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Promoting brief alcohol intervention by nurses in primary care: a cluster randomised controlled trial.

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Title: Promoting brief alcohol intervention by nurses in primary care: a cluster randomised controlled trial.
Authors: Kaner E (AUTHOR), Lock C (AUTHOR), Heather N (AUTHOR), McNamee P (AUTHOR), Bond S (AUTHOR), Kaner, Eileen1 (AUTHOR), Lock, Catherine (AUTHOR), Heather, Nick (AUTHOR), McNamee, Paul (AUTHOR), Bond, Senga (AUTHOR)
Source: Patient Education & Counseling. Nov2003, Vol. 51 Issue 3, p277-284. 8p.
Abstract: This trial evaluated the clinical impact and cost-effectiveness of strategies promoting screening and brief alcohol intervention (SBI) by nurses in primary care. Randomisation was at the level of the practice and the interventions were: written guidelines (controls, n=76); outreach training (n=68); and training plus telephone-based support (n=68). After 3 months, just 39% of controls implemented the SBI programme compared to 74% of nurses in trained practices and 71% in trained and supported practices. Controls also screened fewer patients and delivered fewer brief interventions to risk drinkers than other colleagues. However, there was a trade-off between the extent and the appropriateness of brief intervention delivery with controls displaying the least errors in overall patient management. Thus cost-effectiveness ratios (cost per patient appropriately treated) were similar between the three strategies. Given the potential for anxiety due to misdirected advice about alcohol-related risk, the balance of evidence favoured the use of written guidelines to promote SBI by nurses in primary care. [ABSTRACT FROM AUTHOR]
Copyright of Patient Education & Counseling is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Promoting brief alcohol intervention by nurses in primary care: a cluster randomised controlled trial.
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  Data: <searchLink fieldCode="AR" term="%22Kaner+E%22">Kaner E</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lock+C%22">Lock C</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Heather+N%22">Heather N</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22McNamee+P%22">McNamee P</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bond+S%22">Bond S</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kaner%2C+Eileen%22">Kaner, Eileen</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lock%2C+Catherine%22">Lock, Catherine</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Heather%2C+Nick%22">Heather, Nick</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22McNamee%2C+Paul%22">McNamee, Paul</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bond%2C+Senga%22">Bond, Senga</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Patient+Education+%26+Counseling%22">Patient Education & Counseling</searchLink>. Nov2003, Vol. 51 Issue 3, p277-284. 8p.
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: This trial evaluated the clinical impact and cost-effectiveness of strategies promoting screening and brief alcohol intervention (SBI) by nurses in primary care. Randomisation was at the level of the practice and the interventions were: written guidelines (controls, n=76); outreach training (n=68); and training plus telephone-based support (n=68). After 3 months, just 39% of controls implemented the SBI programme compared to 74% of nurses in trained practices and 71% in trained and supported practices. Controls also screened fewer patients and delivered fewer brief interventions to risk drinkers than other colleagues. However, there was a trade-off between the extent and the appropriateness of brief intervention delivery with controls displaying the least errors in overall patient management. Thus cost-effectiveness ratios (cost per patient appropriately treated) were similar between the three strategies. Given the potential for anxiety due to misdirected advice about alcohol-related risk, the balance of evidence favoured the use of written guidelines to promote SBI by nurses in primary care. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Patient Education & Counseling is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1016/s0738-3991(02)00242-2
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              Text: Nov2003
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