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Lookup NU author(s): Professor Peter Anderson, Professor Dorothy Newbury-Birch, Professor Eileen KanerORCiD, Dr Kathryn Parkinson, Lidia Segura Garcia
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To determine the relation between existing levels of alcohol screening and brief intervention rates in five European jurisdictions and role security and therapeutic commitment by the participating primary healthcare professionals.Health care professionals consisting of, 409 GPs, 282 nurses and 55 other staff including psychologists, social workers and nurse aids from 120 primary health care centres participated in a cross-sectional 4-week survey. The participants registered all screening and brief intervention activities as part of their normal routine. The participants also completed the Shortened Alcohol and Alcohol Problems Perception Questionnaire (SAAPPQ), which measure role security and therapeutic commitment.The only significant but small relationship was found between role security and screening rate in a multilevel logistic regression analysis adjusted for occupation of the provider, number of eligible patients and the random effects of jurisdictions and primary health care units (PHCU). No significant relationship was found between role security and brief intervention rate nor between therapeutic commitment and screening rate/brief intervention rate. The proportion of patients screened varied across jurisdictions between 2 and 10%.The findings show that the studied factors (role security and therapeutic commitment) are not of great importance for alcohol screening and BI rates. Given the fact that screening and brief intervention implementation rate has not changed much in the last decade in spite of increased policy emphasis, training initiatives and more research being published, this raises a question about what else is needed to enhance implementation.
Author(s): Bendtsen P, Anderson P, Wojnar M, Newbury-Birch D, Mussener U, Colom J, Karlsson N, Brzozka K, Spak F, Deluca P, Drummond C, Kaner E, Kloda K, Mierzecki A, Okulicz-Kozaryn K, Parkinson K, Reynolds J, Ronda G, Segura L, Palacio J, Baena B, Slodownik L, van Steenkiste B, Wolstenholme A, Wallace P, Keurhorst MN, Laurant MGH, Gual A
Publication type: Article
Publication status: Published
Journal: Alcohol and Alcoholism
Year: 2015
Volume: 50
Issue: 4
Pages: 430-437
Online publication date: 18/03/2015
Acceptance date: 23/02/2015
ISSN (print): 0735-0414
ISSN (electronic): 1464-3502
Publisher: Oxford University Press
URL: http://dx.doi.org/10.1093/alcalc/agv020
DOI: 10.1093/alcalc/agv020
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