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Introducing Know Your Numbers
Cathy Rule
27th January 2016 Getting to Grips with Alcohol 2016 1
What is Know Your Numbers?
• Behavioural change approach to alcohol
– own drinking (units/week)
– spectrum of risk
• A number not a category avoids stigma of
‘alcohol dependent’ or ‘alcoholic’
• Like blood pressure, cholesterol, weight - the size of
the risk is relative to the size of the number27th January 2016 Getting to Grips with Alcohol 2016 2
Know Your Numbers Principle
• If your staff can’t calculate their own risk level of
drinking (if they drink), they can’t help your patients
to do the same
• Staff with improved knowledge of alcohol units can
ask their patients about their drinking
• Allows them to identify and treat patients
27th January 2016 Getting to Grips with Alcohol 2016 3
Baseline Results
• Correct Unit Estimation• Baseline Audit• July 2014
Starting with a very low alcohol specific health
literacy
27th January 2016 Getting to Grips with Alcohol 2016 4
Baseline0.0%
0.5%
1.0%
1.5%
2.0%
2.5%
3.0%
2.5%
Why is Know Your Numbers Important?
27th January 2016 Getting to Grips with Alcohol 2016 5
• NICE Quality Standard (QS11) for alcohol;Quality Statement 1
• NICE CG115 standard
“Staff … should be competent to identify harmful drinking and alcohol dependence.
They should be competent to initially assess the need for an
intervention”
Know Your Numbers Project
• Funded by PHE and Wessex AHSN• Resourced by UHS and University of
Southampton• Aims to
– improve the alcohol specific health literacy of healthcare staff
– increase the identification of patients at increased and higher risk drinking levels
27th January 2016 Getting to Grips with Alcohol 2016 6
Deliverables
• Produce a package of Know Your Numbers materials for dissemination
• Raise the alcohol-specific health literacy of healthcare staff
• To Increase the identification of patients at increased and higher risk drinking levels
27th January 2016 Getting to Grips with Alcohol 2016 7
Know Your Numbers Part 1
• September 2014 to March 2015
• Drink Diaries• Know Your Numbers Bar• UHS Open day• Alcohol Awareness
week• Mobile trolley to wards
27th January 2016 Getting to Grips with Alcohol 2016 8
Part 1Results
Baseline Follow-up0.0%
2.0%
4.0%
6.0%
8.0%
10.0%
12.0%
14.0%
16.0%
18.0%
2.5%
5.4%
15.4%
2.9%
all respondents respondents with KYNrespondents without KYN
Perc
enta
ge
Confidence & CompetenceFollow-up Audit
No (N=374) Yes (N=91)0
2
4
6
8
10
12
14
16
18
2.9
15.4
7.2
16.5
Correct Unit Estimation'very confident' Speaking to Patients
Perc
enta
ge
27th January 2016 Getting to Grips with Alcohol 2016 9
Correct Unit Estimation - Baseline July 2014 and Follow-up March 2015
Know Your Numbers Part 2
• July 2015 to January 2016• Mobile / Tablet / Web
Apps• Training Documentation• Leaflet• Cards• Know Your Numbers Bar• Events
– New Forest show– Alcohol Awareness Week
• Online training
27th January 2016 Getting to Grips with Alcohol 2016 10
Further Results after online training / survey at UHS
27th January 2016 Getting to Grips with Alcohol 2016 11
• November 2015• 335 respondents• Correct estimation of
alcohol content
Considerable improvement in alcohol specific health literacy with repeat training Baseline 07/14 Follow-up 03/15 Follow-up 11/15
0%
10%
20%
30%
40%
50%
60%
70%
80%
2.5%5.4%
37.5%
0.0%
15.4%
72.7%
0.0%2.9%
32.7%
All With KYN Training Without KYN Training
Dissemination
• Know your numbers available now• Use for staff alcohol training• Increase identification of alcohol patients• Come to the workshop!
27th January 2016 Getting to Grips with Alcohol 2016 12
Adopt Know Your Number
• What’s in the KYN Package?• What results can you get?• Try it now• How would you use it?• Do you want to adopt?
27th January 2016 Getting to Grips with Alcohol 2016 13
Innovation Workshops1345 - 1445
Earl Jellicoe Room
Know Your Numbers App
iOS
Android
Web
27th January 2016 Getting to Grips with Alcohol 2016 14
wessexahsn.org.uk/WebApp
NeedGoogle Chrome or Firefox
