Chun Wah Michael Tam1, Louis Hion-Lam Leong, Nicholas Zwar, Charlotte Hespe. 1. BSc (Med) MBBS MMH (GP) FRACGP, Staff Specialist in General Practice, General Practice Unit, South Western Sydney Local Health District; Conjoint Senior Lecturer, University of New South Wales, Sydney, NSW; RACGP National Research and Evaluation Ethics Committee, NSW.
Abstract
BACKGROUND: General practitioners have a crucial role in detecting risky drinking in patients. However, little is known about how the context of the consultation affect patient acceptability of these discussions. METHODS: During one week in May 2014, adult patients seen at a community general practice in Sydney were randomised to receive one of two postal questionnaires. Participants rated the acceptability of alcohol enquiry in 20 vignettes of general practice consultations, either within a SNAP (smoking, nutrition, alcohol, physical activity) framework (intervention) or alone (control). RESULTS: Of the 441 patients who received the questionnaires, 144 returned completed and returned it. The intervention group rated an additional 2.1 (95% CI = 0.38-3.7, P = 0.016) vignettes as acceptable compared to the control group. Alcohol enquiry acceptability varied greatly between individual scenarios. DISCUSSION: Alcohol-use assessment may be more acceptable to patients when it is framed within the SNAP framework, especially in certain presentations (eg diabetes management).
RCT Entities:
BACKGROUND: General practitioners have a crucial role in detecting risky drinking in patients. However, little is known about how the context of the consultation affect patient acceptability of these discussions. METHODS: During one week in May 2014, adult patients seen at a community general practice in Sydney were randomised to receive one of two postal questionnaires. Participants rated the acceptability of alcohol enquiry in 20 vignettes of general practice consultations, either within a SNAP (smoking, nutrition, alcohol, physical activity) framework (intervention) or alone (control). RESULTS: Of the 441 patients who received the questionnaires, 144 returned completed and returned it. The intervention group rated an additional 2.1 (95% CI = 0.38-3.7, P = 0.016) vignettes as acceptable compared to the control group. Alcohol enquiry acceptability varied greatly between individual scenarios. DISCUSSION: Alcohol-use assessment may be more acceptable to patients when it is framed within the SNAP framework, especially in certain presentations (eg diabetes management).
Authors: Emma R Miller; Imogen J Ramsey; Ly Thi Tran; George Tsourtos; Genevieve Baratiny; Ramesh Manocha; Ian N Olver Journal: BMJ Open Date: 2016-12-01 Impact factor: 2.692
Authors: Monika Dzidowska; K S Kylie Lee; James H Conigrave; Timothy A Dobbins; Beth Hummerston; Scott Wilson; Paul S Haber; Dennis Gray; Katherine M Conigrave Journal: Addiction Date: 2021-10-20 Impact factor: 7.256