Asking patients about their drinking

Holmqvist, Marika; Bendtsen, Preben; Spak, Fredrik; Rommelsjö, Anders; Geirsson, Magnus; Nilsen, Per

doi:10.1016/j.addbeh.2007.09.021

Cited by 42Substance Abuse Treatment and OutcomesPatient-Provider Communication in HealthcareAlcohol Consumption and Health Effects

Asking patients about their drinking

Holmqvist, Marika, Bendtsen, Preben, Spak, Fredrik, Rommelsjö, Anders, Geirsson, Magnus, Nilsen, Per·2008·Addictive Behaviors

DOI 10.1016/j.addbeh.2007.09.021

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Abstract

Aims To investigate the extent to which Swedish primary health care (PHC) general practitioners (GPs) and nurses discuss alcohol issues with their patients, their reasons for and against addressing alcohol issues, their perceived importance of these issues, and factors that could facilitate increased alcohol intervention activity among the PHC professionals.Methods All Swedish GPs and nurses who have the authority to issue prescriptions were surveyed with a postal questionnaire. The questionnaire was returned by 1821 GPs (47% response rate) and 3125 nurses (55% response rate).Results Fifty percent of the GPs and 28% of the nurses stated that they "frequently" discussed alcohol with their patients. The two most common reasons for asking patients about their drinking were that the GPs and nurses considered it part of their routines and the belief that the patient had alcohol-related symptoms. GPs said that improved opportunities for referral to specialists and provision of more knowledge about counselling techniques for use when alcohol-related symptoms are evident were the most important facilitators to increased intervention activity. Concerning the nurses, 93% stated that more time devoted to health-oriented work could facilitate increased alcohol intervention activity.Conclusions The findings highlight a considerable gap between the recognition of the significance of the alcohol problem and Swedish PHC intervention activity.

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The majority of GPs in 14 studies and of nurses in 2 quantitative studies reported the opposite, that they felt skilled enough to deliver alcohol SBI.
“on the other hand, the majority of the GPs in 14 [16, 20, 23, 36, 52, 62, 64, 70, 78, 83, 95, 106, 108, 111], and of the nurses in 2 quantitative studies [36, 70] reported the opposite.”
From Factors influencing the implementation of screening and brief interventions for alcohol use in primary care practices: a systematic review using the COM-B system and Theoretical Domains Framework (2021) · cites this paper as [70]
In 9 survey studies, the majority of GPs and nurses who received training reported that those programmes lasted less than four hours.
“In 9 survey studies, the majority of the GPs and nurses who received training reported that those programmes lasted less than four hours [20, 23, 44, 46, 47, 70, 76, 78, 79].”
From Factors influencing the implementation of screening and brief interventions for alcohol use in primary care practices: a systematic review using the COM-B system and Theoretical Domains Framework (2021) · cites this paper as [70]
A varying degree of both GPs and nurses in 2 survey studies indicated alcohol-specific education as a facilitator.
“A varying degree of both GPs and nurses in 2 survey studies indicated alcohol-specific education as a facilitator [70, 73].”
From Factors influencing the implementation of screening and brief interventions for alcohol use in primary care practices: a systematic review using the COM-B system and Theoretical Domains Framework (2021) · cites this paper as [70]
GPs and nurses often cited improving professional teamwork as a facilitator.
“GPs and nurses often cited improving professional teamwork (e.g. having a practice nurse delivering SBI, having receptionists giving patients screening tools) as a facilitator [39, 41, 54, 70, 71, 73, 76, 80, 91, 93, 97, 99].”
From Factors influencing the implementation of screening and brief interventions for alcohol use in primary care practices: a systematic review using the COM-B system and Theoretical Domains Framework (2021) · cites this paper as [70]
Data from 6 quantitative and 1 qualitative study indicated that GPs believed in the effectiveness of brief interventions.
“data from 6 quantitative and 1 qualitative studies point otherwise [23, 64, 70, 73, 86, 106, 110].”
From Factors influencing the implementation of screening and brief interventions for alcohol use in primary care practices: a systematic review using the COM-B system and Theoretical Domains Framework (2021) · cites this paper as [70]

