ATTITUDES AND MANAGEMENT OF ALCOHOL PROBLEMS IN GENERAL PRACTICE: DESCRIPTIVE ANALYSIS BASED ON FINDINGS OF A WORLD HEALTH ORGANIZATION INTERNATIONAL COLLABORATIVE SURVEY

Anderson, P.

doi:10.1093/alcalc/agg119

Cited by 97Substance Abuse Treatment and OutcomesPrimary Care and Health OutcomesAlcohol Consumption and Health Effects

ATTITUDES AND MANAGEMENT OF ALCOHOL PROBLEMS IN GENERAL PRACTICE: DESCRIPTIVE ANALYSIS BASED ON FINDINGS OF A WORLD HEALTH ORGANIZATION INTERNATIONAL COLLABORATIVE SURVEY

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Anderson, P.·2003·Alcohol and Alcoholism

DOI 10.1093/alcalc/agg119

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Abstract

AIMS: To determine if general practitioners' (GPs) experience of education on alcohol, support in their working environment for intervening with alcohol problems, and their attitudes have an impact on the number of patients they manage with alcohol problems. METHODS: 1300 GPs from nine countries were surveyed with a postal questionnaire as part of a World Health Organization (WHO) collaborative study. RESULTS: GPs who received more education on alcohol (OR = 1.5; 95% CI, 1.3-1.7), who perceived that they were working in a supportive environment (OR = 1.6; 95% CI, 1.4-1.9), who expressed higher role security in working with alcohol problems (OR = 2.0; 95% CI, 1.5-2.5) and who reported greater therapeutic commitment to working with alcohol problems (OR = 1.4; 95% CI, 1.1-1.7) were more likely to manage patients with alcohol-related harm. CONCLUSION: Both education and support in the working environment need to be provided to enhance the involvement of GPs in the management of alcohol problems.

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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].”
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 [46]
The Results (p. 3) report that 43.1% of surveyed GPs had at least four hours of alcohol-related education or training. But the Education and training section (p. 2) says the under-four-hour group also included GPs with no training, non-respondents, and those who answered “don’t know”; it therefore does not establish that most GPs who received training had less than four hours. The paper reports one survey across nine countries, not nine studies, and does not survey nurses. (LLM, conf=0.88)
Experimental — accuracy not yet measured
All 5 studies reported that the majority of these professionals were not therapeutically committed.
“All 5 studies reported that the majority of these professionals were not therapeutically committed.”
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 [46]
The Results (p. 3) report that only 27.1% of surveyed general practitioners felt therapeutically committed, supporting the claim that a majority were not. This paper reports one international survey, however, and does not establish what all five studies reported. (LLM, conf=0.86)
Experimental — accuracy not yet measured
Of 23 studies, 16 found that a majority of GPs believed they were confident in their abilities to screen and advise at-risk drinkers.
“Twenty-three studies reported on how GPs felt about their abilities for screening and advising at-risk drinkers, of which 16 found a majority of GPs believed they were confident in their abilities [20, 36, 40, 44–47, 50, 52, 59–62, 64, 65, 67, 78, 81, 83, 104, 106, 108, 111] compared with 1 of 3 studies involving nurses [20, 36, 59].”
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 [46]
Five quantitative studies employed a validated scale for measuring GPs' and nurses' predisposition for working therapeutically with at-risk drinkers.
“Five quantitative studies (4 on GPs and 1 in both GPs and nurses) employed a validated scale for measuring GPs’ and nurses’ predisposition for working therapeutically with at-risk drinkers [45–47, 50, 81].”
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 [46]

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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 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
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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
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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
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doi:10.1093/alcalc/agh072, available online at www.alcalc.oupjournals.org ATTITUDES AND MANAGING ALCOHOL PROBLEMS IN GENERAL PRACTICE: AN INTERACTION ANALYSIS BASED ON FINDINGS FROM A WHO COLLABORATIVE STUDY
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Authors: Anderson, P.
Affiliations: Radboud University Medical Center (NL)
Corresponding author: Anderson, P.
ORCID: Anderson, P.
Venue: Alcohol and Alcoholism
Publisher: Oxford University Press (OUP)
Published: 2003-11-01
Volume: 38
Issue: 6
Pages: 597-601
ISSN: 0735-0414 (ISSN-L)
1464-3502
DOI: 10.1093/alcalc/agg119
OpenAlex: W2135717959
Cited by: 97
References: 31
Citations by year: 2025: 1 · 2024: 2 · 2023: 2 · 2022: 2 · 2021: 10 · 2020: 3 · 2019: 1 · 2017: 7 · 2016: 4 · 2015: 4 · 2014: 5 · 2013: 7 · 2012: 6
FWCI: 2.77
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Alcohol and Alcoholism (publishedVersion)
PubMed (publishedVersion)
Northumbria Research Link (Northumbria University) (submittedVersion)
Radboud Repository (Radboud University) (submittedVersion)
Newcastle University ePrints (Newcastle Univesity)
Topics: Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
Keywords: alcohol problems, general practitioners, primary care, alcohol education, therapeutic commitment, attitudes toward alcohol, alcohol-related harm
MeSH terms: Attitude, Clinical Competence, Cooperative Behavior, Family Practice, Health Surveys, Humans, Physician-Patient Relations, Physician's Role, World Health Organization, Alcohol-Related Disorders

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ATTITUDES AND MANAGEMENT OF ALCOHOL PROBLEMS IN GENERAL PRACTICE: DESCRIPTIVE ANALYSIS BASED ON FINDINGS OF A WORLD HEALTH ORGANIZATION INTERNATIONAL COLLABORATIVE SURVEY

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