Toggle Main Menu Toggle Search

ePrints

Promoting brief alcohol intervention by nurses in primary care: A cluster randomised controlled trial

Lookup NU author(s): Professor Eileen Kaner, Dr Katie Haighton, Paul McNamee, Emeritus Professor Senga Bond

Downloads

Full text for this publication is not currently held within this repository. Alternative links are provided below where available.


Abstract

This trial evaluated the clinical impact and cost-effectiveness of strategies promoting screening and brief alcohol intervention (SBI) by nurses in primary care. Randomisation was at the level of the practice and the interventions were: written guidelines (controls, n=76); outreach training (n=68); and training plus telephone-based support (n=68). After 3 months, just 39% of controls implemented the SBI programme compared to 74% of nurses in trained practices and 71% in trained and supported practices. Controls also screened fewer patients and delivered fewer brief interventions to risk drinkers than other colleagues. However, there was a trade-off between the extent and the appropriateness of brief intervention delivery with controls displaying the least errors in overall patient management. Thus cost-effectiveness ratios (cost per patient appropriately treated) were similar between the three strategies. Given the potential for anxiety due to misdirected advice about alcohol-related risk, the balance of evidence favoured the use of written guidelines to promote SBI by nurses in primary care. © 2002 Elsevier Science Ireland Ltd. All rights reserved.


Publication metadata

Author(s): Kaner E, Lock C, Heather N, McNamee P, Bond S

Publication type: Article

Publication status: Published

Journal: Patient Education and Counseling

Year: 2003

Volume: 51

Issue: 3

Pages: 277-284

ISSN (print): 0738-3991

ISSN (electronic): 1873-5134

Publisher: Elsevier Ireland

URL: http://dx.doi.org/10.1016/S0738-3991(02)00242-2

DOI: 10.1016/S0738-3991(02)00242-2

PubMed id: 14630384


Altmetrics

Altmetrics provided by Altmetric


Actions

    Link to this publication


Share