Historique
Périodique
Attitudes and managing alcohol problems in general practice: an interaction analysis based on findings from a WHO collaborative study
Auteur(s) :
ANDERSON, P. ;
KANER, E. ;
WUTZKE, S. ;
FUNK M. ;
HEATHER, N. ;
WENSING, M. ;
GROL, R. P. T. M. ;
GUAL, A. ;
PAS, L. ;
WHO BRIEF INTERVENTION STUDY GROUP
Année
2004
Page(s) :
351-356
Langue(s) :
Français
Domaine :
Alcool / Alcohol
Thésaurus mots-clés
APPRENTISSAGE
;
COMPORTEMENT
;
DEPISTAGE
;
ALCOOL
;
MEDECIN GENERALISTE
;
INTERVENTION
;
FORMATION
;
PRISE EN CHARGE
Thésaurus géographique
INTERNATIONAL
Note générale :
Alcohol and Alcoholism, 2004, 39, (4), 351-356
Projet réalisé sous l'égide de l'OMS auprès de 340 médecins généralistes dans 4 pays. Bien que les programmes professionnels et organisationnels peuvent conduire à un engagement accru des médecins dans le dépistage et la délivrance d'interventions brèves pour l'alcoolisation à risque, la situation semble plus complexe.
Projet réalisé sous l'égide de l'OMS auprès de 340 médecins généralistes dans 4 pays. Bien que les programmes professionnels et organisationnels peuvent conduire à un engagement accru des médecins dans le dépistage et la délivrance d'interventions brèves pour l'alcoolisation à risque, la situation semble plus complexe.
Résumé :
ENGLISH :
AIMS: To determine if GPs' attitudes towards working with drinkers moderated the impact that training and support had on screening and brief intervention activity in routine practice. METHODS: Subjects were 340 GPs from four countries who were part of a World Health Organization randomized controlled trial to evaluate the effectiveness of training and support in increasing screening and brief alcohol intervention. GPs' self-reported attitudes towards working with drinkers were measured with the Shortened Alcohol and Alcohol Problems Perception Questionnaire. RESULTS: Whereas training and support increased GPs' screening and brief intervention rates, it did so only for practitioners who already felt secure and committed in working with drinkers. Training and support did not improve attitudes towards working with drinkers and, moreover, worsened the attitudes of those who were already insecure and uncommitted. CONCLUSIONS: To enhance the involvement of GPs in the management of alcohol problems, interventions that increase both actual experience and address practitioners' attitudes is required. Such support could take the form of on-site support agents and facilitators. (Author' s abstract)
Affiliation :
Centre for Quality of Care Research, University Medical Centre Nijmegen, 229 WOK, PO Box 9101, 6500 HB
Pays-Bas. Netherlands.
Pays-Bas. Netherlands.
Cote :
A01964