EARLY INTERVENTION FOR PROBLEM DRINKERS: READINESS TO PARTICIPATE AMONG GENERAL PRACTITIONERS AND NURSES IN SWEDISH PRIMARY HEALTH CARE

Johansson, K.

doi:10.1093/alcalc/37.1.38

Cited by 84Substance Abuse Treatment and OutcomesAlcohol Consumption and Health EffectsHealth Promotion and Cardiovascular Prevention

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

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Abstract

An exploration was made of attitudes and practices of general practitioners (GPs) and nurses concerning early identification of, and intervention for, alcohol-related problems. Sixty-five GPs and 141 nurses in 19 primary health centres in a county in southern Sweden answered a 28-item questionnaire before implementation of an intervention programme. The questionnaire covered experiences with patients with alcohol-related health problems, knowledge and perceived capacity concerning early identification and intervention, attitudes towards the role of primary care staff in early identification and intervention and current intervention methods in use at the health centre. Self-reported frequency of asking about alcohol use was higher among GPs than nurses. Both groups reported more frequently asking about alcohol consumption in cases where they believed that the health status was influenced by alcohol. For both professions, knowledge and skills concerning identification were rated as better understood than that concerning intervention methods. Nurses rated their knowledge and skills less confidently than GPs. The overall attitude was fairly positive towards early identification and intervention, but nurses were more worried than GPs that patients would react negatively to questions about alcohol. Attitudes, self-rated capacity, and practice were related. The low level of early identification and intervention in primary care appears to be related more to insufficient practical skills than to attitudes. Nurses appear to be an unexploited resource, in need of training and support. Nurses may need to be convinced that an active role does not interfere with the nurse-patient relationship. Building teams of GPs and nurses in primary care might enhance the dissemination of alcohol prevention into regular practice.

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Several studies on both GPs and nurses reported availability of educational and training programmes as an important facilitator.
“Several studies on both GPs and nurses reported availability of educational and training programmes as an important facilitator [23, 36, 55, 73, 78, 84].”
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 [73]
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 [73]
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 [73]
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 [73]
Data mainly from qualitative studies suggested that GPs and nurses do not screen systematically for alcohol but only when they suspected heavy consumption or when the patient's complaint was likely to be alcohol-related.
“Data, mainly from qualitative studies, suggested that GPs and nurses do not screen systematically for alcohol but only when they suspected heavy consumption, or when the patient’s complaint was likely to be alcohol-related [41, 42, 58, 67, 72–74, 88].”
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 [73]

