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Implementing routine screening and brief alcohol intervention in primary health care: A Delphi survey of expert opinion

Lookup NU author(s): Deborah Hutchings, Professor Eileen Kaner, Professor Martin White

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Abstract

Aim. To obtain a consensus of expert views on how best to implement screening and brief intervention (SBI) for excessive drinkers in a routine and enduring fashion in primary health care throughout England. Method. A Delphi survey of expert opinion in the UK. Participants. Seventy-nine experts in SBI, of whom 53 (67%) remained in round 3 of the survey. The expert panel included primary health-care professionals, alcohol-service workers and researchers/academics. Measurements. In round 3, 53 panel members (67% of an initial sample of 79) made ratings on a five-point Likert scale of 157 items developed from responses to open ended questions in round 1 and fed back with group median ratings derived from round 2. Consensus was defined as an interquartile range of ≤ 1 and attention was mainly directed to items with consensus around median responses of strong agreement or disagreement. Findings. A number of clear conclusions emerged from the survey, including the recommendation of routine screening confined to new patient registrations, general health checks and special types of consultation. The employment of a specialist alcohol worker as a member of the primary health-care team was strongly supported, but a model of interprofessional cooperation in the delivery of SBI could also be derived from findings. Other conclusions included the importance for the widespread implementation of SBI of a national alcohol strategy. © 2004 Taylor & Francis.


Publication metadata

Author(s): Heather N, Dallolio E, Hutchings D, Kaner E, White M

Publication type: Article

Publication status: Published

Journal: Journal of Substance Use

Year: 2004

Volume: 9

Issue: 2

Pages: 68-85

Print publication date: 01/04/2004

ISSN (print): 1465-9891

ISSN (electronic): 1475-9942

Publisher: Informa Healthcare

URL: http://dx.doi.org/10.1080/14659890410001665014

DOI: 10.1080/14659890410001665014


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