Titre : | Screening questionnaires to identify problem drinking in the primary care setting: a systematic review (2016) |
Auteurs : | G. MUELLER ; P. SCHUMACHER ; J. WETZLMAIR ; M. PALLAUF |
Type de document : | Article : Périodique |
Dans : | Journal of Public Health [Springer] (Vol.24, n°1, February 2016) |
Article en page(s) : | 9-19 |
Langues: | Anglais |
Discipline : | PRO (Produits, mode d'action, méthode de dépistage / Substances, action mode, screening methods) |
Mots-clés : |
Thésaurus mots-clés QUESTIONNAIRE ; ALCOOL ; SOINS DE PREMIER RECOURS ; DEPISTAGE ; FIABILITE ; VALIDITE ; TEST ; AUDIT |
Résumé : |
Aim: Guidance on screening instruments is lacking. Early recognition of harmful drinking patterns is of socio-economic importance for health policies. Aim of this systematic review was to investigate the validity and reliability of alcohol screening questionnaires to identify problem drinking as a secondary prevention measure.
Subject and methods: About eight million people live in Austria and approximately 360,000 are diagnosed with chronic alcoholism. In 2011, the direct medical cost for alcohol-related diseases was 374 million Euros. The hazardous effects of excessive drinking and the problems caused by alcohol are frequently documented. A systematic search of the literature was conducted in online databases between September and December 2014. Inclusion criteria included the use of alcohol-screening instrument compared to a gold standard, primary care setting, and adults over 18 years. Results: Eight diagnostic accuracy studies and three systematic reviews were included in this review. The reviewed scientific literature demonstrates the validation of five alcohol-screening instruments plus their abbreviated versions that are currently available in German-speaking countries. Those instruments are suitable for primary care depending on the validated setting. Conclusion: Primary healthcare workers do not routinely screen for harmful drinking in their usual practice in German-speaking countries. Brief interventions are initiated based on results of screening tests; hence, the opportunity for brief interventions is missed. However, guidance and training on validated alcohol-screening instruments and information on the content of brief interventions is currently missing in German-speaking countries. |
Domaine : | Alcool / Alcohol |
Sous-type de document : | Revue de la littérature / Literature review |
Affiliation : | Department of Nursing Science and Gerontology, UMIT - The Health & Life Sciences University, Hall in Tyrol, Austria |
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