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Professional's Attitudes Do Not Influence Screening and Brief Interventions Rates for Hazardous and Harmful Drinkers: Results from ODHIN Study

Lookup NU author(s): Professor Peter Anderson, Professor Dorothy Newbury-Birch, Professor Eileen Kaner, Dr Kathryn Parkinson, Lidia Segura Garcia

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Abstract

To determine the relation between existing levels of alcohol screening and brief intervention rates in five European jurisdictions and role security and therapeutic commitment by the participating primary healthcare professionals.Health care professionals consisting of, 409 GPs, 282 nurses and 55 other staff including psychologists, social workers and nurse aids from 120 primary health care centres participated in a cross-sectional 4-week survey. The participants registered all screening and brief intervention activities as part of their normal routine. The participants also completed the Shortened Alcohol and Alcohol Problems Perception Questionnaire (SAAPPQ), which measure role security and therapeutic commitment.The only significant but small relationship was found between role security and screening rate in a multilevel logistic regression analysis adjusted for occupation of the provider, number of eligible patients and the random effects of jurisdictions and primary health care units (PHCU). No significant relationship was found between role security and brief intervention rate nor between therapeutic commitment and screening rate/brief intervention rate. The proportion of patients screened varied across jurisdictions between 2 and 10%.The findings show that the studied factors (role security and therapeutic commitment) are not of great importance for alcohol screening and BI rates. Given the fact that screening and brief intervention implementation rate has not changed much in the last decade in spite of increased policy emphasis, training initiatives and more research being published, this raises a question about what else is needed to enhance implementation.


Publication metadata

Author(s): Bendtsen P, Anderson P, Wojnar M, Newbury-Birch D, Mussener U, Colom J, Karlsson N, Brzozka K, Spak F, Deluca P, Drummond C, Kaner E, Kloda K, Mierzecki A, Okulicz-Kozaryn K, Parkinson K, Reynolds J, Ronda G, Segura L, Palacio J, Baena B, Slodownik L, van Steenkiste B, Wolstenholme A, Wallace P, Keurhorst MN, Laurant MGH, Gual A

Publication type: Article

Publication status: Published

Journal: Alcohol and Alcoholism

Year: 2015

Volume: 50

Issue: 4

Pages: 430-437

Online publication date: 18/03/2015

Acceptance date: 23/02/2015

ISSN (print): 0735-0414

ISSN (electronic): 1464-3502

Publisher: Oxford University Press

URL: http://dx.doi.org/10.1093/alcalc/agv020

DOI: 10.1093/alcalc/agv020


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