ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2001
Patient and practitioner characteristics predict brief alcohol intervention in primary care.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
54 citing papers in PubMed, 4 syntheses or guidelines pooled it, 138 citations in OpenAlex.
- Physician Reluctance to Intervene in Addiction: A Systematic Review.JAMA network open · 2024Pooled it
- Using Consolidated Framework for Implementation Research to investigate facilitators and barriers of implementing alcohol screening and brief intervention among primary care health professionals: a systematic review.Implementation science : IS · 2021Pooled it
- Effectiveness of brief alcohol interventions in primary care populations.The Cochrane database of systematic reviews · 2018Pooled it
- Accuracy of one or two simple questions to identify alcohol-use disorder in primary care: a meta-analysis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2014Pooled it
- Computerized Clinical Decision Support System for Prompting Brief Alcohol Interventions with Treatment Seeking Smokers: A Sex-Based Secondary Analysis of a Cluster Randomized Trial.International journal of environmental research and public health · 2020Trial
- Impact of practice, provider and patient characteristics on delivering screening and brief advice for heavy drinking in primary healthcare: Secondary analyses of data from the ODHIN five-country cluster randomized factorial trial.The European journal of general practice · 2017Trial
- Physician versus non-physician delivery of alcohol screening, brief intervention and referral to treatment in adult primary care: the ADVISe cluster randomized controlled implementation trial.Addiction science & clinical practice · 2015Trial
- Brief intervention for women with risky drinking and medical diagnoses: a randomized controlled trial.Journal of substance abuse treatment · 2011Trial
- Evaluation of an electronic clinical reminder to facilitate brief alcohol-counseling interventions in primary care.Journal of studies on alcohol and drugs · 2010Trial
- Screening and brief interventions for hazardous and harmful alcohol use in primary care: a cluster randomised controlled trial protocol.BMC public health · 2009Trial
- Brief Intervention for Heavy Drinking in Primary Care: Role of Patient Initiation.Journal of addiction medicineTrial
- Who benefits from alcohol screening and brief intervention? A mini-review on socioeconomic inequalities with a focus on evidence from the United States.Addictive behaviors · 2023Review
- Relationship Between Educational Level and Attitudes Towards Alcohol Conversations in Healthcare: A Cross-Sectional Survey Conducted in Four European Countries.International journal of public health · 2023Article
- The role of organization of care in GPs' prevention practice.Primary health care research & development · 2021Article
- Patient and provider factors associated with receipt and delivery of brief interventions for unhealthy alcohol use in primary care.Alcoholism, clinical and experimental research · 2021Article
- The Moderate Alcohol and Cardiovascular Health Trial (MACH15): Design and methods for a randomized trial of moderate alcohol consumption and cardiometabolic risk.European journal of preventive cardiology · 2020Article
- Identifying contexts and mechanisms in multiple behavior change interventions affecting smoking cessation success: a rapid realist review.BMC public health · 2020Review
- Documented brief intervention associated with reduced linkage to specialty addictions treatment in a national sample of VA patients with unhealthy alcohol use with and without alcohol use disorders.Addiction (Abingdon, England) · 2020Article
- Determinants of lifestyle counseling and current practices: A cross-sectional study among Dutch general practitioners.PloS one · 2020Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe effectiveness of an evidence-based health care intervention depends on it being delivered consistently to appropriate patients. Brief alcohol intervention is known to be effective at reducing excessive drinking and its concomitant health and social problems. However, a recent implementation trial reported partial delivery of brief alcohol intervention by general practitioners (GPs) which is likely to have reduced its impact.
aimTo investigate patient-practitioner characteristics influencing brief alcohol intervention in primary care. DESIGN OF STUDY: Cross-sectional analysis of 12,814 completed Alcohol Use Disorders Identification Test (AUDIT) screening questionnaires.
settingEighty-four GPs who had implemented a brief alcohol intervention programme in a previous trial based in the Northeast of England.
methodGPs were requested to screen all adults (aged over 16 years) presenting to their surgery and follow a structured protocol to give a brief intervention (five minutes of advice plus an information booklet) to all 'risk' drinkers. Anonymized carbon copies of the screening questionnaire were collected from all practices after a three-month implementation period.
resultsAlthough AUDIT identified 4080 'risk' drinkers, only 2043 (50%) received brief intervention. Risk drinkers that were most likely to receive brief intervention were males (58%), unemployed (61%), and technically-trained patients (55%). Risk drinkers that were least likely to receive brief intervention were females (44%), students (38%), and university educated patients (46%). Logistic regression modelling showed that patients' risk status was the most influential predictor of brief intervention. Also, GPs' experience of relevant training and longer average practice consultations predicted brief intervention. However, personal characteristics relating to patients and GPs also predicted brief intervention in routine practice.
conclusionInterpersonal factors relating to patients and practitioners contributed to the selective provision of brief alcohol intervention in primary care. Ways should be found to remedy this situation or the impact of this evidence-based intervention may be reduced when implemented in routine practice.
Indexed as
Identifiers
11677706PMC1314128W182043532What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.