ArticleFamily practice2012
Challenges to alcohol and other drug discussions in the general practice consultation.
Article in Family practice, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 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
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.
- Stakeholders' perceptions and experiences of factors influencing the commissioning, delivery, and uptake of general health checks: a qualitative evidence synthesis.The Cochrane database of systematic reviews · 2025Pooled it
- The impact of brief alcohol interventions in primary healthcare: a systematic review of reviews.Alcohol and alcoholism (Oxford, Oxfordshire)Pooled it
- Brief Intervention for Heavy Drinking in Primary Care: Role of Patient Initiation.Journal of addiction medicineTrial
- Attitudes towards addressing alcohol consumption by healthcare professionals: a cross-sectional study among older adults in the Netherlands.Alcohol and alcoholism (Oxford, Oxfordshire) · 2026Article
- Discussing poverty within primary care consultations: implications for mental health support.BJGP open · 2025Article
- Provider perceptions of young people living with HIV and unhealthy alcohol use in Southwestern Uganda: a qualitative study.Addiction science & clinical practice · 2024Article
- GPs' experiences of phosphatidylethanol in treatment of hypertension: a qualitative study.BJGP open · 2023Article
- Putting out the welcome mat-A qualitative exploration of service delivery processes and procedures as barriers to treatment-seeking for people who use alcohol and other drugs.Drug and alcohol review · 2023Article
- Using qualitative process evaluation in the development of a complex intervention to advance person-centred practice by pharmacists: The Medicines and Alcohol Consultation (MAC).SSM. Qualitative research in health · 2021Article
- Prenatal Alcohol Screening During Pregnancy by Midwives and Nurses.Alcoholism, clinical and experimental research · 2019Article
- Article
- Beliefs and attitudes about addressing alcohol consumption in health care: a population survey in England.BMC public health · 2018Article
- Are Brief Alcohol Interventions Adequately Embedded in UK Primary Care? A Qualitative Study Utilising Normalisation Process Theory.International journal of environmental research and public health · 2017Article
- Assessing Problematic Substance Use in HIV Care: Which Questions Elicit Accurate Patient Disclosures?Journal of general internal medicine · 2016Article
- The efficacy-effectiveness distinction in trials of alcohol brief intervention.Addiction science & clinical practice · 2014Review
- Substance misuse teaching in undergraduate medical education.BMC medical education · 2014Article
- Alcohol screening and brief intervention in workplace settings and social services: a comparison of literature.Frontiers in psychiatry · 2014Review
- From efficacy to effectiveness and beyond: what next for brief interventions in primary care?Frontiers in psychiatry · 2014Review
- Impact of a medical student alcohol intervention workshop using recovering alcoholics as simulated patients.Advances in medical education and practice · 2014Article
- Australian general practitioner perceptions of the detection and screening of at-risk drinking, and the role of the AUDIT-C: a qualitative study.BMC family practice · 2013Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is a widely held expectation that GPs will routinely use opportunities to provide opportunistic screening and brief intervention for alcohol and other drug (AOD) abuse, a major cause of preventable death and morbidity.
aimTo explore how opportunities arise for AOD discussion in GP consultations and how that advice is delivered.
designAnalysis of video-recorded primary care consultations.
settingNew Zealand General Practice.
methodsInteractional content analysis of AOD consultations between 15 GP's and 56 patients identified by keyword search from a bank of digital video consultation recordings.
resultsAOD-related words were found in almost one-third (56/171) of the GP consultation transcripts (22 female and 34 male patients). The AOD dialogue varied from brief mention to pertinent advice. Tobacco and alcohol discussion featured more often than misuse of anxiolytics, night sedation, analgesics and caffeine, with only one direct enquiry about other (unspecified) recreational drug use. Discussion was associated with interactional delicacy on the part of both doctor and patient, manifested by verbal and non-verbal discomfort, use of closed statements, understatement, wry humour and sudden topic change.
conclusionsMindful prioritization of competing demands, time pressures, topic delicacy and the acuteness of the presenting complaint can impede use of AOD discussion opportunities. Guidelines and tools for routine screening and brief intervention in primary care do not accommodate this reality. Possible responses to enhance AOD conversations within general practice settings are discussed.
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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.