Evidence map›Paper›PMID 41310747›Full record

ArticleAddiction science & clinical practice2025

Factors associated with alcohol screening and brief interventions: a cross-sectional study of cardiology clinicians in Sweden.

Paul Welfordsson, Anna-Karin Danielsson, Anette Søgaard Nielsen, Caroline Björck, Bartosz Grzymala-Lubanski, Kristina Hambraeus, Olga Nilsson, Ida Haugen Löfman, Matthias Lidin, Sara Wallhed Finn

Abstract readMulticenter Study
In one paragraph

Article in Addiction science & clinical practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Paul WelfordssonDepartment of Global Public Health, Karolinska Institutet, Solna, 113 65, Sweden. paul.welfordsson@ki.se.
Anna-Karin DanielssonDepartment of Global Public Health, Karolinska Institutet, Solna, 113 65, Sweden.
Anette Søgaard NielsenUnit of Clinical Alcohol Research, Institute of Clinical Research, University of Southern Denmark, Odense, Denmark.
Caroline BjörckDepartment of Women's and Children's Health, Akademiska Sjukhuset, Uppsala University, Uppsala, Sweden.
Bartosz Grzymala-LubanskiCentre for Research and Development, Region Gävleborg, Gävle, Sweden.
Kristina HambraeusDepartment of Cardiology, Falun Hospital, Falun, Dalarna, Sweden.
Olga NilssonDepartment of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.
Ida Haugen LöfmanDepartment of Medicine, Unit of Cardiology, Karolinska Institutet, Stockholm, Sweden.
Matthias LidinDepartment of Medicine, Unit of Cardiology, Karolinska Institutet, Stockholm, Sweden.
Sara Wallhed FinnDepartment of Global Public Health, Karolinska Institutet, Solna, 113 65, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlcohol screening and brief interventions (SBI) are effective strategies to reduce hazardous alcohol use in healthcare settings but are implemented inconsistently in cardiology practice. There is a need to understand factors associated with alcohol prevention practices in clinical cardiology to bridge this evidence-practice gap. The aim of this study was to investigate factors associated with SBI practices in cardiology.

methodsMulti-centre cross-sectional study. We surveyed clinicians at cardiology services in 12 regions across Sweden. The outcome was participants’ tendency to initiate SBI. Predictor variables included perceived importance of alcohol screening, level of comfort discussing alcohol habits with patients, perceived reliability of self-reported alcohol habits, and perceived competence for screening and brief interventions. Analyses included Wilcoxon signed-rank tests and ordinal logistic regression models.

resultsIn total, 692 clinicians participated in the survey (nurses = 55%; doctors = 19%; assistant nurses = 22%). Perceived importance of screening was not significantly associated with initiating SBI (OR = 1.55, 95%CI = 0.75–3.20). However, greater comfort when discussing alcohol habits was strongly associated with participants’ tendency to initiate SBI (OR = 4.06, 95%CI = 2.62–6.30) in maximally-adjusted models. Competence with screening (OR = 1.65, 95%CI = 1.06–2.56) and brief interventions (OR = 1.93, 95%CI = 1.30–2.85), and perceived reliability of self-reported alcohol habits (OR = 1.54, 95%CI = 1.12–2.13) were also positively associated with initiating SBI. While most (> 95%) participants considered it important that cardiology patients are asked about their alcohol habits, just 27% indicated that they often or always initiate SBI (z = 21.88, p < .001).

conclusionsMany cardiology clinicians in Sweden view alcohol screening as important, but these views are frequently not aligned with self-reported clinical practice. Findings highlight a need to empower clinicians to initiate conversations about alcohol use with their patients and for improved training to support SBI implementation. Promising strategies may include creating workflows that normalize discussions around alcohol use and clinician training that focuses on challenging stereotypes associated with alcohol use disorder.

Indexed as

Alcohol DrinkingAlcoholismCardiologyMass ScreeningAdultAttitude of Health PersonnelCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and QuestionnairesSwedenAlcoholBrief interventionsCardiologyCross-sectional surveyScreeningSelf-efficacyStigma

Identifiers

PMID41310747
PMCPMC12665207

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LicenceCC BY
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Registered trials

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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.