ArticleBMC family practice2013
Australian general practitioner perceptions of the detection and screening of at-risk drinking, and the role of the AUDIT-C: a qualitative study.
Article in BMC family practice, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05580549 (Prevalence of Hazardous Alcohol Use in a Population With Hypertension in Primary Care Detected With PEth and AUDIT - Observational Cross-sectional Study), which is not on this map. Cited by 23 papers, 3 of them syntheses that pooled it.
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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.
Prevalence of Hazardous Alcohol Use in a Population With Hypertension in Primary Care Detected With PEth and AUDIT - Observational Cross-sectional Study
Who cites it
23 citing papers in PubMed, 3 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
- 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
- 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
- Alcohol use-related problems in general hospitals and primary care settings: Screening, intervention, and referral to treatment.World journal of psychiatry · 2025Review
- Lessons From Implementing Research-Supported Practices to Address Psychiatric Illnesses in Two Countries.Psychiatric services (Washington, D.C.) · 2025Article
- Strategies to support midlife women to reduce their alcohol consumption: an Australian study using human-centred design.Health promotion international · 2023Article
- GPs' experiences of phosphatidylethanol in treatment of hypertension: a qualitative study.BJGP open · 2023Article
- Lay counsellors' experiences of administering the AUDIT-C as a brief screening tool in a South African township.BMC health services research · 2023Article
- More than three times as many Indigenous Australian clients at risk from drinking could be supported if clinicians used AUDIT-C instead of unstructured assessments.Addiction science & clinical practice · 2022Article
- Addressing harmful alcohol use in primary care in Colombia: Understanding the sociocultural context.Revista Colombiana de psiquiatria · 2021Article
- The Frequency and Content of Discussions About Alcohol Use in Primary Care and Application of the Chief Medical Officer's Low-Risk Drinking Guidelines: A Cross-Sectional Survey of General Practitioners and Practice Nurses in the UK.Alcohol and alcoholism (Oxford, Oxfordshire) · 2021Article
- Integrating a brief alcohol intervention with tobacco addiction treatment in primary care: qualitative study of health care practitioner perceptions.Addiction science & clinical practice · 2021Article
- Implementing Technology-Supported Care for Depression and Alcohol Use Disorder in Primary Care in Colombia: Preliminary Findings.Psychiatric services (Washington, D.C.) · 2020Article
- Patients' experiences of alcohol screening and advice in primary care: a qualitative study.BMC family practice · 2020Article
- Health service use by same-sex attracted Australian women for alcohol and mental health issues: a cross-sectional study.BJGP open · 2018Article
- The practices of French general practitioners regarding screening and counselling pregnant women for tobacco smoking and alcohol drinking.International journal of public health · 2018Article
- A Participatory Health Promotion Mobile App Addressing Alcohol Use Problems (The Daybreak Program): Protocol for a Randomized Controlled Trial.JMIR research protocols · 2018Article
- Pharmacy-based alcohol-misuse services: current perspectives.Integrated pharmacy research & practice · 2017Review
- How Australian general practitioners engage in discussions about alcohol with their patients: a cross-sectional study.BMJ open · 2016Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAt-risk drinking is common in Australia. Validated screening tools such as the AUDIT-C have been promoted to general practitioners (GPs), but appear rarely used and detection of at-risk drinking in primary care remains low. We sought to describe Australian GP perceptions of the detection and screening of at-risk drinking; to understand their low uptake of alcohol screening questionnaires, and in particular, their attitude to the adoption of the AUDIT-C.
methodsSemi-structured focus group interviews of four groups of GPs and GP trainees were conducted in metropolitan Sydney between August and October 2011. Audio recordings were transcribed and analysed using grounded theory methodology.
resultsWe identified four main themes: there was consensus that detecting at-risk drinking is important but difficult to do, social and cultural attitudes to alcohol consumption affect willingness to ask questions about its use, the dynamics of patient-doctor interactions are important, and alcohol screening questionnaires lack practical utility. Analysis suggests that the conceptual barriers to detecting at-risk drinking were: community stigma and stereotypes of "problem drinking", GP perceptions of unreliable patient alcohol use histories, and the perceived threat to the patient-doctor relationship.
conclusionThis small exploratory study found that the practice of, and barriers to, detecting at-risk drinking appear to be inextricably linked to the sociocultural beliefs surrounding alcohol use. Screening questionnaires such as the AUDIT-C are not designed to address these issues. In the current context, it is unlikely that approaches that focus on the use of these tools will be effective at improving detection of at-risk drinking by GPs.
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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.