ArticleInternational journal of environmental research and public health2017
Are Brief Alcohol Interventions Adequately Embedded in UK Primary Care? A Qualitative Study Utilising Normalisation Process Theory.
Article in International journal of environmental research and public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Physician Reluctance to Intervene in Addiction: A Systematic Review.JAMA network open · 2024Pooled it
- Application of normalisation process theory in understanding implementation processes in primary care settings in the UK: a systematic review.BMC family practice · 2020Pooled it
- Using Normalization Process Theory in feasibility studies and process evaluations of complex healthcare interventions: a systematic review.Implementation science : IS · 2018Pooled it
- The effect of a clinical decision support system on prompting an intervention for risky alcohol use in a primary care smoking cessation program: a cluster randomized trial.Implementation science : IS · 2019Trial
- The introduction of metabolic alcoholic liver disease: a perspective for UK primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Article
- Segmenting Increasing- and High-Risk Alcohol Drinkers by Motives and Occasions: Implications for Targeted Interventions.Nutrients · 2025Article
- Factors associated with alcohol screening and brief interventions: a cross-sectional study of cardiology clinicians in Sweden.Addiction science & clinical practice · 2025Article
- Understanding the challenges of identifying, supporting, and signposting patients with alcohol use disorder in secondary care hospitals, post COVID-19: a qualitative analysis from the North East and North Cumbria, England.BMC health services research · 2024Article
- Recommendations for implementing digital alcohol interventions in primary care: lessons learned from a Norwegian feasibility study.Frontiers in health services · 2024Article
- Implementation and evaluation of crowdsourcing in global health education.Global health research and policy · 2022Article
- Pain Management Program in Cardiology: A Template for Application of Normalization Process Theory and Social Marketing to Implement a Change in Practice Quality Improvement.International journal of environmental research and public health · 2022Article
- 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
- Making change last? Exploring the value of sustainability approaches in healthcare: a scoping review.Health research policy and systems · 2020Article
- Notifications to Improve Engagement With an Alcohol Reduction App: Protocol for a Micro-Randomized Trial.JMIR research protocols · 2020Article
- Patients' experiences of alcohol screening and advice in primary care: a qualitative study.BMC family practice · 2020Article
- Service providers' perceptions of barriers to the implementation of trauma-focused substance use services for women in Cape Town, South Africa.The International journal on drug policy · 2020Article
- Article
- Extending alcohol brief advice into non-clinical community settings: a qualitative study of experiences and perceptions of delivery staff.BMC health services research · 2019Article
- Beliefs and attitudes about addressing alcohol consumption in health care: a population survey in England.BMC public health · 2018Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
Despite substantial evidence for their effectiveness, the adoption of alcohol screening and brief interventions (ASBI) in routine primary care remains inconsistent. Financial incentive schemes were introduced in England between 2008 and 2015 to encourage their delivery. We used Normalisation Process Theory-informed interviews to understand the barriers and facilitators experienced by 14 general practitioners (GPs) as they implemented ASBI during this period. We found multiple factors shaped provision. GPs were broadly cognisant and supportive of preventative alcohol interventions (coherence) but this did not necessarily translate into personal investment in their delivery (cognitive participation). This lack of investment shaped how GPs operationalised such "work" in day-to-day practice (collective action), with ASBI mostly delegated to nurses, and GPs reverting to "business as usual" in their management and treatment of problem drinking (reflexive monitoring). We conclude there has been limited progress towards the goal of an effectively embedded preventative alcohol care pathway in English primary care. Future policy should consider screening strategies that prioritise patients with conditions with a recognised link with excessive alcohol consumption, and which promote more efficient identification of the most problematic drinkers. Improved GP training to build skills and awareness of evidence-based ASBI tools could also help embed best practice over time.
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Registered trials
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