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Author: Ching-Han Helen Chan Publisher: Open Dissertation Press ISBN: 9781361325094 Category : Languages : en Pages :
Book Description
This dissertation, "Physician and Nurse-led Brief Intervention for Alcohol Drinking in the Primary Care Setting: a Systematic Review" by Ching-han, Helen, Chan, 陳靜嫻, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Background: With the increasing public health concern over the alcohol related health burden and mortality globally, the World Health Organization (WHO) has listed alcohol use as the top three risk factors in Non-Communicable Disease (NCD) and the alcohol related mortality and morbidity could be avoided through early intervention and prevention. The Department of Health (DH) of Hong Kong Special Administration Region (HKSAR) has declared the alcohol epidemic was alarming with the increasing in prevalence of alcohol use and binge drinking especially among young people with the westernization of Hong Kong society. In combating local alcohol use epidemic, DH has put priority to reform health care sector system and to ensure that the local health care system is responsive to the local alcohol use problem. Brief intervention (BI) was found to be effective in dealing with at-risk alcohol use especially in primary health care settings in the various past systematic reviews. However, most reviews mainly focus on physician-led BI while the role of nurse in BI delivery in alcohol drinking had not been under great attention. The effectiveness of nurse-led BI to at-risk drinking has not been fully examined as compared with physician-led interventions in the past reviews. Evaluation of treatment components in terms of intensity, treatment components and service settings may also shed light to public health policy makers in development of local model of BI in dealing with drinking problem in the Chinese population. Objective: To investigate the effectiveness of physician-led or nurse-led BI on quantity of alcohol consumption, number of drinking days, number of binge drinking episode and health care utilization. The potentially effective treatment intensity, treatments components and setting of intervention were also investigated. Methods: All the studies published from 1990 to 2012 in MEDLINE, would be evaluated on the effectiveness of BI delivered by physicians and/or nurses to adult at-risk drinkers in primary health care settings, were searched and identified using a combination of keywords. Results: A total of 13 randomized controlled trials out of 134 articles from MEDLINE were included in this systematic review. The included studies used different outcome measurements to compare the effectiveness of BI by physicians and/or nurses in treating at-risk drinking. Similar demographics and clinical characteristics of the subjects between the intervention and control groups were reported. The studies were from 5 countries. The age range of subjects was from 14 to 75 years old. Majority of subjects drank beyond the recommended limits defined by Alcohol Abuse and Alcoholism (NIAA), United State (US). Through there were discrepancies among the results generated in the included studies on the effectiveness of physician-led and/ or nurse-led BI, the benefits of nurse-led BI in treatment of at-risk drinking cannot be dispelled and could be considered as an alternative or supplement to the physician-led BI in busy primary health care setting today. BI with at least two 5-15 minute sessions was found to be more effective than very BI with one 5-minute session only. High quality BI with all five essential treatment components (information giving, advice, goal setting, assistance and follow up) were found to be more effective than partially i
Author: Ching-Han Helen Chan Publisher: Open Dissertation Press ISBN: 9781361325094 Category : Languages : en Pages :
Book Description
This dissertation, "Physician and Nurse-led Brief Intervention for Alcohol Drinking in the Primary Care Setting: a Systematic Review" by Ching-han, Helen, Chan, 陳靜嫻, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Background: With the increasing public health concern over the alcohol related health burden and mortality globally, the World Health Organization (WHO) has listed alcohol use as the top three risk factors in Non-Communicable Disease (NCD) and the alcohol related mortality and morbidity could be avoided through early intervention and prevention. The Department of Health (DH) of Hong Kong Special Administration Region (HKSAR) has declared the alcohol epidemic was alarming with the increasing in prevalence of alcohol use and binge drinking especially among young people with the westernization of Hong Kong society. In combating local alcohol use epidemic, DH has put priority to reform health care sector system and to ensure that the local health care system is responsive to the local alcohol use problem. Brief intervention (BI) was found to be effective in dealing with at-risk alcohol use especially in primary health care settings in the various past systematic reviews. However, most reviews mainly focus on physician-led BI while the role of nurse in BI delivery in alcohol drinking had not been under great attention. The effectiveness of nurse-led BI to at-risk drinking has not been fully examined as compared with physician-led interventions in the past reviews. Evaluation of treatment components in terms of intensity, treatment components and service settings may also shed light to public health policy makers in development of local model of BI in dealing with drinking problem in the Chinese population. Objective: To investigate the effectiveness of physician-led or nurse-led BI on quantity of alcohol consumption, number of drinking days, number of binge drinking episode and health care utilization. The potentially effective treatment intensity, treatments components and setting of intervention were also investigated. Methods: All the studies published from 1990 to 2012 in MEDLINE, would be evaluated on the effectiveness of BI delivered by physicians and/or nurses to adult at-risk drinkers in primary health care settings, were searched and identified using a combination of keywords. Results: A total of 13 randomized controlled trials out of 134 articles from MEDLINE were included in this systematic review. The included studies used different outcome measurements to compare the effectiveness of BI by physicians and/or nurses in treating at-risk drinking. Similar demographics and clinical characteristics of the subjects between the intervention and control groups were reported. The studies were from 5 countries. The age range of subjects was from 14 to 75 years old. Majority of subjects drank beyond the recommended limits defined by Alcohol Abuse and Alcoholism (NIAA), United State (US). Through there were discrepancies among the results generated in the included studies on the effectiveness of physician-led and/ or nurse-led BI, the benefits of nurse-led BI in treatment of at-risk drinking cannot be dispelled and could be considered as an alternative or supplement to the physician-led BI in busy primary health care setting today. BI with at least two 5-15 minute sessions was found to be more effective than very BI with one 5-minute session only. High quality BI with all five essential treatment components (information giving, advice, goal setting, assistance and follow up) were found to be more effective than partially i
Author: Barry Leonard Publisher: ISBN: 9781422302484 Category : Languages : en Pages : 51
Book Description
This guide is written for primary care & mental health clinicians. It has been produced by the Nat. Institute on Alcohol Abuse & Alcoholism (NIAAA) with guidance from physicians, nurses, advanced practice nurses, physician assistants, & clinical researchers. Contents: Changes in the 2005 Clinician's Guide; How to Screen & Conduct a Brief Intervention; How to Screen for Heavy Drinking; How to Assess for Alcohol Use Disorders; How to Conduct a Brief Intervention; Support Materials; & FAQ. Also includes A Pocket Guide for Alcohol Screening & Brief Intervention.Ó Illustrations.
