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. |
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| 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] |
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| Database: | Education Research Complete |
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