Prevention Research Center, 1995 University Avenue, Suite 450, Berkeley, CA 94704, USA.
Alcohol Alcohol. 2010 Mar-Apr;45(2):207-12. doi: 10.1093/alcalc/agq002. Epub 2010 Jan 25.
To investigate the use and the obstacles to use of screening and brief interventions (SBI) for alcohol misuse among Norwegian general practitioners (GP).
A questionnaire with 68 questions about the use and barriers to use of SBI in general practice was mailed to 2000 randomly selected Norwegian GPs.
The survey response rate was 45%. There was a much higher prevalence of using interventions (mean = 4.47 on a seven-point Likert scale) than of screening for alcohol problems (mean = 2.10 on a seven-point Likert scale). Regression models showed that knowledge and self-efficacy were the main predictors for GPs' use of screening instruments and use of interventions, respectively, in particular with regard to use of screening. However, GPs' views of their relationship with their patients, and structural factors were significant predictors.
(i) Norwegian GPs do not necessarily see the link between screening for alcohol problems and conducting interventions. (ii) Factors on at least three levels, i.e. personal, social and structural, play significant roles for understanding the problems related to implementing the use of SBI in general practice. (iii) Training GPs in the use of SBI is important but may not increase GPs' use of SBI due to social and structural barriers.
调查挪威全科医生（GP）对酒精使用障碍的筛查和简短干预（SBI）的使用情况和使用障碍。
向 2000 名随机选择的挪威全科医生邮寄了一份包含 68 个关于在一般实践中使用 SBI 和使用障碍问题的问卷。
调查的回复率为 45%。使用干预措施的流行率（七点 Likert 量表的平均值为 4.47）明显高于筛查酒精问题的流行率（七点 Likert 量表的平均值为 2.10）。回归模型表明，知识和自我效能感是 GP 使用筛查工具和干预措施的主要预测因素，特别是在使用筛查方面。然而，GP 对他们与患者关系的看法以及结构因素是重要的预测因素。
（i）挪威全科医生不一定看到筛查酒精问题与进行干预之间的联系。（ii）至少有三个层面的因素，即个人、社会和结构，对理解在一般实践中实施 SBI 使用相关问题起着重要作用。（iii）培训全科医生使用 SBI 很重要，但由于社会和结构障碍，可能不会增加 GP 使用 SBI 的频率。
