OBJECTIVE: To review systematically the available literature on implementation of brief alcohol interventions in primary healthcare in order to determine the effectiveness of the implementation efforts by the health are providers. KEY QUESTION: To what extent have the efforts to implement brief alcohol interventions in primary healthcare environments been successful? METHOD: Literature search from Medline, Cinahl, PsychLIT, Cochrane. SETTING: Primary healthcare. MATERIAL: A total of 11 studies encompassing 921 GPs, 266 nurses, 88 medical students, and 44 "non-physicians" from Europe, the USA, and Australia. MAIN OUTCOME MEASURES: Material utilization, screening, and brief intervention rates. ANSWER: Intervention effectiveness (material utilization, screening, and brief intervention rates) generally increased with the intensity of the intervention effort, i.e. the amount of training and/or support provided. Nevertheless, the overall effectiveness was rather modest. However, the studies examined were too heterogeneous, not scientifically rigorous enough, and applied too brief follow-up times to provide conclusive answers.
OBJECTIVE: To review systematically the available literature on implementation of brief alcohol interventions in primary healthcare in order to determine the effectiveness of the implementation efforts by the health are providers. KEY QUESTION: To what extent have the efforts to implement brief alcohol interventions in primary healthcare environments been successful? METHOD: Literature search from Medline, Cinahl, PsychLIT, Cochrane. SETTING: Primary healthcare. MATERIAL: A total of 11 studies encompassing 921 GPs, 266 nurses, 88 medical students, and 44 "non-physicians" from Europe, the USA, and Australia. MAIN OUTCOME MEASURES: Material utilization, screening, and brief intervention rates. ANSWER: Intervention effectiveness (material utilization, screening, and brief intervention rates) generally increased with the intensity of the intervention effort, i.e. the amount of training and/or support provided. Nevertheless, the overall effectiveness was rather modest. However, the studies examined were too heterogeneous, not scientifically rigorous enough, and applied too brief follow-up times to provide conclusive answers.
Authors: Emily C Williams; Gwen T Lapham; Anna D Rubinsky; Laura J Chavez; Douglas Berger; Katharine A Bradley Journal: J Subst Abuse Treat Date: 2017-07-19
Authors: Emily C Williams; Carol E Achtmeyer; Daniel R Kivlahan; Diane Greenberg; Joseph O Merrill; Thomas M Wickizer; Thomas D Koepsell; Patrick J Heagerty; Katharine A Bradley Journal: J Stud Alcohol Drugs Date: 2010-09 Impact factor: 2.582
Authors: Gwen T Lapham; Anna D Rubinsky; Susan M Shortreed; Eric J Hawkins; Julie Richards; Emily C Williams; Douglas Berger; Laura J Chavez; Daniel R Kivlahan; Katharine A Bradley Journal: Drug Alcohol Depend Date: 2015-05-27 Impact factor: 4.492
Authors: Emily C Williams; Carol E Achtmeyer; Rachel M Thomas; Joel R Grossbard; Gwen T Lapham; Laura J Chavez; Evette J Ludman; Douglas Berger; Katharine A Bradley Journal: J Gen Intern Med Date: 2015-03-03 Impact factor: 5.128
Authors: Emily C Williams; Anna D Rubinsky; Laura J Chavez; Gwen T Lapham; Stacey E Rittmueller; Carol E Achtmeyer; Katharine A Bradley Journal: Addiction Date: 2014-06-12 Impact factor: 6.526
Authors: Pritika C Kumar; Charles M Cleland; Marc N Gourevitch; John Rotrosen; Shiela Strauss; Linnea Russell; Jennifer McNeely Journal: Drug Alcohol Depend Date: 2016-06-22 Impact factor: 4.492
Authors: Emily C Williams; Gwen Lapham; Carol E Achtmeyer; Bryan Volpp; Daniel R Kivlahan; Katharine A Bradley Journal: J Gen Intern Med Date: 2010-01 Impact factor: 5.128