workplaces funded by the Centre for Controls of Diseases (CCM) of the Italian Ministry of Health (MoH). The NOA-CNESPS, ISS, implemented 11 residential courses.
Elements Of Plan
- Literature review and/or formative research
- Needs assessment
- Time schedule
- Communication plan
- Evaluation plan
- General practitioners and other Primary Health Care professionals
- Social media
- Meetings/conferences with experts/colleagues
- Direct communication
Training courses, presentation and distribution of a wide range of materials (Campaigns, toolkits, translation and adaptation of the PHEPA training manual and clinical guidelines for alcohol prevention, adaptation of the training courses for different population’s specific target groups (ie. children, adolescents, pregnant women, families and health professionals).
- Team meetings
ResponsibilityInternal & External
IPIB activities are submitted to formal evaluation to MoH and reported to the Parliament in supporting alcohol prevention and the frame law on alcohol 125/2001.
Generally, the main result of this initiative is the inclusion of the EIBI training programme among the activities of the National Alcohol and Health Plan 2007-2010 (Piano Nazionale Alcol e Salute – PNAS) and of the National Prevention Plan of the Ministry of Health, and of the Regional Prevention Plans. At the end of each course, participants fulfilled the original PHEPA evaluation for the main topics of the course. One description of conclusions (available for each course) in term of knowledge and satisfaction has been presented at the INEBRIA annual meeting in Rome in 2013 (see here).
The activities are reported in the Annual Report of the MoH to the Parliament in relationship to the implementation of the law 125/2001.
Contact person: Claudia Gandin, Emanuele Scafato
Organization: Istituto Superiore di Sanità
Address: Via Giano della Bella, Roma
Telephone number: +39 06 4990 4192 - 4028E-mail address: firstname.lastname@example.org; email@example.com