Promoting brief alcohol intervention by nurses in primary care: a cluster randomised controlled trial
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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.
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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].”
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].”
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Carrandi, A., Grove, A., Skouteris, H., Melder, A., Hu, Y., Dever, M., & Higgins, A. (2024) · Figshare · doi:10.6084/m9.figshare.26694138
Carrandi, A., Grove, A., Skouteris, H., Melder, A., Hu, Y., Dever, M., & Higgins, A. (2024) · Figshare · doi:10.6084/m9.figshare.25422431
Rosário, F., Santos, M. I., Angus, K., Pas, L., Ribeiro, C., & Fitzgerald, N. (2021) · Figshare · doi:10.6084/m9.figshare.13545359
Rosário, F., Santos, M. I., Angus, K., Pas, L., Ribeiro, C., & Fitzgerald, N. (2021) · Figshare · doi:10.6084/m9.figshare.13545362
- Authors
- Kaner, E., Lock, C., Heather, N., McNamee, P., & Bond, S.
- Affiliations
- Newcastle University (GB)
- Corresponding author
- Kaner, Eileen
- Venue
- Patient Education and Counseling
- Publisher
- Elsevier BV
- Published
- 2003-11
- Volume
- 51
- Issue
- 3
- Pages
- 277-284
- ISSN
- 0738-3991 (ISSN-L)
- OpenAlex
- W2048736880
- Cited by
- 71
- References
- 45
- Citations by year
- 2024: 6 · 2022: 1 · 2021: 8 · 2020: 1 · 2019: 1 · 2018: 2 · 2017: 2 · 2015: 8 · 2014: 4 · 2013: 2 · 2012: 2
- FWCI
- 2.41
- Type
- journal article
- Language
- en
- Open access
- green
- doi.org
- Locations
- Patient Education and Counseling (publishedVersion)
- PubMed (publishedVersion)
- Newcastle University ePrints (Newcastle Univesity)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
- Keywords
- brief alcohol intervention, screening and brief intervention, nurses, primary care, alcohol screening, cost-effectiveness, telephone support, alcohol-related risk
- MeSH terms
- Adult, Alcoholism, Cost-Benefit Analysis, Counseling, Education, Nursing, Continuing, England, Family Practice, Female, Humans, Inservice Training, Male, Mass Screening, Middle Aged, Nursing Staff, Primary Health Care, Psychotherapy, Brief, Program Evaluation, Nursing Evaluation Research, Cluster Analysis, Practice Guidelines as Topic
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