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.
Adolescent
Adult
Alcohol Drinking
Cross-Sectional Studies
Female
Guideline Adherence
Humans
Male
Mass Screening
/ methods
Middle Aged
Nurse-Patient Relations
Physician-Patient Relations
Practice Patterns, Nurses'
/ statistics & numerical data
Practice Patterns, Physicians'
/ statistics & numerical data
Primary Health Care
Surveys and Questionnaires
United Kingdom
Journal
Alcohol and alcoholism (Oxford, Oxfordshire)
ISSN: 1464-3502
Titre abrégé: Alcohol Alcohol
Pays: England
ID NLM: 8310684
Informations de publication
Date de publication:
29 Jun 2021
29 Jun 2021
Historique:
received:
13
03
2020
revised:
18
09
2020
accepted:
12
10
2020
pubmed:
13
11
2020
medline:
15
12
2021
entrez:
12
11
2020
Statut:
ppublish
Résumé
To examine how often general practitioners (GPs) and practice nurses (PNs) working in primary care discuss alcohol with patients, what factors prompt discussions, how they approach patient discussions and whether the Chief Medical Officers' (CMO) revised low-risk drinking guidelines are appropriately advised. Cross-sectional survey with GPs and PNs working in primary care in the UK, conducted January-March 2017 (n = 2020). A vignette exercise examined what factors would prompt a discussion about alcohol, whether they would discuss before or after a patient reported exceeded the revised CMO guidelines (14 units per week) and whether the CMO drinking guidelines were appropriately advised. For all patients, participants were asked how often they discussed alcohol and how they approached the discussion (e.g. used screening tool). The most common prompts to discuss alcohol in the vignette exercise were physical cues (44.7% of participants) or alcohol-related symptoms (23.8%). Most practitioners (70.1%) said they would wait until a patient was exceeding CMO guidelines before instigating discussion. Two-fifths (38.1%) appropriately advised the CMO guidelines in the vignette exercise, with PNs less likely to do so than GPs (odds ratio [OR] = 0.77, P = 0.03). Less than half (44.7%) reportedly asked about alcohol always/often with all patients, with PNs more likely to ask always/often than GPs (OR = 2.22, P < 0.001). Almost three-quarters said they would enquire by asking about units (70.3%), compared to using screening tools. Further research is required to identify mechanisms to increase the frequency of discussions about alcohol and appropriate recommendation of the CMO drinking guidelines to patients.
Identifiants
pubmed: 33179022
pii: 5974946
doi: 10.1093/alcalc/agaa120
pmc: PMC7613882
mid: EMS157626
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
433-442Subventions
Organisme : Medical Research Council
ID : MC_UU_12015/4
Pays : United Kingdom
Informations de copyright
© The Author(s) 2020. Medical Council on Alcohol and Oxford University Press.
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