Historique
Périodique
Encouraging GP alcohol intervention: pilot study of change-orientated reflective listening (CORL)
Auteur(s) :
McCAMBRIDGE, J. ;
PLATTS, S. ;
WHOOLEY D. ;
STRANG, J.
Année
2004
Page(s) :
146-149
Langue(s) :
Français
Domaine :
Alcool / Alcohol
Thésaurus géographique
ROYAUME-UNI
Thésaurus mots-clés
MEDECIN GENERALISTE
;
INTERVENTION
;
MOTIVATION
;
ALCOOL
Note générale :
Alcohol and Alcoholism, 2004, 39, (2), 146-149
Résumé :
ENGLISH :
AIMS: To test the feasibility of delivery and potential value of a brief motivational enhancement intervention targeting GPs in relation to alcohol as a public health issue, and to compare data obtained with similar attempts to influence GP intervention with drug users. METHOD: 21 GPs who were not involved in the treatment of drug dependence received a telephone-administered 'change- orientated reflective listening' (CORL) intervention, based on Motivational Interviewing, with an informational adjunct. Assessments were made at baseline and at 2-3 months of activity and willingness to deliver specified alcohol-related interventions, plus overall therapeutic commitment and motivation. Qualitative data was obtained. RESULTS: There was no change over time in the sample as a whole, with very modest evidence of benefit among individual practitioners. Comparisons with cannabis and drug misuse intervention targets suggest that it may be more difficult to alter views on intervening with drinkers. CONCLUSIONS: Further attempts are needed to influence practitioner motivation, based on improved understanding of GP views on the delivery of alcohol interventions.
AIMS: To test the feasibility of delivery and potential value of a brief motivational enhancement intervention targeting GPs in relation to alcohol as a public health issue, and to compare data obtained with similar attempts to influence GP intervention with drug users. METHOD: 21 GPs who were not involved in the treatment of drug dependence received a telephone-administered 'change- orientated reflective listening' (CORL) intervention, based on Motivational Interviewing, with an informational adjunct. Assessments were made at baseline and at 2-3 months of activity and willingness to deliver specified alcohol-related interventions, plus overall therapeutic commitment and motivation. Qualitative data was obtained. RESULTS: There was no change over time in the sample as a whole, with very modest evidence of benefit among individual practitioners. Comparisons with cannabis and drug misuse intervention targets suggest that it may be more difficult to alter views on intervening with drinkers. CONCLUSIONS: Further attempts are needed to influence practitioner motivation, based on improved understanding of GP views on the delivery of alcohol interventions.
Affiliation :
National Addiction Centre (The Maudsley Institute of Psychiatry), Addiction Sciences Building, 4 Windsor Walk, Denmark Hill, London SE5 8AF
Royaume-Uni. United Kingdom.
Royaume-Uni. United Kingdom.
Cote :
A02604