Author: Peter Anderson Publisher: WHO Regional Office Europe ISBN: 9789289013284 Category : Alcoholism Languages : en Pages : 104
Book Description
This book goes some way to answering the questions of how the harm done by alcohol use can be prevented and managed in primary health care. It discusses strategies and approaches that can be adopted by primary health care providers in their everyday work with individuals and families, and outlines the possibilities for them to participate in community action and to advocate for healthy public policy on alcohol.
Author: Felipe Gutierrez Publisher: ISBN: Category : Languages : en Pages : 255
Book Description
Purpose. The purpose of this study was to assess preliminary efficacy of screening for alcohol use and brief interventions (BIs) on patients who present to the emergency department (ED) at-risk for alcohol use disorder (AUD) utilizing established nurse navigators. This is the first study to assess the initial efficacy of a BI to reduce alcohol use in at-risk patients utilizing nurse navigators in the ED who were not bedside nurses. Theoretical Framework. The theoretical framework guiding this study is based on the Health Belief Model (HBM) and the Transtheoretical Model and is the first study to assess the HBM constructs for patients with AUD in the ED. Methods. A pilot, non-equivalent, two-group quasi-experimental study assessed the preliminary effectiveness of a registered nurse-led BI to reduce alcohol consumption and dependency, improve readiness to change alcohol use, lower depressive symptoms, decrease perceived barriers, and improve the perceived susceptibility, seriousness, and benefits among individuals presenting to the ED who were at-risk for AUD. Two groups were enrolled: an intervention group and a usual-care comparison group. Results. At 3-month follow-up, the intervention group had a significant decrease in standard drinks on a typical day and the construct of perceived seriousness was significantly higher in the intervention group than in the comparison group. Within groups significance was found at the 3-month follow-up for both the intervention and comparison groups for most outcome variables. The Patient Health Questionnaire (PHQ-9) scores for depression were significantly greater at baseline for participants who did not return for follow-up. Conclusion. This pilot study examined the feasibility of a nurse navigator-administered BI in the ED for patients at-risk for AUD and may be beneficial for future randomized control trials to assess the efficacy of a nurse navigator-led BI in the ED. Implications. Nurses should be screening patients on admission for alcohol use based on current evidenced-based practice tools. They should be planning interventions with their patients at risk for alcohol use disorder. They should be assisting with referrals to treatment in the community and offering options to the patient who is ready to change their alcohol use. Electronic health records can be utilized to alert nurse navigators for consult to provide the BI and refer patients to treatment.
Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309133661 Category : Medical Languages : en Pages : 528
Book Description
Each year, more than 33 million Americans receive health care for mental or substance-use conditions, or both. Together, mental and substance-use illnesses are the leading cause of death and disability for women, the highest for men ages 15-44, and the second highest for all men. Effective treatments exist, but services are frequently fragmented and, as with general health care, there are barriers that prevent many from receiving these treatments as designed or at all. The consequences of this are seriousâ€"for these individuals and their families; their employers and the workforce; for the nation's economy; as well as the education, welfare, and justice systems. Improving the Quality of Health Care for Mental and Substance-Use Conditions examines the distinctive characteristics of health care for mental and substance-use conditions, including payment, benefit coverage, and regulatory issues, as well as health care organization and delivery issues. This new volume in the Quality Chasm series puts forth an agenda for improving the quality of this care based on this analysis. Patients and their families, primary health care providers, specialty mental health and substance-use treatment providers, health care organizations, health plans, purchasers of group health care, and all involved in health care for mental and substanceâ€"use conditions will benefit from this guide to achieving better care.
Author: Ching-Han Helen Chan
Author: Ching-Han Helen Chan
Author: 陳靜嫻
Author: 
Author: 
Author: 
Author: Barry Leonard
Author: 
Author: Peter Anderson
Author: Felipe Gutierrez
Author: Institute of Medicine