Managing Alcohol Problems in General Practice in Europe: Results from the European ODHIN Survey of General Practitioners

Anderson, Peter; Wojnar, Marcin; Jakubczyk, Andrzej; Gual, Antoni; Reynolds, Jillian; Segura, Lídia; Sovinová, Hana; Csémy, Ladislav; Kaner, Eileen; Newbury‐Birch, Dorothy; Fornasin, A; Struzzo, Pierluigi; Ronda, Gaby; Steenkiste, Ben van; Keurhorst, Myrna; Laurant, Miranda; Ribeiro, Cristina; Rosário, Frederico; Alves, Isabel; Scafato, Emanuele; Gandin, Claudia; Kolšek, Marko

doi:10.1093/alcalc/agu043

Cited by 67 publications

(80 citation statements)

References 19 publications

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“…Although there have been a number of international studies examining providers’ attitudes in this field [12,13,14,15,16], as far as we are aware, there have been no published studies with repeated attitude measures that have further examined the original model of the Maudsley Alcohol Pilot Project. The European ODHIN (Optimizing delivery of health care interventions) project reported in this paper allows the opportunity to do so.…”

Section: Introductionmentioning

confidence: 99%

Attitudes and Learning through Practice Are Key to Delivering Brief Interventions for Heavy Drinking in Primary Health Care: Analyses from the ODHIN Five Country Cluster Randomized Factorial Trial

Anderson

Kaner

Keurhorst

et al. 2017

IJERPH

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In this paper, we test path models that study the interrelations between primary health care provider attitudes towards working with drinkers, their screening and brief advice activity, and their receipt of training and support and financial reimbursement. Study participants were 756 primary health care providers from 120 primary health care units (PHCUs) in different locations throughout Catalonia, England, The Netherlands, Poland, and Sweden. Our interventions were training and support and financial reimbursement to providers. Our design was a randomized factorial trial with baseline measurement period, 12-week implementation period, and 9-month follow-up measurement period. Our outcome measures were: attitudes of individual providers in working with drinkers as measured by the Short Alcohol and Alcohol Problems Perception Questionnaire; and the proportion of consulting adult patients (age 18+ years) who screened positive and were given advice to reduce their alcohol consumption (intervention activity). We found that more positive attitudes were associated with higher intervention activity, and higher intervention activity was then associated with more positive attitudes. Training and support was associated with both positive changes in attitudes and higher intervention activity. Financial reimbursement was associated with more positive attitudes through its impact on higher intervention activity. We conclude that improving primary health care providers’ screening and brief advice activity for heavy drinking requires a combination of training and support and on-the-job experience of actually delivering screening and brief advice activity.

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Section: Introductionmentioning

confidence: 99%

Attitudes and Learning through Practice Are Key to Delivering Brief Interventions for Heavy Drinking in Primary Health Care: Analyses from the ODHIN Five Country Cluster Randomized Factorial Trial

Anderson

Kaner

Keurhorst

et al. 2017

IJERPH

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“…However, it is unclear who is best placed to provide this care. Higher levels of practitioner role security and therapeutic commitment (Anderson & Clement, 1987), have been shown to be associated with the management of alcohol problems in primary care patients (Anderson et al, 2014). Our study found the DOs with whom the arrestees have the most frequent contact are adept in interpersonal interactions within this context of containment; providing credibility and skills that are considered necessary to navigate this setting.…”

Section: Discussionmentioning

confidence: 64%

Containment and care? A qualitative interview study exploring police custody staff views about delivering brief alcohol interventions to heavy drinking arrestees

McGovern

Crowe

Addison

et al. 2020

Drugs: Education, Prevention and Policy

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Heavy alcohol use and associated needs are prevalent amongst arrestees. The custody suite offers an opportunity to identify and intervene with this population. However, it is unclear whether functions of care can be effectively delivered within an environment of containment. This study aimed to examine custody staff experiences of screening and delivering brief alcohol interventions to heavy drinking arrestees. Qualitative interviews were conducted with 25 custody staff (detention officers and assessment, intervention and referral staff), involved in a pilot feasibility trial of alcohol screening and brief interventions in the police custody suite. We examined the tension between containment and care using concepts of role security and therapeutic commitment to guide our analysis. Our findings show that custody staff considered brief interventions to be legitimate in the custody suite setting, although there were differing views relating to which staff are best placed to deliver them. Detention officers reported vacillating therapeutic commitment to intervening with heavy drinking arrestees, compounded by some arrestees being perceived to be 'undeserving' of care. Tensions inherent in the need for 'containment' as well as 'care' must be addressed if brief alcohol interventions are to be implemented within the custody suite. ARTICLE HISTORY

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“…Las cifras son similares en las categorías "no consumen" y "consumo medio". (Anderson et al, 2014;Rehm, Rehm, Shield, Gmel, & Solé, 2013).…”

Section: Resultsunclassified

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Rodríguez¹

2015

HAAJ

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Managing Alcohol Problems in General Practice in Europe: Results from the European ODHIN Survey of General Practitioners

Cited by 67 publications

References 19 publications

Attitudes and Learning through Practice Are Key to Delivering Brief Interventions for Heavy Drinking in Primary Health Care: Analyses from the ODHIN Five Country Cluster Randomized Factorial Trial

Attitudes and Learning through Practice Are Key to Delivering Brief Interventions for Heavy Drinking in Primary Health Care: Analyses from the ODHIN Five Country Cluster Randomized Factorial Trial

Containment and care? A qualitative interview study exploring police custody staff views about delivering brief alcohol interventions to heavy drinking arrestees

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