Brief Interventions for High-risk Drinkers in the Primary Care Setting PDF Download

Author: Zena Hyman
Publisher:
ISBN:
Category : Alcoholism
Languages : en
Pages : 0

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"Aim: The aims of this pilot study were to (a) describe the extent to which primary care providers (PCP) at the Veterans Administration (VA) fully implement clinical practice guidelines (CPG) for VA primary care patients who fail their Audit C, (b) conduct a supplemental intervention to complete all elements of the CPG, and (c) estimate the extent to which the patient's drinking is reduced thereby. ... Conclusion: The VA CPG for risky drinking was not completely implemented in usual care. Pilot data suggested that a more complete intervention would benefit at least the heaviest drinkers, but replication with a larger sample size will be required. Key Words: Primary care, clinical practice guideline, high-risk drinking, alcohol, brief intervention, outcomes model, translation research."--Page iii.

Author:
Publisher:
ISBN:
Category : Alcoholism
Languages : en
Pages : 22

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Author: Antoni Gual
Publisher: Frontiers Media SA
ISBN: 2889198871
Category : Medicine (General)
Languages : en
Pages : 85

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Alcohol is the sixth leading risk factor for disability and premature death all over the world, and one of the leading causes of premature mortality in western societies; it is a leading risk factor for death in young and middle-age males. Heavy drinking accounts for about two thirds of the burden of disease attributable to alcohol. In the early 1980s, screening and brief interventions (SBI) in primary health care settings were proposed as effective strategies to identify risky drinkers and to help them reduce their drinking. Since then, a growing body of evidence, including several meta-analysis and Cochrane reviews, has shown the efficacy and effectiveness of SBI in primary health settings. However, demonstrating the effectiveness of SBI has not been insufficient to facilitate its general implementation in the routines of primary health care physicians, and in fact the dissemination of SBI has proven to be a difficult business. Qualitative and quantitative research has identified most of the facilitators and barriers for its implementation, and publicly funded research has been earmarked to address the dissemination problems worldwide. Some examples are the World Health Organization Phase III and Phase IV studies on the identification and management of alcohol-related problems in primary care, EU funded projects (PHEPA, AMPHORA, ODHIN, BISTAIRS), the UK SIPS trials and the SBIRT developments sponsored by the Substance Abuse & Mental Health Services Administration (SAMHSA) in the USA. The efficacy and effectiveness of SBI in primary health is now well established, but there are still some questions that remain unsolved: which practitioners should deliver them; what length should they be; is there a need for booster sessions; is there added value of a motivational approach? These questions, together with other relevant aspects of SBI, need ongoing research. In recent years, SBIs have been tested in settings other than primary health care, including hospitals, accident and emergency rooms, criminal justice, colleges and universities, social services and pharmacies. In some of those areas, the evidence is scarce (for example, pharmacies) while in others it is very promising (for example, students and hospitals). New technologies have also offered the possibility of online tools, and, in the last few years, different digital-based applications have been tested successfully as new ways to deliver effective SBIs to larger amounts of people. Brief interventions have also spread to drugs other than alcohol. This book aims to be an update of the state-of-the art of brief advice. It is a compilation of articles published by some of the most relevant researchers in the field in Frontiers in Psychiatry between 2014 and 2016.

Author: Ching-Han Helen Chan
Publisher: Open Dissertation Press
ISBN: 9781361325094
Category :
Languages : en
Pages :

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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: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309089352
Category : Medical
Languages : en
Pages : 761

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Book Description
Alcohol use by young people is extremely dangerous - both to themselves and society at large. Underage alcohol use is associated with traffic fatalities, violence, unsafe sex, suicide, educational failure, and other problem behaviors that diminish the prospects of future success, as well as health risks â€" and the earlier teens start drinking, the greater the danger. Despite these serious concerns, the media continues to make drinking look attractive to youth, and it remains possible and even easy for teenagers to get access to alcohol. Why is this dangerous behavior so pervasive? What can be done to prevent it? What will work and who is responsible for making sure it happens? Reducing Underage Drinking addresses these questions and proposes a new way to combat underage alcohol use. It explores the ways in which may different individuals and groups contribute to the problem and how they can be enlisted to prevent it. Reducing Underage Drinking will serve as both a game plan and a call to arms for anyone with an investment in youth health and safety.

Author: Paolo Boffetta
Publisher: Oxford University Press
ISBN: 0199655782
Category : Medical
Languages : en
Pages : 445

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Written by international leaders in the field of alcoholism, this book provides an interdisciplinary source of information on alcoholism that links together science, policy, and public health in order to emphasise the importance of scientific knowledge with deciding public health policy.

Author: Rebecca Samad
Publisher:
ISBN:
Category :
Languages : en
Pages : 22

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The purpose of this study was to collect and evaluate the literature on alcohol use screening and brief intervention in primary care settings. Systematic searches were conducted using six databases (PsycINFO, Google Scholar, Google, MEDLINE, CSUN Oviatt Library, and CINAHL). Alcohol use screening instruments CAGE, MAST, and AUDIT were researched. Each has advantages and disadvantages, which limits the versatility of any individual screening test in its applicability to a variety of situations and populations. Further research is necessary to develop tests that are more inclusive of detecting all levels of alcohol use risk, while are also not complicated for primary care practitioners to use. Future steps are required to improve the consistency in screening for alcohol misuse in primary care settings, and subsequently applying brief interventions for populations of low-to-medium risk levels.

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309040388
Category : Medical
Languages : en
Pages : 640

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In this congressionally mandated study, an expert committee of the Institute of Medicine takes a close look at where treatment for people with alcohol problems seems to be headed, and provides its best advice on how to get there. Careful consideration is given to how the creative growth of treatment can best be encouraged while keeping costs within reasonable limits. Particular attention is devoted to the importance of developing therapeutic approaches that are sensitive to the special needs of the many diverse groups represented among those who have developed problems related to their use of "man's oldest friend and oldest enemy." This book is the most comprehensive examination of alcohol treatment to date.

Author:
Publisher:
ISBN:
Category : Alcohol
Languages : en
Pages : 548

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Author: Mats Berglund
Publisher: John Wiley & Sons
ISBN: 9783527306824
Category : Medical
Languages : en
Pages : 660

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Programs for treating substance abuse should be built on a foundation of evidence-based knowledge. This guide presents the findings from more than 1,600 studies on the effectiveness of different treatments.