Managing alcohol problems in general practice.
Open accessAbstract
A questionnaire on the management of alcohol problems was sent to 467 general practitioners. Of the 312 who replied, nine tenths thought that they had a legitimate role in working with patients with drinking problems, but less than a half thought that they were adequately equipped to perform this role. Only two fifths felt motivated to work with drinkers, less than a third were satisfied with the way in which they worked with drinkers, and fewer than one in 10 obtained work satisfaction from working with drinkers. Only 29% of doctors regularly gave advice to patients to reduce alcohol consumption, but 56% believed that their advice was effective. Doctors who had positive attitudes to working with drinkers undertook more work related to alcohol problems in their practice. There is a need to provide further education for general practitioners about alcohol related matters, and this education should include advice on intervention with heavy drinkers.
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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 [44]
The Abstract (p. 1) reports that 56% of responding GPs believed their advice was effective, supporting a majority finding about advice. But fewer than half felt adequately equipped to work with patients with drinking problems, and the paper does not establish majority confidence in both screening and advising. The figures of 23 studies and 16 majority findings are not findings of this individual paper. (LLM, conf=0.84)
Experimental — accuracy not yet measuredWith the exception of 1 study on GPs from Sri Lanka, the majority of GPs in the remaining 13 studies and of nurses in 3 studies reported feeling unsatisfied advising patients to cut down.
“With the notable exception of 1 study on GPs from Sri Lanka [67], the majority of the GPs in the remaining 13 studies addressing this issue (8 from the UK), and of the nurses in 3 studies (2 from Sweden and 1 from the UK) reported feeling unsatisfied advising patients to cut down [16, 20, 23, 44, 57, 59–62, 73, 78, 94, 108].”
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 [44]
The Abstract (p. 1) reports that fewer than one-third of the surveyed GPs were satisfied with the way they worked with drinkers, supporting the claim of majority dissatisfaction in this study. It does not say they felt unsatisfied specifically when advising patients to cut down; it reports advice-giving separately. This paper also does not establish the sentence’s totals across GP and nurse studies. (LLM, conf=0.85)
Experimental — accuracy not yet measuredIn 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].”
The majority of GPs in 9 studies and of nurses in 3 quantitative studies felt they were not skilled enough to deliver alcohol SBI.
“On the one hand, the majority of the GPs in 9 [20, 44, 47, 57, 59, 62, 67, 83, 104], and of the nurses in 3 quantitative studies [20, 59, 84] felt they were not skilled enough to deliver alcohol SBI;”
The majority of GPs in 8 of 10 quantitative studies felt unmotivated to work with at-risk drinkers.
“The majority of the GPs in 8 from a total of 10 quantitative studies felt unmotivated to work with at-risk drinkers [16, 23, 44, 57, 62, 66, 78, 94, 95, 108].”
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- Authors
- Anderson, P.
- Corresponding author
- Anderson, P
- ORCID
- Anderson, P
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 1985-06-22
- Volume
- 290
- Issue
- 6485
- Pages
- 1873.1-1875
- ISSN
- 0007-1447 (ISSN-L)
- 0267-0623
- 1468-5833
- OpenAlex
- W2093649394
- Cited by
- 122
- References
- 0
- Citations by year
- 2022: 1 · 2021: 8 · 2020: 1 · 2019: 1 · 2018: 1 · 2017: 1 · 2015: 4 · 2014: 2 · 2013: 3 · 2012: 2
- FWCI
- 1.23
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.bmj.com/company/legal-information/terms-conditions/legal-information/tdm-licencepolicy (tdm)
- Locations
- BMJ (publishedVersion)
- Europe PMC (PubMed Central) (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 › Health Professions › General Health Professions › Primary Care and Health Outcomes
- Keywords
- alcohol problems, general practitioners, alcohol abuse, physician attitudes, heavy drinkers, physician training, primary care, job satisfaction
- MeSH terms
- Alcoholism, Attitude of Health Personnel, England, Family Practice, Female, Humans, Male
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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