Use and Barriers to Use of Screening and Brief Interventions for Alcohol Problems Among Norwegian General Practitioners
- 25 January 2010
- journal article
- Published by Oxford University Press (OUP) in Alcohol and Alcoholism
- Vol. 45 (2), 207-212
- https://doi.org/10.1093/alcalc/agq002
Abstract
To investigate the use and the obstacles to use of screening and brief interventions (SBI) for alcohol misuse among Norwegian general practitioners (GP). A questionnaire with 68 questions about the use and barriers to use of SBI in general practice was mailed to 2000 randomly selected Norwegian GPs. The survey response rate was 45%. There was a much higher prevalence of using interventions (mean = 4.47 on a seven-point Likert scale) than of screening for alcohol problems (mean = 2.10 on a seven-point Likert scale). Regression models showed that knowledge and self-efficacy were the main predictors for GPs' use of screening instruments and use of interventions, respectively, in particular with regard to use of screening. However, GPs' views of their relationship with their patients, and structural factors were significant predictors. (i) Norwegian GPs do not necessarily see the link between screening for alcohol problems and conducting interventions. (ii) Factors on at least three levels, i.e. personal, social and structural, play significant roles for understanding the problems related to implementing the use of SBI in general practice. (iii) Training GPs in the use of SBI is important but may not increase GPs' use of SBI due to social and structural barriers.Keywords
This publication has 12 references indexed in Scilit:
- Comparative Analysis of Alcohol Control Policies in 30 CountriesPLoS Medicine, 2007
- ATTITUDES AND MANAGING ALCOHOL PROBLEMS IN GENERAL PRACTICE: AN INTERACTION ANALYSIS BASED ON FINDINGS FROM A WHO COLLABORATIVE STUDYAlcohol and Alcoholism, 2004
- Screening and brief intervention for excessive alcohol use: qualitative interview study of the experiences of general practitionersBMJ, 2002
- Effectiveness of Brief Interventions to Reduce Alcohol Intake in Primary Health Care Populations: A Meta-analysisPreventive Medicine, 1999
- Provider Training for Patient-Centered Alcohol Counseling in a Primary Care SettingArchives of Internal Medicine, 1997
- Effects of brief counselling among male heavy drinkers identified on general hospital wards*Drug and Alcohol Review, 1996
- Brief interventions for alcohol problems: a reviewAddiction, 1993
- The interaction between research and policy—alcohol and general practice in the United KingdomAddiction, 1993
- What happens to drinking after therapeutic intervention?British Journal of Addiction, 1992
- Psychology and Brief InterventionsBritish Journal of Addiction, 1989