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Attitudes of swedish general practitioners and nurses to working with lifestyle change, with special reference to alcohol consumption
Norrmalms Health Center, Skövde, Sweden, Ekängsvägen 15, 541 40 Skövde, Sweden.
Linköping University, Faculty of Health Sciences. Linköping University, Department of Medicine and Health Sciences, Division of Preventive and Social Medicine and Public Health Science. Östergötlands Läns Landsting, Local Health Care Services in Central Östergötland, Department of Acute Internal Medicine.
Department of Social Medicine, Institute of Community Medicine, Göteborg University, Göteborg, Sweden.
2005 (English)In: Alcohol and Alcoholism, ISSN 0735-0414, Vol. 40, no 5, 388-393 p.Article in journal (Refereed) Published
Abstract [en]

Aims: To explore the attitudes of Swedish general practitioners (GPs) a nd nurses to secondary alcohol prevention (early identification of, and intervention for, alcohol-related problems) and compare it to their attitudes to other important lifestyle behaviours such as smoking, stress, exercise, and overweight. Methods: An adjusted version of The WHO Collaborative Study Questionnaire for General Practitioners was posted to all GPs and nurses in the County of Skaraborg, Sweden, 68 GPs and 193 nurses responded. Results: The importance of drinking alcohol moderately, counselling skills on reducing alcohol consumption and perceived current effectiveness in helping patients change lifestyle behaviours ranked lower than working with all the other lifestyle behaviours. The nurses rated their potential effectiveness in helping patients change lifestyle higher than that of GPs for all the lifestyle behaviours. Nurses receiving more alcohol-related education had more positive attitudes than nurses with less education. For alcohol, the GPs assessed their role adequacy, role legitimacy and motivation higher than that of the nurses. The main obstacles for the GPs to carry out alcohol intervention were lack of training in counselling for reducing alcohol consumption, time constraints, and the fact that the doctors did not know how to identify problem drinkers who have no obvious symptoms of excess consumption. Conclusion: GPs and the nurses estimated their alcohol-related competence as lower than working with many other health-related lifestyles. These results can be explained by lack of practical skills, lack of training in suitable intervention techniques, and unsupportive working environments. All these elements must be considered when planning secondary alcohol prevention programs in primary health care. © The Author 2005. Published by Oxford University Press on behalf of the Medical Council on Alcohol. All rights reserved.

Place, publisher, year, edition, pages
2005. Vol. 40, no 5, 388-393 p.
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-50360DOI: 10.1093/alcalc/agh185OAI: diva2:271256
Available from: 2009-10-11 Created: 2009-10-11 Last updated: 2011-01-12

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Bendtsen, Preben
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