Abstract
Abstract
Background
Health professionals’ training is a key element to address unhealthy alcohol use in Primary Care (PC). Education about alcohol use can be effective in improving PC provider’s knowledge and skills addressing alcohol-related problems. The aim of the study was to evaluate the training of health professionals to address unhealthy alcohol use in PC.
Methods
An observational, descriptive, cross-sectional, multicenter study was performed. Location: PC centres of the Spanish National Health System (SNHS). Participants: Family physicians, residents and nurses completed an online questionnaire that inquired about their training (none, basic, medium or advanced), knowledge and preventive practices aimed at reducing unhealthy alcohol use. The study population was recruited via random sampling, stratified by the regions of the SNHS’s PC centre, and by email invitation to members of two Spanish scientific societies of Family Medicine.
Results
A total of 1760 professionals participated in the study. Sixty-seven percent (95% CI: 67.5–71.8) reported not having received specific training to address unhealthy alcohol use, 30% (95% CI: 27.4–31.7) reported having received basic training, and 3% (95% CI: 2.3–4.0) medium/advanced training. The training received was greater in younger providers (p < 0.001) who participated in the PAPPS (Preventive Activities and Health Promotion Programme) (p < 0.001). Higher percentages of providers with intermediate or advanced training reported performing screening for unhealthy alcohol use (p < 0.001), clinical assessment of alcohol consumption (p < 0.001), counselling of patients to reduce their alcohol intake (p < 0.001) or to abstain, in the cases of pregnant women and drivers (p < 0.001).
Conclusion
Our study reveals a low level of training among Spanish PC providers to address unhealthy alcohol use. A higher percentage of screening, clinical assessment and counselling interventions aimed at reducing unhealthy alcohol use was reported by health professionals with an intermediate or advanced level of training.
Funder
Spanish Society of Family and Community Medicine
Spanish Society of Primary Care Physicians
Publisher
Springer Science and Business Media LLC
Reference43 articles.
1. World Health Organization. Alcohol. Key Facts. 2018. Available at: http://www.who.int/newsroom/fact-sheets/detail/alcohol. Accessed 22 July 2019..
2. World Health Organization. Global Status Report on Alcohol and Health, 2018. Available at: https://www.who.int/substance_abuse/publications/ global_alcohol_report/en/. Accessed 22 July 2019..
3. World Health Organization. Global strategy to reduce the harmful use of alcohol. Geneva: World Health Organization; 2010. Available at: http://www.who.int/substance_abuse/msbalcstragegy.pdf. Accessed 22 July 2019.
4. Kaner E, Wutzke S, Saunders J, Powell A, Morawski J, Bouix J. Impact of alcohol education and training on general practitioners’ diagnostic and management skills: findings from a World Health Organization collaborative study. J Stud Alcohol. 2001;62(5):621–7. https://doi.org/10.15288/jsa.2001.62.621.
5. Seale JP, Shellenberger S, Boltri JM, Okosun I, Barton B. Effects of screening and brief intervention training on resident and faculty alcohol intervention behaviours: a pre- post-intervention assessment. BMC Fam Pract. 2005;6:46. https://doi.org/10.1186/1471-2296-6-46.Q.
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