Department of Family Medicine, Medical Center of Central Georgia and Mercer University School of Medicine, Macon, Georgia, USA.
Subst Abus. 2012;33(3):261-71. doi: 10.1080/08897077.2011.640187.
Alcohol screening and brief intervention (SBI) is recommended for all primary care patients but is underutilized. This project trained 111 residents and faculty in 8 family medicine residencies to conduct SBI and implement SBI protocols in residency clinics, then assessed changes in self-reported importance and confidence in performing SBI and brief intervention (BI) rates. Clinicians reported significant increases in role security, confidence, and ability to help drinkers reduce drinking and decreased importance of factors that might dissuade them from performing SBI. Stage of change measures indicated 37% of clinicians progressed toward action or maintenance in performing SBI; however, numbers of reported BIs did not increase. At all time points, 33% to 36% of clinicians reported BIs with ≥10% of the last 50 patients. Future studies should focus on increasing intervention rates using more patient-centered BI approaches, quality improvement approaches, and systems changes that could increase opportunities for performing BIs.
酒精筛查和简短干预（SBI）建议用于所有初级保健患者，但未得到充分利用。该项目培训了 8 个家庭医学住院医师中的 111 名住院医师和教师，以进行 SBI 并在住院医师诊所实施 SBI 协议，然后评估自我报告的执行 SBI 和简短干预（BI）率的重要性和信心的变化。临床医生报告说，他们在帮助饮酒者减少饮酒方面的角色安全性、信心和能力有了显著提高，而劝阻他们进行 SBI 的因素的重要性则降低了。改变阶段的衡量标准表明，37%的临床医生在执行 SBI 方面朝着行动或维持阶段前进；然而，报告的 BI 数量并没有增加。在所有时间点，33%至 36%的临床医生报告说，在过去 50 名患者中，有≥10%的患者接受了 BI。未来的研究应侧重于使用更以患者为中心的 BI 方法、质量改进方法和系统变更来提高干预率，这些方法可以增加执行 BI 的机会。
