Preben Bendtsen1, Peter Anderson2, Marcin Wojnar3, Dorothy Newbury-Birch4, Ulrika Müssener5, Joan Colom6, Nadine Karlsson5, Krzysztof Brzózka7, Fredrik Spak8, Paolo Deluca9, Colin Drummond9, Eileen Kaner4, Karolina Kłoda10, Artur Mierzecki10, Katarzyna Okulicz-Kozaryn7, Kathryn Parkinson4, Jillian Reynolds11, Gaby Ronda12, Lidia Segura6, Jorge Palacio6, Begoña Baena6, Luiza Slodownik7, Ben van Steenkiste12, Amy Wolstenholme9, Paul Wallace13, Myrna N Keurhorst14, Miranda G H Laurant15, Antoni Gual11. 1. Department of Medical Specialist and Department of Medicine and Health Sciences, Linköping University, Motala, Sweden preben.bendtsen@liu.se. 2. Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK Department of Family Medicine, Maastricht University, School CAPHRI, Maastricht, The Netherlands. 3. Department of Psychiatry, Medical University of Warsaw, Warsaw, Poland Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA. 4. Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK. 5. Department of Medicine and Health Sciences, Linköping University, Linköping, Sweden. 6. Program on Substance Abuse, Public Health Agency, Government of Catalonia, Barcelona, Spain. 7. State Agency for Prevention of Alcohol-Related Problems, Warsaw, Poland. 8. Department of Social Medicine, University of Gothenburg, Gothenburg, Sweden. 9. National Addiction Centre, Institute of Psychiatry, King's College London, London, UK. 10. Independent Laboratory of Family Physician Education, Pomeranian Medical University, Szczecin, Poland. 11. Addictions Unit, Hospital Clínic de Barcelona, IDIBAPS, Barcelona, Spain. 12. Department of Family Medicine, Maastricht University, School CAPHRI, Maastricht, The Netherlands. 13. Department of Primary Care and Population Health, University College London, London, UK. 14. Radboud University Medical Center, Scientific Institute for Quality of Healthcare (IQ Healthcare), Nijmegen, The Netherlands. 15. Radboud University Medical Center, Scientific Institute for Quality of Healthcare (IQ Healthcare), Nijmegen, The Netherlands Faculty of Health and Social Studies, HAN University of Applied Sciences, Nijmegen, The Netherlands.
Abstract
AIMS: 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. METHODS: 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. RESULTS: 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%. CONCLUSION: 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.
AIMS: 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. METHODS: 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. RESULTS: 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%. CONCLUSION: 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.
Authors: Peter Anderson; Simon Coulton; Eileen Kaner; Preben Bendtsen; Karolina Kłoda; Jillian Reynolds; Lidia Segura; Marcin Wojnar; Artur Mierzecki; Paolo Deluca; Dorothy Newbury-Birch; Kathryn Parkinson; Katarzyna Okulicz-Kozaryn; Colin Drummond; Antoni Gual Journal: Ann Fam Med Date: 2017-07 Impact factor: 5.166
Authors: Anne Marie Henihan; Geoff McCombe; Jan Klimas; Davina Swan; Dorothy Leahy; Rolande Anderson; Gerard Bury; Colum P Dunne; Eamon Keenan; John S Lambert; David Meagher; Clodagh O'Gorman; Tom P O'Toole; Jean Saunders; Gillian W Shorter; Bobby P Smyth; Eileen Kaner; Walter Cullen Journal: BMC Fam Pract Date: 2016-11-05 Impact factor: 2.497
Authors: Peter Anderson; Eileen Kaner; Myrna Keurhorst; Preben Bendtsen; Ben van Steenkiste; Jillian Reynolds; Lidia Segura; Marcin Wojnar; Karolina Kłoda; Kathryn Parkinson; Colin Drummond; Katarzyna Okulicz-Kozaryn; Artur Mierzecki; Miranda Laurant; Dorothy Newbury-Birch; Antoni Gual Journal: Int J Environ Res Public Health Date: 2017-01-26 Impact factor: 3.390
Authors: Jennifer R Mertens; Felicia W Chi; Constance M Weisner; Derek D Satre; Thekla B Ross; Steve Allen; David Pating; Cynthia I Campbell; Yun Wendy Lu; Stacy A Sterling Journal: Addict Sci Clin Pract Date: 2015-11-19
Authors: Laia Miquel; Pablo Barrio; Jose Moreno-España; Lluisa Ortega; Jakob Manthey; Jürgen Rehm; Antoni Gual Journal: Aten Primaria Date: 2015-10-09 Impact factor: 1.137