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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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“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]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“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]
Experimental — accuracy not yet measuredThe cited source says what the claim attributes to it.
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“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].”
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“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;”
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“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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Citations
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Sorted by citations
Items 101–122 of 122
Alcohol counselors in general practice
Mason, R. (1997) · Journal of Substance Misuse · doi:10.3109/14659899709085005 · Cited by 3
Medical Education and Substance Abuse
Fenton, G. W. (1992) · Journal of the Royal Society of Medicine · doi:10.1177/014107689208500801 · Cited by 3
Alcohol and Alcohol Problems Research 9. England, Wales and Northern Ireland
Glass, I. B. (1986) · British Journal of Addiction · doi:10.1111/j.1360-0443.1986.tb00318.x · Cited by 3
Hutchings, D., Cassidy, P., Dallolio, E., Pearson, P., Heather, N., & Kaner, E. (2006) · Primary Health Care Research & Development · doi:10.1191/1463423606pc292oa · Cited by 64
Interprofessional training on brief intervention for older adults
Coogle, C. L., & Owens, M. G. (2015) · The Journal of Mental Health Training Education and Practice · doi:10.1108/jmhtep-05-2014-0012 · Cited by 2
Intervención en poblaciones de riesgo (2): los bebedores de riesgo
Colom, J., Guillamón, M. C., Segura, L., & Gual, A. (2002) · Adicciones · doi:10.20882/adicciones.533 · Cited by 2
Kumar, P. R., Yee, A. H. A., & Francis, B. (2021) · Journal of Substance Use · doi:10.1080/14659891.2021.1897696 · Cited by 2
Kumar, P. R., Yee, A. H. A., Francis, B., & Danaee, M. (2021) · International Journal of Mental Health and Addiction · doi:10.1007/s11469-021-00562-7 · Cited by 2
Implementing screening and brief alcohol interventions in primary health care in England
Heather, N., Hutchings, D., Dalliolio, E., Kaner, E., & McAvoy, M. (2006) · Newcastle University ePrints (Newcastle Univesity) · doi:10.25405/ncl.34586442 · Cited by 2
Reymann, G. (2000) · Springer eBooks · doi:10.1007/978-3-642-59777-0_13 · Cited by 1
Alcohol prevention in Swedish primary health care
Geirsson, M. (2011) · Gothenburg University Publications Electronic Archive (Gothenburg University)
GPs' Drinking and Patient Alcohol Education
Bicknell, M., & GILLIES, P. A. (1989) · Journal of the Royal Society of Health · doi:10.1177/146642408910900117
General practitioners and “problem” drinkers
Clarke, J., & Foulds, K. (1990) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.1990.tb125527.x
Kemm, J. R. (1991) · doi:10.1007/978-1-349-21280-4_12
Rosário, F., Santos, M. I., Angus, K., Pas, L., Ribeiro, C., & Fitzgerald, N. (2021) · Figshare · doi:10.6084/m9.figshare.13545356
Rosário, F., Santos, M. I., Angus, K., Pas, L., Ribeiro, C., & Fitzgerald, N. (2021) · Figshare · doi:10.6084/m9.figshare.13545353
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
(1997) · Europe PMC (PubMed Central) · Cited by 89
Detecting, preventing, and managing patients' alcohol problems.
(1994) · PubMed Central · Cited by 41
Metadata
- 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 › Medicine › Family Practice › 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
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