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Professionals Attitudes Do Not Influence Screening and Brief Interventions Rates for Hazardous and Harmful Drinkers: Results from ODHIN Study
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in West Östergötland, Department of Medical Specialist in Motala.
Newcastle University, England; Maastricht University, Netherlands.
Medical University of Warsaw, Poland; University of Michigan, MI 48109 USA.
Newcastle University, England.
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2015 (English)In: Alcohol and Alcoholism, ISSN 0735-0414, E-ISSN 1464-3502, Vol. 50, no 4, 430-437 p.Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
Oxford University Press (OUP): Policy B - Oxford Open Option D , 2015. Vol. 50, no 4, 430-437 p.
National Category
Basic Medicine
Identifiers
URN: urn:nbn:se:liu:diva-120454DOI: 10.1093/alcalc/agv020ISI: 000357867100009PubMedID: 25787012OAI: oai:DiVA.org:liu-120454DiVA: diva2:845590
Note

Funding Agencies|Netherlands Organization for Health Research and Development (ZonMW) [200310017]

Available from: 2015-08-12 Created: 2015-08-11 Last updated: 2015-08-12

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Bendtsen, PrebenMüssener, UlrikaKarlsson, Nadine
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Division of Community MedicineFaculty of Medicine and Health SciencesDepartment of Medical Specialist in Motala
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