Alcohol screening in dental patients

Miller, Peter M.; Ravenel, Michele C.; Shealy, Abigail E.; Thomas, Suzanne

doi:10.14219/jada.archive.2006.0115

Cited by 33 publications

(4 citation statements)

References 19 publications

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“…[ 17 ] Similarly, screening for alcoholic abuse/dependence can be done in the dental office as significant numbers of patients in dental office suffer from alcohol abuse/dependence. [ 18 ]…”

Section: Primary Health Care Screenings and Interventions In The Dentmentioning

confidence: 99%

Primary care in dentistry - An untapped potential

Gambhir¹

2015

J Family Med Prim Care

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Dentistry is neither an allied health profession nor a paramedical profession. It is the only anatomically focused health care profession that is university-based and for which primary care responsibility is maintained by the profession. Dentists must have a reliable knowledge of basic clinical medicine for safely and effectively treating individuals with chronic and other diseases, which make them biologically and pharmacologically compromised. With changes in the life expectancy of people and lifestyles, as well as rapid advancement in biomedical sciences, dentists should have similar knowledge like a physician in any other fields of medicine. There are number of primary care activities that can be conducted in the dental office like screening of diabetics, managing hypertension etc., The present review was conducted after doing extensive literature search of peer-reviewed journals. The review throws a spotlight on these activities and also suggests some the measures that can be adopted to modify dental education to turn dentists to oral physicians.

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Section: Primary Health Care Screenings and Interventions In The Dentmentioning

confidence: 99%

Primary care in dentistry - An untapped potential

Gambhir¹

2015

J Family Med Prim Care

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“…AB12 3xx) to calculate index of deprivation [38], and indicator of socio-economic status. An acceptability survey containing eight questions (see Table 1) was adapted for a pharmacy setting from one which had been used in a survey of attitudes to alcohol screening by dentists, [39] whereby respondents select ‘strongly agree’, ‘agree’, ‘disagree’ and ‘strongly disagree’. The survey was administered to the low-risk group over the phone, one to two weeks after the initial consultation with the pharmacist.…”

Section: Methodsmentioning

confidence: 99%

The feasibility and acceptability of the provision of alcohol screening and brief advice in pharmacies for women accessing emergency contraception: an evaluation study

2014

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BackgroundIt is widely accepted that excessive drinking contributes to both health and social problems. There has been considerable interest in the potential of community pharmacies as a setting for health advice, and evidence suggests that interventions by pharmacists can be effective. Research on interventions relating to alcohol consumption in primary care has focused on general practice, and although some evidence exists about the efficacy of pharmacy interventions, little research to date has taken place in the UK. The aim of this study was to evaluate the acceptability of alcohol screening and brief interventions to women accessing emergency hormonal contraception (EHC) in community pharmacies.MethodsAn initiative whereby women who accessed community pharmacies for EHC would be asked to complete an AUDIT questionnaire following their EHC consultation was introduced by a Primary Care Trust (PCT) in the North-East of England. The evaluation incorporated three strands: interviewing pharmacists (n = 14) about the implementation and acceptability of the initiative; interviewing clients (n = 22) identified as “low risk” to understand their perceptions of the initiative; conducting online follow-up surveys with clients in the “risky” group (n = 53) to evaluate the impact of the initiative on their alcohol consumption and contraceptive behaviour, as well as their perceptions of the service.ResultsPharmacists’ attitudes towards screening were generally positive, although there were organisational obstacles to providing the service. Some felt uncertain about engaging clients in conversation about a sensitive topic. However, clients themselves did not report feeling embarrassed or upset, and most were happy to talk to the pharmacist and be given advice. Most clients felt that the pharmacist was an appropriate person to carry out alcohol screening and advice.ConclusionsIt is feasible for pharmacists to carry out screening and brief advice, and most customers find it acceptable. However, pharmacist take-up of the service and participation in the study was low. Pharmacists were enthusiastic about providing screening and other health promotion services; targeting different population groups for alcohol screening may be more successful. Delivery of the AUDIT tool by pharmacists may not obtain reliable responses from some specific client groups.

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“…Third, while tobacco cessation initiatives such as the PHS “5 A’s” (Fiore et al, 2000) and American Dental Hygiene Association’s “Ask, Advise, and Refer” (American Dental Hygiene Association, 2005) have developed in dental practice, comparable alcohol reduction approaches have not. Finally, patient acceptance of alcohol SBIRT is indicated by Miller et al (2006), who found that 75 percent of patients in their study felt that alcohol screening and counseling were appropriate in dental settings.…”

Section: The Potential Of Screening and Brief Interventions With Refementioning

confidence: 99%

A brief motivational intervention for heavy alcohol use in dental practice settings: Rationale and development

et al. 2012

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Although brief alcohol interventions have proven effective in a variety of health care settings, the present article describes the development of the first brief intervention for heavy drinkers in dental practice. Elements of motivational interviewing and personalized normative feedback were incorporated in a 3- to 5-minute intervention delivered by dental hygienists. The intervention is guided by a one-page feedback report providing personalized normative feedback regarding the patient’s current oral health practices, their drinking in comparison to others, and oral cancer risk associated with current smoking and drinking. Future publications will present data regarding intervention effectiveness from an ongoing randomized trial.

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Alcohol screening in dental patients

Cited by 33 publications

References 19 publications

Primary care in dentistry - An untapped potential

Primary care in dentistry - An untapped potential

The feasibility and acceptability of the provision of alcohol screening and brief advice in pharmacies for women accessing emergency contraception: an evaluation study

A brief motivational intervention for heavy alcohol use in dental practice settings: Rationale and development

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