• SCALA Implementation Framework

    Main output

    SCALA Implementation Framework
    THE SCALA FRAMEWORK, the main outcome of SCALA, provides step-by-step guidance and issues to consider when implementing the SCALA 'ask and advise about alcohol' program through a primary health care system at the municipal level, to tackle the public health impacts of alcohol in Latin America and globally.

    Click here to download the SCALA Framework Document

    (click here to see all SCALA project outputs)

  • SCALA at a glance

    Overview

    SCALA at a glance
    SCALA is a 4-year H2020 project (from Dec 2017 - Dec 2021), with a budget of €3M, which will test the scale-up of primary health care-based prevention and management of heavy drinking and co-morbid depression through training and on-going support embedded in community-based municipal action

    (learn more)

  • SCALA adapts to the pandemic

    COVID-19

    SCALA adapts to the pandemic
    The COVID-19 pandemic in 2020 has various impacts on SCALA, due to the need to support telemedecine, the strain put on primary health systems, and the anxiety and fear that the virus is causing in societies worldwide.

    (learn more)

  • The SCALA Study

    Implementation study

    The SCALA Study
    The SCALA study will test the hypothesis that the scale-up of implementing a tailored brief intervention package embedded in a wider strategy of community and municipal support in Latin American cities, will increase screening and advice rates for heavy drinking and co-morbid depression more than the usual practice, carried out by health care providers alone. Find out more...
  • Who is working on SCALA?

    People

    Who is working on SCALA?
    SCALA involves over 25 scientists from 9 different institutions located in 7 countries in Europe and Latin America

    click to meet the SCALA partners

The second SCALA General Partner meeting was held in Barcelona Hotel Pere IV from Tuesday 16th to Wednesday 17th October 2018. 

Further information can be seen below:

  • Agenda (PDF)
  • Outcomes:
    • Community Advisory Boards: A third arm will be added to SCALA to evaluate the impact of only receiving training without community support; Each of the countries has to prepare a municipal action plan, describing the plan for community support, including communication campaign, adoption mechanisms and support systems.
    • Municipal-based communication campaigns: Peru developing a multi-stakeholder model of communication campaign; In the calendar, align the timing of the campaign with the planned measurements (baseline, provider interviews, patient interviews).
    • Tailoring SCALA clinical intervention: Alcohol health literacy (part concerning numeracy and literacy skills) to be redesigned (too complicated); the questionnaires already validated in Western countries (such as AUDIT and PHQ) to be pretested with user panels (to ensure the questions and the translation are relevant and make sense).
    • SCALA training package: Training for trainers – organised either in one of the Latin American countries or in each of the countries separately; Booster sessions will be organized at month 2 and month 6 of the implementation.
    • Evaluation/ Economic analyses: The follow-up of the patient interview to be dropped (as follow-up will not be possible); The cost-utility analysis, relying only on follow-up data, will be dropped.