ATTITUDES AND MANAGING ALCOHOL PROBLEMS IN GENERAL PRACTICE: AN INTERACTION ANALYSIS BASED ON FINDINGS FROM A WHO COLLABORATIVE STUDY

ANDERSON, P.

doi:10.1093/alcalc/agh072

Cited by 147Substance Abuse Treatment and OutcomesHealth Policy Implementation ScienceAlcohol Consumption and Health Effects

ATTITUDES AND MANAGING ALCOHOL PROBLEMS IN GENERAL PRACTICE: AN INTERACTION ANALYSIS BASED ON FINDINGS FROM A WHO COLLABORATIVE STUDY

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ANDERSON, P.·2004·Alcohol and Alcoholism

DOI 10.1093/alcalc/agh072

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Abstract

AIMS: To determine if GPs' attitudes towards working with drinkers moderated the impact that training and support had on screening and brief intervention activity in routine practice. METHODS: Subjects were 340 GPs from four countries who were part of a World Health Organization randomized controlled trial to evaluate the effectiveness of training and support in increasing screening and brief alcohol intervention. GPs' self-reported attitudes towards working with drinkers were measured with the Shortened Alcohol and Alcohol Problems Perception Questionnaire. RESULTS: Whereas training and support increased GPs' screening and brief intervention rates, it did so only for practitioners who already felt secure and committed in working with drinkers. Training and support did not improve attitudes towards working with drinkers and, moreover, worsened the attitudes of those who were already insecure and uncommitted. CONCLUSIONS: To enhance the involvement of GPs in the management of alcohol problems, interventions that increase both actual experience and address practitioners' attitudes is required. Such support could take the form of on-site support agents and facilitators.

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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 [45]
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 [45]
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 [45]

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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: 2004-07-01
Volume: 39
Issue: 4
Pages: 351-356
ISSN: 0735-0414 (ISSN-L)
1464-3502
DOI: 10.1093/alcalc/agh072
OpenAlex: W1993182062
Cited by: 147
References: 31
Citations by year: 2026: 1 · 2024: 4 · 2023: 1 · 2022: 3 · 2021: 8 · 2020: 9 · 2019: 5 · 2018: 8 · 2017: 10 · 2016: 10 · 2015: 12 · 2014: 7 · 2013: 7 · 2012: 13
FWCI: 2.61
Type: journal article
Language: en
Open access: green
doi.org
Locations: Alcohol and Alcoholism (publishedVersion)
PubMed (publishedVersion)
reroDoc Digital Library (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 › Health Policy Implementation Science
Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
Keywords: alcohol screening, brief intervention, general practitioners, GP attitudes, alcohol problems, training and support, moderated effects, primary care
MeSH terms: Alcoholism, Attitude of Health Personnel, Follow-Up Studies, Humans, Physicians, Family, World Health Organization, Confidence Intervals, Chi-Square Distribution, Logistic Models, Odds Ratio

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ATTITUDES AND MANAGING ALCOHOL PROBLEMS IN GENERAL PRACTICE: AN INTERACTION ANALYSIS BASED ON FINDINGS FROM A WHO COLLABORATIVE STUDY

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