Factors influencing GPs' decisions regarding screening for high alcohol consumption: A focus group study in Swedish primary care

Public Health

Volumn 119, Issue 9, 2005, Pages 781-788

  Johansson, Kjell ^a   Bendtsen, P ^a   Akerlind I ^a,b  

^a LINKÖPING UNIVERSITY   (Sweden)

^b Department of Clinical Immunology and Transfusion Medicine   (Sweden)

Author keywords

Alcohol; Dissemination; GPs' attitudes; Primary healthcare; Screening

Indexed keywords

ALCOHOL;

PRIMARY HEALTH CARE;

ADULT; AGE; ALCOHOL CONSUMPTION; ALCOHOL INTOXICATION; ARTICLE; CONSULTATION; CONTROLLED STUDY; DATA ANALYSIS; DOCTOR PATIENT RELATION; FEMALE; GENERAL PRACTITIONER; HUMAN; INFORMATION PROCESSING; INTERVIEW; MALE; MEDICAL DECISION MAKING; PHYSICIAN ATTITUDE; PRIMARY MEDICAL CARE; PRIMARY PREVENTION; SCREENING; SWEDEN;

ALCOHOL DRINKING; ALCOHOLISM; ATTITUDE OF HEALTH PERSONNEL; COUNSELING; DECISION MAKING; DIAGNOSTIC TESTS, ROUTINE; FOCUS GROUPS; HUMANS; MEDICAL HISTORY TAKING; PHYSICIAN'S PRACTICE PATTERNS; PHYSICIAN-PATIENT RELATIONS; PHYSICIANS, FAMILY; PRIMARY HEALTH CARE; SWEDEN;

EASTERN HEMISPHERE; EURASIA; EUROPE; NORTHERN EUROPE; SCANDINAVIA; SWEDEN; WORLD;

EID: 22644440377     PISSN: 00333506     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.puhe.2004.12.006     Document Type: Article

References (34)

