Trial reportBMJ (Clinical research ed.)2002
Screening and brief intervention for excessive alcohol use: qualitative interview study of the experiences of general practitioners.
Trial report in BMJ (Clinical research ed.), 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 111 papers, 9 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
111 citing papers in PubMed, 9 syntheses or guidelines pooled it.
- 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
- Factors influencing the implementation of screening and brief interventions for alcohol use in primary care practices: a systematic review using the COM-B system and Theoretical Domains Framework.Implementation science : IS · 2021Pooled it
- Alcohol screening and brief interventions for adults and young people in health and community-based settings: a qualitative systematic literature review.BMC public health · 2017Pooled it
- Brief interventions for illicit drug use among peripartum women.American journal of obstetrics and gynecology · 2014Pooled 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
- Online alcohol interventions: a systematic review.Journal of medical Internet research · 2010Pooled it
- Motivational interviewing: a systematic review and meta-analysis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2005Pooled it
- Screening in brief intervention trials targeting excessive drinkers in general practice: systematic review and meta-analysis.BMJ (Clinical research ed.) · 2003Pooled it
- Implementing pragmatic case finding to address alcohol use in general practice: a mixed methods feasibility study.Scandinavian journal of primary health care · 2026Trial
- Abstinence outcomes among women in reproductive health centers administered clinician or electronic brief interventions.Journal of substance abuse treatment · 2020Trial
- An Intervention Tool to Increase Patient-Physician Discussion of Lifestyle Risk Factors for Breast Cancer.Journal of women's health (2002) · 2019Trial
- A randomized controlled trial of screening and brief interventions for substance misuse in reproductive health.American journal of obstetrics and gynecology · 2018Trial
- Brief Computer-Delivered Intervention to Increase Parental Monitoring in Families of African American Adolescents with Type 1 Diabetes: A Randomized Controlled Trial.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2017Trial
- A Randomized Controlled Trial of Brief Intervention by Interactive Voice Response.Alcohol and alcoholism (Oxford, Oxfordshire) · 2017Trial
- A randomised trial of a computer-delivered screening and brief intervention for postpartum alcohol use.Drug and alcohol review · 2016Trial
- A Randomized Controlled Trial of IVR-Based Alcohol Brief Intervention to Promote Patient-Provider Communication in Primary Care.Journal of general internal medicine · 2016Trial
- Impact of primary healthcare providers' initial role security and therapeutic commitment on implementing brief interventions in managing risky alcohol consumption: a cluster randomised factorial trial.Implementation science : IS · 2016Trial
- Examining multi-session brief intervention for substance use in primary care: research methods of a randomized controlled trial.Addiction science & clinical practice · 2016Trial
- Trial
51 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo explore the suitability of a screening based intervention for excessive alcohol use by describing the experiences of general practitioners who tried such an intervention in their everyday practice.
designQualitative interviews with general practitioners who had participated in a pragmatic study of a combined programme of screening and a brief intervention for excessive alcohol use. Doctors were interviewed either individually or in focus groups. A computer based, descriptive, phenomenological method was used to directly analyse the digitally recorded interviews. SETTING AND
participants24 of 39 general practitioners in four Danish counties who volunteered to take part in the pragmatic study were interviewed.
resultsThe doctors were surprised at how difficult it was to establish rapport with the patients who had a positive result on the screening and to ensure compliance with the intervention. Although the doctors considered the doctor-patient relationship robust enough to sustain targeting of alcohol use, they often failed to follow up on initial interventions, and some expressed a lack of confidence in their ability to counsel patients effectively on lifestyle issues. The doctors questioned the rationale of screening in young drinkers who may grow out of excessive drinking behaviour. The programme needed considerable resources, and it interrupted the natural course of consultations and was inflexible. The doctors could not recommend the screening and brief intervention programme, although they thought it important to counsel their patients on drinking.
conclusionsScreening for excessive alcohol use created more problems than it solved for the participating doctors. The results underline the value of carrying out pragmatic studies on the suitability of seemingly efficacious healthcare programmes.
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What 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.