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Hazardous Drinking Concepts, Limits and Methods: Low Levels of Awareness, Knowledge and Use in the Swedish Population
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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
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South Texas Residency Screening, Brief Intervention, and Referral to Treatment (SBIRT) Training: 12-Month Outcomes
Malone, G. P., Arismendez, S. V., Schneegans, S., Amodei, N., Burge, S. K., Wathen, P. I., Conde, M. V., Palmer, R. F., & Williams, J. F. (2015) · Substance Abuse · doi:10.1080/08897077.2014.988839 · Cited by 19 · see citing works
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“As documented in other studies, the reasons why the delivery of brief alcohol interventions may be suboptimal include lack of time, lack of workplace support, poor financial reimbursement and feelings of inadequacy by healthcare staff(37,40–42); and we believe these factors also apply in the UK.”
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The Economist’s Way of Thinking About Alcohol Policy
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Referral to an Electronic Screening and Brief Alcohol Intervention in Primary Health Care in Sweden: Impact of Staff Referral to the Computer
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“Recent studies on the knowledge and attitudes of nurses toward alcohol and alcoholism have indicated that nurses believe that their interventions have little influence on the drinking habits of their patients ([10]), that nurses feel less confidence than other health professionals when using their knowledge and skills…”
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Nurses’ perceived facilitators and barriers to assessing for alcohol use in Taiwan
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Differences between Groups of Family Physicians with Different Attitudes towards At-Risk Drinkers: A Post Hoc Study of the ODHIN Survey in Portugal
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“Themost common organizational barriers cited in these studies are lack of time [6, 9, 12, 22–25]; lack of screening tools [9, 12]; lack of counselling materials [9, 12]; and lack of support [6, 7, 24].”
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Análise das atitudes de profissionais da Atenção Primária a Saúde frente a pessoas com transtornos relacionados ao uso de álcool
Caixeta, L. M. M., Pedrosa, L. A. K., & Haas, V. J. (2016) · SMAD Revista Eletrônica Saúde Mental Álcool e Drogas (Edição em Português) · doi:10.11606/issn.1806-6976.v12i2p84-91 · Cited by 6 · see citing works
NHG-Standaard Problematisch alcoholgebruik
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Funderburk, J. S., Possemato, K., & Maisto, S. A. (2013) · Military Medicine · doi:10.7205/milmed-d-13-00165 · Cited by 4 · see citing works
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Experiencias del personal de enfermería con pacientes hospitalizados por abuso de alcohol
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The Frequency and Content of Discussions About Alcohol Use in Primary Care and Application of the Chief Medical Officer’s Low-Risk Drinking Guidelines: A Cross-Sectional Survey of General Practitioners and Practice Nurses in the UK
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A IMPLEMENTAÇÃO DA INTERVENÇÃO BREVE NA ATENÇÃO PRIMÁRIA À SAÚDE: REVISÃO INTEGRATIVA
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Beratungsempfehlung für HIV/AIDS-infizierte Menschen, deren Alkoholkonsum ein gesundheitliches Problem darstellt
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Training and Administration of Behavioral Health Screens within the Veterans Health Administration
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Healthcare Utilisation, Morbidities and Alcohol Use Monitoring Prior to Alcoholic Psychosis Diagnosis
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A STUDY OF THE KNOWLEDGE, ATTITUDES AND PRACTICES OF FIRST YEAR STUDENTS AT CORK UNIVERSITY REGARDING PARENTAL AND PERSONAL ALCOHOL USE
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Importance of Alcohol Education
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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
Rosário, F., Santos, M. I., Angus, K., Pas, L., Ribeiro, C., & Fitzgerald, N. (2021) · Figshare · doi:10.6084/m9.figshare.13545356
Additional file 1 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.13545353
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
The Implementation of Medications for Opioid Use Disorder in Recovery Residences: Assessing the Impact of the Consolidated Framework for Implementation Science Constructs
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“Implementation research shows that training and community collaboration can facilitate the adoption of evidence-based interventions (Casswell & McPherson, 1982; Johansson et al., 2002; Kaner et al., 1999; Lacey, 2009; Rosário et al., 2021; Wilson et al., 2011).”

CHANGES IN ATTITUDES AND PRACTICES IN PRIMARY HEALTH CARE WITH REGARD TO EARLY INTERVENTION FOR PROBLEM DRINKERS
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ATTITUDES OF SWEDISH GENERAL PRACTITIONERS AND NURSES TO WORKING WITH LIFESTYLE CHANGE, WITH SPECIAL REFERENCE TO ALCOHOL CONSUMPTION
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Under what circumstances are nurses willing to engage in brief alcohol interventions?
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Self-citation
Attitudes of Swedish general practitioners and nurses to working with lifestyle change, with special reference to alcohol consumption. Alcohol Alcohol 40:388–93
Geirsson, M., Bendtsen, P., & Spak, F. (2005)

Authors: Johansson, K.
Affiliations: Linköping University (SE)
Corresponding author: Johansson, K.
ORCID: Johansson, K.
Venue: Alcohol and Alcoholism
Publisher: Oxford University Press (OUP)
Published: 2002-01-01
Volume: 37
Issue: 1
Pages: 38-42
ISSN: 0735-0414 (ISSN-L)
1464-3502
DOI: 10.1093/alcalc/37.1.38
OpenAlex: W2123741896
Cited by: 84
References: 48
Citations by year: 2026: 1 · 2024: 1 · 2021: 7 · 2020: 1 · 2018: 2 · 2017: 2 · 2016: 5 · 2015: 5 · 2013: 3 · 2012: 7
FWCI: 4.77
Type: journal article
Language: en
Open access: closed
Locations: Alcohol and Alcoholism (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
Keywords: alcohol-related health problems, general practitioners, nurses, primary care, attitudes and practices, alcohol screening, intervention strategies, professional knowledge and skills, nurse-patient relationship, multidisciplinary team, alcohol prevention
MeSH terms: Alcoholism, Attitude of Health Personnel, Clinical Competence, Education, Medical, Continuing, Humans, Nurses, Physicians, Family, Primary Health Care, Surveys and Questionnaires, Sweden

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EARLY INTERVENTION FOR PROBLEM DRINKERS: READINESS TO PARTICIPATE AMONG GENERAL PRACTITIONERS AND NURSES IN SWEDISH PRIMARY HEALTH CARE

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