Implementation of brief alcohol interventions by nurses in primary care: do non-clinical factors influence practice?

Lock, Catherine A.

doi:10.1093/fampra/cmh310

Cited by 52 publications

(38 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This concern for preserving the client relationship when delivering ABIs is not unique to youth work. Studies have found that both antenatal settings [37] and primary health care settings [38, 39] place importance on nurturing and maintaining the relationship with clients in ABI delivery. It is therefore likely that judgements about how ABIs might affect practitioner-service user relationships will be a primary concern shaping whether and how ABIs are used across a range of settings.…”

Section: Discussionmentioning

confidence: 99%

Delivery of alcohol brief interventions in community-based youth work settings: exploring feasibility and acceptability in a qualitative study

et al. 2017

View full text Add to dashboard Cite

BackgroundAlcohol Brief Interventions (ABIs) are increasingly being delivered in community-based youth work settings. However, little attention has been paid to how they are being implemented in such settings, or to their feasibility and acceptability for practitioners or young people. The aim of this qualitative study was to explore the context, feasibility and acceptability of ABI delivery in youth work projects across Scotland.MethodsIndividual, paired and group interviews were conducted with practitioners and young people in nine community projects that were either involved in the delivery of ABIs or were considering doing so in the near future. A thematic analysis approach was used to analyse data.ResultsABIs were delivered in a diverse range of youth work settings including the side of football pitches, on the streets as part of outreach activities, and in sexual health drop-in centres for young people. ABI delivery differed in a number of important ways from delivery in other health settings such as primary care, particularly in being largely opportunistic and flexible in nature. ABIs were adapted by staff in line with the ethos of their project and their own roles, and to avoid jeopardising their relationships with young people. Young people reacted positively to the idea of having conversations about alcohol with youth project workers, but confirmed practitioners’ views about the importance of these conversations taking place in the context of an existing trusting relationship.ConclusionABIs were feasible in a range of youth work settings with some adaptation. Acceptability to staff was strongly influenced by perceived benefits, and the extent to which ABIs fitted with their project’s ethos. Young people were largely comfortable with such conversations. Future implementation efforts should be based on detailed consideration of current practice and contexts. Flexible models of delivery, where professional judgement can be exercised over defined but adaptable content, may be better appreciated by staff and encourage further development of ABI activity.

show abstract

Section: Discussionmentioning

confidence: 99%

Delivery of alcohol brief interventions in community-based youth work settings: exploring feasibility and acceptability in a qualitative study

et al. 2017

View full text Add to dashboard Cite

show abstract

“…Kaner et al (2001) reported that among 12,841 patients in 84 primary care provider practices, 32% scored in the "at-risk" range or above on the AUDIT. Using the same criteria, Lock and Kaner (2004) reported 27% prevalence among 5,541 patients in 128 practices. Finally, of nearly 7,000 respondents to the 2005 National Alcohol Survey, 32% of those who had visited a primary care provider in the past year met criteria for risky drinking, problem drinking, or alcohol dependence (Cherpitel and Ye, 2008).…”

Section: Discussionmentioning

confidence: 99%

Automated Screening for At-Risk Drinking in a Primary Care Office Using Interactive Voice Response

Rose¹,

Skelly²,

Badger³

et al. 2010

J. Stud. Alcohol Drugs

View full text Add to dashboard Cite

ABSTRACT. Objective: Screening for alcohol misuse in primary care settings is strongly recommended but grossly underused. Using interactive voice response (IVR), we developed an automated screening tool (IVR Screen) for identifying alcohol misuse in outpatient primary care offi ces and evaluated its use rate and acceptability for both patients and providers. Method: Patients (N = 101) presenting to a primary care clinic for scheduled, nonemergent health care visits called the IVR Screen by using a dedicated telephone in the waiting room and answered fi ve questions about their health. Results were printed immediately for patient and provider to review during the visit. Medical assistants interviewed patients about the IVR Screen in the examination room. Results: Ninety-six percent of patients who were invited to participate in the study consented to do so. Of those, 26% met criteria for alcohol misuse. Feedback from patients and providers was positive and included constructive suggestions for revisions to the IVR Screen for future use. Conclusions: IVR-based screening for at-risk drinking was feasible and did not interfere with the provider-patient interaction. The proportion of heavy drinkers identifi ed by the IVR Screen was comparable to that of published reports of screening with written questionnaires. Implications for behavioral health screening, treatment, and clinical research are considerable because IVR-based screening assessments can be customized and targeted to different populations. Results suggest that continued development of IVR as a tool for health and alcohol screening in primary care settings is warranted. (J. Stud. Alcohol Drugs, 71, 734-738, 2010)

show abstract

“…Consequently, the current evidence base indicates that delivery by trained practitioners is still likely to have the greatest impact. Nevertheless, brief intervention delivery has been found to be influenced by the personal characteristics of patients and practitioners [31,32] as well as by alcohol risk status. Thus it is clear that practitioners need explicit guidance on how to deliver screening and brief interventions and which patients would benefit from this approach.…”

Section: Taking Stock Of the Brief Intervention Evidence Basementioning

confidence: 99%

NICE work if you can get it: Development of national guidance incorporating screening and brief intervention to prevent hazardous and harmful drinking in England

Kaner

2010

Drug and Alcohol Review

View full text Add to dashboard Cite

This paper describes the development of the first set of national guidance focused on the prevention of alcohol problems in England. These guidelines were produced by the National Institute for Health and Clinical Excellence (NICE) working with a multidisciplinary program development group of scientists, practitioners and lay members. In this work, screening and brief alcohol interventions represent a key element of a comprehensive public health strategy to prevent alcohol-related risk and harm across the population. The first controlled trials of brief alcohol intervention were published in the mid to late 1980's and there are now around 60 published trials in this field. After 25 years of accumulated evidence in this field, brief alcohol interventions have yet to make a significant impact on routine clinical practice. While it is imperative to have good science to make the case for brief intervention delivery, this work is in vain if practitioners are unwilling or unable to use these interventions with their patients. Evidence from the alcohol field and other clinical areas indicates that national prioritisation of brief alcohol intervention activity, by a body, such as NICE, is likely to be a key driver of implementation by practitioners. This paper summarises a suite of complementary system-level and practice recommendations, which were published by NICE in June 2010, and considers their likely impact on screening and brief alcohol in England.[Kaner E. NICE work if you can get it: Development of national guidance incorporating screening and brief intervention to prevent hazardous and harmful drinking in England.

show abstract

Implementation of brief alcohol interventions by nurses in primary care: do non-clinical factors influence practice?

Abstract: Patient and nurse factors contributed to the selective provision of a brief intervention in primary care. If patients are to experience the beneficial effects of a brief alcohol intervention, then there is a need to improve the accuracy of delivery.

Cited by 52 publications

References 33 publications

Delivery of alcohol brief interventions in community-based youth work settings: exploring feasibility and acceptability in a qualitative study

Delivery of alcohol brief interventions in community-based youth work settings: exploring feasibility and acceptability in a qualitative study

Automated Screening for At-Risk Drinking in a Primary Care Office Using Interactive Voice Response

NICE work if you can get it: Development of national guidance incorporating screening and brief intervention to prevent hazardous and harmful drinking in England

Contact Info

Product

Resources

About