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老年人酒精滥用的筛查与简短干预:社区环境中医师及其他医疗从业者的培训成果

Screening and Brief Intervention for Alcohol Misuse in Older Adults: Training Outcomes Among Physicians and Other Healthcare Practitioners in Community-Based Settings.

作者信息

Coogle Constance L, Owens Myra G

机构信息

Virginia Center on Aging, School of Allied Health Professions, Virginia Commonwealth University, P.O. Box 980229, Richmond, VA, 23298-0229, USA,

出版信息

Community Ment Health J. 2015 Jul;51(5):546-53. doi: 10.1007/s10597-014-9804-x. Epub 2015 Jan 28.

DOI:10.1007/s10597-014-9804-x
PMID:25628241
Abstract

Screening and brief intervention (SBI) is increasingly available to older adults who engage in at-risk drinking. This study examined the extent to which SBI training influenced the willingness of healthcare providers in a community-based hospital and other clinical settings to promote the implementation of SBI. Ninety-three healthcare practitioners (primarily physicians, nurses, and social workers) who attended SBI training were asked about their intentions to apply the information in their professional practice, as well as their enthusiasm about recommending the training to others in their profession. Although there were no differences among the professions in terms of commitment to apply the information or level of comfort using the techniques, physicians were less interested in promoting SBI training among their colleagues. Although it may be more difficult to promote SBI in locations that don't primarily provide mental health services, results suggest that primary care settings are precisely where training may be most useful.

摘要

筛查与简短干预(SBI)越来越多地提供给有危险饮酒行为的老年人。本研究调查了SBI培训在多大程度上影响了一家社区医院及其他临床环境中的医疗服务提供者推广实施SBI的意愿。93名参加了SBI培训的医疗从业者(主要是医生、护士和社会工作者)被问及他们在专业实践中应用所学信息的意图,以及向同行推荐该培训的热情。尽管在应用所学信息的决心或使用这些技术的自在程度方面,各专业之间没有差异,但医生对在同事中推广SBI培训的兴趣较低。虽然在主要不提供心理健康服务的场所推广SBI可能更困难,但结果表明,初级保健机构恰恰可能是培训最有用的地方。

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本文引用的文献

1
Vital signs: communication between health professionals and their patients about alcohol use--44 states and the District of Columbia, 2011.生命体征:健康专业人士与患者就酒精使用问题进行的沟通——2011 年,44 个州和哥伦比亚特区。
MMWR Morb Mortal Wkly Rep. 2014 Jan 10;63(1):16-22.
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The medicalization of addiction treatment professionals.成瘾治疗专业人员的医学化。
J Psychoactive Drugs. 2012 Apr-Jun;44(2):107-18. doi: 10.1080/02791072.2012.684618.
3
Medicaid reimbursement for screening and brief intervention for substance misuse.医疗补助计划对药物滥用的筛查和简短干预的报销。
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Primary care-based intervention to reduce at-risk drinking in older adults: a randomized controlled trial.基于初级保健的干预措施减少老年人的高危饮酒:一项随机对照试验。
Addiction. 2011 Jan;106(1):111-20. doi: 10.1111/j.1360-0443.2010.03229.x.
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Parity and the medicalization of addiction treatment.平等和成瘾治疗的医学化。
J Psychoactive Drugs. 2010 Jun;42(2):115-20. doi: 10.1080/02791072.2010.10400683.
6
Do health educator telephone calls reduce at-risk drinking among older adults in primary care?健康教育家的电话是否能减少初级保健中老年高危饮酒者的饮酒量?
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7
Determinants of early reductions in drinking in older at-risk drinkers participating in the intervention arm of a trial to reduce at-risk drinking in primary care.参与初级保健减少高危饮酒试验干预组的老年高危饮酒者早期减少饮酒的决定因素。
J Am Geriatr Soc. 2010 Feb;58(2):227-33. doi: 10.1111/j.1532-5415.2009.02676.x. Epub 2010 Jan 8.
8
Evaluation of the Washington state screening, brief intervention, and referral to treatment project: cost outcomes for Medicaid patients screened in hospital emergency departments.华盛顿州筛查、简短干预和转介治疗项目评估:在医院急诊部门筛查的医疗补助患者的成本结果。
Med Care. 2010 Jan;48(1):18-24. doi: 10.1097/MLR.0b013e3181bd498f.
9
Screening and brief intervention for substance misuse among older adults: the Florida BRITE project.老年人物质使用障碍的筛查和简短干预:佛罗里达 BRITE 项目。
Am J Public Health. 2010 Jan;100(1):108-14. doi: 10.2105/AJPH.2008.149534.
10
Screening, Brief Intervention, and Referral to Treatment (SBIRT): toward a public health approach to the management of substance abuse.筛查、简短干预及转介治疗(SBIRT):迈向物质滥用管理的公共卫生方法。
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