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Additional file 2 of Factors influencing the implementation of screening and brief interventions for alcohol use in primary care practices: a systematic review using the COM-B system and Theoretical Domains Framework
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Additional file 3 of Factors influencing the implementation of screening and brief interventions for alcohol use in primary care practices: a systematic review using the COM-B system and Theoretical Domains Framework
Rosário, F., Santos, M. I., Angus, K., Pas, L., Ribeiro, C., & Fitzgerald, N. (2021) · Figshare · doi:10.6084/m9.figshare.13545359
Additional file 4 of Factors influencing the implementation of screening and brief interventions for alcohol use in primary care practices: a systematic review using the COM-B system and Theoretical Domains Framework
Rosário, F., Santos, M. I., Angus, K., Pas, L., Ribeiro, C., & Fitzgerald, N. (2021) · Figshare · doi:10.6084/m9.figshare.13545362

EARLY INTERVENTION FOR PROBLEM DRINKERS: READINESS TO PARTICIPATE AMONG GENERAL PRACTITIONERS AND NURSES IN SWEDISH PRIMARY HEALTH CARE
Johansson, K. (2002) · Alcohol and Alcoholism · doi:10.1093/alcalc/37.1.38 · Cited by 84 · see citing works
Primary health care professionals' activity in intervening in patients' alcohol drinking: a patient perspective
Aalto, M., Pekuri, P., & Seppä, K. (2002) · Drug and Alcohol Dependence · doi:10.1016/s0376-8716(01)00179-x · Cited by 77 · see citing works
Towards Increased Alcohol Intervention Activity in Swedish Occupational Health Services
Holmqvist, M., Hermansson, U., & Nilsén, P. (2008) · International Journal of Occupational Medicine and Environmental Health · doi:10.2478/v10001-008-0012-1 · Cited by 17 · see citing works
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Factors influencing inquiry about patients’ alcohol consumption by primary health care physicians: qualitative semi-structured interview study
Aira, M., Kauhanen, J., Larivaara, P., & Rautio, P. (2003) · Family Practice · doi:10.1093/fampra/cmg307 · Cited by 164 · see citing works
When is it appropriate to address patients' alcohol consumption in health care—national survey of views of the general population in Sweden
Nilsén, P., Bendtsen, P., McCambridge, J., Karlsson, N. E., & Dalal, K. (2012) · Addictive Behaviors · doi:10.1016/j.addbeh.2012.05.024 · Cited by 23 · see citing works
Self-citation

Authors: Holmqvist, M., Bendtsen, P., Spak, F., Rommelsjö, A., Geirsson, M., & Nilsen, P.
Affiliations: Linköping University (SE)
University of Gothenburg (SE)
Corresponding author: Holmqvist, Marika
ORCID: Bendtsen, Preben
Venue: Addictive Behaviors
Publisher: Elsevier BV
Published: 2008-02
Volume: 33
Issue: 2
Pages: 301-314
ISSN: 0306-4603 (ISSN-L)
DOI: 10.1016/j.addbeh.2007.09.021
OpenAlex: W1549324664
Cited by: 42
References: 46
Citations by year: 2024: 3 · 2021: 7 · 2020: 1 · 2019: 1 · 2018: 4 · 2017: 1 · 2016: 2 · 2015: 1 · 2014: 4 · 2013: 4 · 2012: 2
FWCI: 1.83
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Addictive Behaviors (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
Keywords: alcohol consumption, alcohol screening, alcohol interventions, primary care, general practitioners, nurses, physician-patient communication, specialist referral, counseling techniques, Swedish primary care
MeSH terms: Adult, Alcohol Drinking, Attitude of Health Personnel, Community Health Nursing, Family Practice, Female, Health Education, Humans, Life Style, Male, Middle Aged, Primary Health Care, Professional-Patient Relations, Risk-Taking, Sweden, Health Care Surveys

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