Addressing Alcohol-Related Harms Within Maxillofacial Trauma Practice

Lee, Kai H.; Bobinskas, Alexander M.; Sun, Jiandong

doi:10.1016/j.joms.2014.09.026

Cited by 10 publications

(7 citation statements)

References 19 publications

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“…Self-completed questionnaire on practices, self-efficacy in alcohol counseling, and knowledge on health impacts of excessive alcohol consumption. Quantitative study (Bernstein et al, 2007;Broyles et al, 2012;Cunningham et al, 2010;Danielsson et al, 1999;Garnett et al, 2016;Gentilello et al, 2005;Graham et al, 2000;Griffiths et al, 2007;Hellum et al, 2016;Indig et al, 2009;Jun et al, 2019;Lee et al, 2015;Staton et al, 2018;Tsai, 2009;Weiland et al, 2008) 15 (60%) High confidence 15 studies with moderate methodological limitations. Data from 6 countries across 5 continents, predominantly in North America.…”

Section: Quantitative Studymentioning

confidence: 99%

“…Moderate concerns regarding relevance with minor methodological limitations and minor concerns regarding coherence and adequacy. "Lack of skills" may be linked to other cited barriers such as need for additional training, lack of experience, and lack of confidence Need for additional training (Falc on et al, 2018;Garnett et al, 2016;Lee et al, 2015;Mello et al, 2013;Weiland et al, 2008) 5 (20%) Moderate confidence…”

Section: Quantitative Studymentioning

confidence: 99%

“…Thin data from 2 countries. This barrier is seldom reported because it may be a consequence of other barriers (i.e., lack of time and overwhelming workload) Opportunity Lack of time (Anderson et al, 2001;Bernstein et al, 2007;Broyles et al, 2012;Cunningham et al, 2010;Danielsson et al, 1999;D esy and Perhats, 2008;Falc on et al, 2018;Garnett et al, 2016;Graham et al, 2000;Grønkjaer et al, 2017;Groves et al, 2010;Hellumet al, 2016;Indig et al, 2009;Jun et al, 2019;Lee et al, 2015;Staton et al, 2018;Weiland et al, 2008;Whitty et al, 2016;Yokell et al, 2014) 19 76%High confidence 19 studies with moderate methodological limitations. Data from 8 countries across 4 continents, predominantly in North America.…”

Section: Quantitative Studymentioning

confidence: 99%

“…Lack of resources (e.g., referral resources, financial resources, treatment resources, screening devices, inadequate follow-up) (Anderson et al, 2001;Bernstein et al, 2007;Cunningham et al, 2010;Danielsson et al, 1999;D esy and Perhats, 2008;Falc on et al, 2018;Graham et al, 2000;Indig et al, 2009;Jun et al, 2019;Lee et al, 2015;Staton et al, 2018;Whitty et al, 2016;Yokell et al, 2014) 13 (52%) High confidence 13 studies with minor methodological limitations. Data from 6 countries across 5 continents, predominantly in North America.…”

Section: Quantitative Studymentioning

confidence: 99%

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Systematic Review of Clinician‐Reported Barriers to Provision of Brief Advice for Alcohol Intake in Hospital Inpatient and Emergency Settings

Gargaritano

Murphy

Auyeung

et al. 2020

Alcoholism Clin & Exp Res

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Hospital inpatient and emergency care settings provide frequent opportunities for clinicians to screen and provide brief interventions to patients who engage in the harmful use of alcohol. However, these services are not always provided, with several reasons given in different studies. We aimed to systematically review clinician-reported barriers in the provision of brief alcohol screening, brief advice, and intervention specific to hospital inpatient and emergency department (ED) settings. A systematic literature review was conducted in MEDLINE, PsycINFO, and CINAHL to identify the barriers perceived by healthcare workers in the provision of alcohol screening and brief intervention. These barriers were then categorized according to the capability, opportunity, and motivation (COM-B) model of behavior change theory. Twenty-five articles were included in this study, which involved questionnaires, surveys, interviews, and conference call discussions. The most commonly cited barriers (i.e., greater than half of the studies) were related to capability (lack of knowledge cited in 60% of studies); opportunity (lack of time and resources, 76 and 52% of studies, respectively); and motivation (personal discomfort in 60% of studies). Twenty-two other barriers were reported but with lower frequency. Clinicians cite a multitude of factors that impede their delivery of alcohol screening and brief interventions in the hospital inpatient and ED settings. These barriers were explored further under the framework of the COMB model, which allows for intervention design. As such, changes can be made at the policy, managerial, and educational levels to address these barriers and help improve the self-efficacy and knowledge of clinicians who counsel patients on alcohol use.