1. A.I. Wilk N.M. Jensen T.C. Havighurst Meta-analysis of randomised controlled trials addressing brief intervention in heavy alcohol drinkers J Gen Intern Med 12 1997 274-283
2. P. Anderson Effectiveness of general practice interventions for patients with harmful alcohol consumption Br J Gen Pract 43 1993 386-389
3. S. Andreasson K. Hjalmarsson C. Rehnman Implementation and dissemination of methods for prevention of alcohol problems in primary health care: A feasibility study Alcohol Alcohol 35 2000 525-530
4. E.F. Kaner C.A. Lock B.R. McAvoy N. Heather E. Gilvarry A RCT of three training and support strategies to encourage implementation of screening and brief alcohol intervention by general practitioners Br J Gen Pract 49 1999 699-703
5. R. Richmond P. Anderson Research in general practice for smokers and excessive drinkers in Australia and the UK. III. Dissemination of interventions Addiction 89 1994 49-62
6. T.L. McPherson R.K. Hersch Brief substance use screening instruments for primary care settings. A review J Subst Abuse 18 2000 193-202
7. M. Fleming L.B. Manwell Brief intervention in primary care settings. A primary treatment method for at-risk, problem, and dependent drinkers Alcohol Res Health 23 1999 128-137
8. A. Deehan E.J. Marshall J. Strang Tackling alcohol misuse: Opportunities and obstacles in primary care Br J Gen Pract 48 1998 1779-1782
9. M. Aalto R. Saksanen P. Laine R. Forsström M. Raikaa M. Kiviluoto et al. Brief intervention for female heavy drinkers in routine general practice: A 3-year randomised controlled study Alcohol Clin Exp Res 24 2000 1680-1686
10. M. Aalto P. Perkuri K. Seppa Primary health care professionals' activity in intervening in patients' alcohol drinking during a 3-year brief intervention implementation project Drug Alcohol Depend 69 2003 9-14
11. E.F. Kaner N. Heather B.R. McAvoy C.A. Lock E. Gilvarry Intervention for excessive alcohol consumption in primary health care: Attitudes and practices of English general practitioners Alcohol Alcohol 34 1999 559-566
12. A.M. Roche When to intervene for male and female patients' alcohol consumption: What general practitioners say Med J Aust 152 1990 622-625
13. P.J. Adams A. Powell R. McCormick G. Paton-Simpson Incentives for general practitioners to provide brief interventions for alcohol problems NZ Med J 110 1997 281-284
14. B.R. McAvoy Alcohol education for general practitioners in the United Kingdom-a window of opportunity Alcohol Alcohol 35 2000 225-229
15. P. Bendtsen I. Åkerlind Changes in attitudes and practices in primary health care with regard to early intervention for problem drinkers Alcohol Alcohol 34 1999 795-800
16. K. Johansson P. Bendtsen I. Åkerlind Early intervention for problem drinkers: Readiness to participate among GPs and nurses in Swedish primary health care Alcohol Alcohol 37 2002 38-42
17. M. Aalto P. Perkuri K. Seppa Primary health care nurses' and physicians' attitudes, knowledge and beliefs regarding brief intervention for heavy drinkers Addiction 96 2001 305-312
18. C.A. Lock E.F.S. Kaner N. Heather B.R. McAvoy E. Gilvarry A randomised trial of three marketing strategies to disseminate a screening and brief alcohol intervention programme to general practitioners Br J Gen Pract 49 1999 695-698
19. R. McCormick P. Adams P. Anne D. Bunbury G. Paton-Simpson B.R. McAvoy Encouraging general practitioners to take up screening and early intervention for problem use of alcohol: A marketing trial Drug Alcohol Rev 18 1999 171-177
20. P. Wallace Patients with alcohol problems-simple questioning is the key to effective identification and management Br J Gen Pract 51 2001 172-173
21. E. Arborelius K.D. Thaller I. Krakau U. Rydberg Dilemmas in implementing alcohol-related secondary prevention in primary care using a behavioural method Eur Addict Res 3 1997 150-157
22. A. Beich D. Gannik K. Malterud Screening and brief intervention for excessive alcohol use: Qualitative interview study of experiences of general practitioners BMJ 325 2002 870-872
23. S. Arndt S.K. Schultz C. Turvey A. Petersen Screening for alcoholism in the primary health care setting: Are we talking to the right people? J Fam Pract 51 2002 41-46
24. T.F. Babour J.C. Higgins-Biddle Alcohol screening and brief intervention: Dissemination strategies for medical practise and public health Addiction 95 2000 677-686
25. N. Heather P. Anderson A. Gual K. Seppa Some screening is necessary to identify excessive drinkers early in primary care BMJ 326 2003 550
26. A. Beich T. Thorsen S. Rollnick Screening in brief intervention trials targeting excessive drinkers in general practice: Systematic review and meta-analysis BMJ 327 2003 536-542
27. R.A. Krueger Focus groups A practical guide for applied research 1994 Sage Publications Thousand Oaks
28. A.M. Roche G.P. Richard Doctors' willingness to intervene in patients' drug and alcohol problems Soc Sci Med 33 1991 1053-1061
29. C.A. Lock E.F. Kaner Use of marketing to disseminate brief alcohol intervention to general practitioners: Promoting health care interventions to health promoters J Eval Clin Pract 6 2000 345-357
30. A.M. Roche T. Freeman Brief interventions: Good in theory but weak in practice Drug Alcohol Rev 23 2004 11-18
31. M. Aalto P. Pekuri K. Seppa Obstacles to carrying out brief intervention for heavy drinkers in primary health care: A focus group study Drug Alcohol Rev 22 2003 169-173
32. B. Rush L.Y. Powell T.G. Crowe K. Ellis Early intervention for alcohol use: Family physicians' motivation and perceived barriers Can Med Assoc J 152 1995 863-869
33. A.M. Roche E.D. Hotham R. Richmond The general practitioner's role in AOD issues: Overcoming individual, professional and systemic barriers Drug Alcohol Rev 2 2002 223-230
34. Johansson K, Åkerlind K, Bendtsen P. Under what circumstances are nurses willing to engage in brief alcohol interventions? A qualitative study from primary care in Sweden. Addict Behav; in press.