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Section: Quantitative Studymentioning

confidence: 99%

Section: Quantitative Studymentioning

confidence: 99%

Section: Quantitative Studymentioning

confidence: 99%

Section: Quantitative Studymentioning

confidence: 99%

See 2 more Smart Citations

Systematic Review of Clinician‐Reported Barriers to Provision of Brief Advice for Alcohol Intake in Hospital Inpatient and Emergency Settings

Gargaritano

Murphy

Auyeung

et al. 2020

Alcoholism Clin & Exp Res

View full text Add to dashboard Cite

show abstract

“…However, in Australia and New Zealand SBI is not routinely implemented in acute care. [ 4 ] This valuable public health strategy is not routine care in ED in most other countries. This study aims to assess the knowledge and current practice of SBI by emergency physicians in acute trauma presentations.…”

Section: Introductionmentioning

confidence: 99%

Emergency physician screening and management of trauma patients with alcohol involvement

Lee

Olsen

Sun

2017

J Emerg Trauma Shock

Self Cite

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Background:Alcohol screening and brief intervention (SBI) in trauma patients has been reported in literature to be effective in changing harmful drinking patterns and injury recurrence. Despite good evidence that SBI can benefit patients and provide a more holistic care, it is not routinely implemented in acute medical settings in Australia, in particular emergency departments (EDs).Objective:This paper aims to assess the knowledge, confidence, and practice of alcohol SBI in trauma patients by emergency physicians throughout Australia and New Zealand through an online survey.Methods:Major EDs in Australia and Zealand were approached to participate in an online survey. Results from the survey were analyzed using simple descriptive summary statistics.Results:Fifty-eight physicians participated in the online survey. Almost all physicians reported at least 10% of all patients managed in ED had traumatic injuries and 35% had alcohol involvement. About 66% were consultant physicians and 84% had 5 or more years of practice. Sixty-four percent agreed to have adequate training in SBI, 22% had adequate time and resources, 47% would like more training in patient screening, and 72% were more likely to deliver SBI in 5 min. Limited time and resources were seen as major barriers. It was found that better understating of SBI may lead to higher confidence and more practice, or vice versa.Conclusion:High proportion of participants in this survey felt under-equipped to deliver SBI due to time limitation, perceived lack of resources, unsuitable environment, and supportive staff. There exists an opportunity to develop a shortened and efficient SBI program that can improve utilization of SBI in an emergency setting.

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Brief alcohol intervention in alcohol involved facial fracture patients—a survey of patient attitudes to screening and intervention

Lee

Dastaran

Chandu

2017

Oral Maxillofac Surg

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Most patients presented in this survey were in moderate risk category who are amenable to behavioural change with provision of SBI. However, there is resistance to implementation of this intervention due to lack of knowledge, self-awareness and willingness to change. Nonetheless, patients are prepared to accept advice from clinicians and some formats of intervention. It is important to formulate a simple screening questionnaire and intervention strategy that are easy to administer to affect positive changes in patients with harmful drinking behaviours.

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Addressing Alcohol-Related Harms Within Maxillofacial Trauma Practice

Abstract: The study findings confirm the challenges and barriers to implementing a brief alcohol intervention in current practice. Service gaps, as well as opportunities for training, exist.

Cited by 10 publications

References 19 publications

Systematic Review of Clinician‐Reported Barriers to Provision of Brief Advice for Alcohol Intake in Hospital Inpatient and Emergency Settings

Systematic Review of Clinician‐Reported Barriers to Provision of Brief Advice for Alcohol Intake in Hospital Inpatient and Emergency Settings

Emergency physician screening and management of trauma patients with alcohol involvement

Brief alcohol intervention in alcohol involved facial fracture patients—a survey of patient attitudes to screening and intervention

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