Abstract
| Language | English |
|---|---|
| Pages | 153-163 |
| Journal | BMC Family Practice |
| Volume | 17 |
| DOIs | |
| Publication status | Published - 5 Nov 2016 |
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Keywords
- Alcohol
- Primary care
- Screening
- Agonist treatment
- Methadone
- General practice
- Implementation
- Feasibility
- Brief intervention
- SBIRT
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Feasibility of alcohol screening among patients receiving opioid treatment in primary care. / Henihan, AM; McCombe, G; Klimas, J; Swan, D; Leahy, D; Anderson, R; Bury, G; Dunne, CP; Keenan, E; Lambert, JS; Meagher, D; O'Gorman, C; O'Toole, TP; Saunders, J; Shorter, GW; Smyth, BP; Kaner, E; Cullen, W.
In: BMC Family Practice, Vol. 17, 05.11.2016, p. 153-163.Research output: Contribution to journal › Article
TY - JOUR
T1 - Feasibility of alcohol screening among patients receiving opioid treatment in primary care
AU - Henihan, AM
AU - McCombe, G
AU - Klimas, J
AU - Swan, D
AU - Leahy, D
AU - Anderson, R
AU - Bury, G
AU - Dunne, CP
AU - Keenan, E
AU - Lambert, JS
AU - Meagher, D
AU - O'Gorman, C
AU - O'Toole, TP
AU - Saunders, J
AU - Shorter, GW
AU - Smyth, BP
AU - Kaner, E
AU - Cullen, W
PY - 2016/11/5
Y1 - 2016/11/5
N2 - Background: Identifying and treating problem alcohol use among people who also use illicit drugs is a challenge. Primary care is well placed to address this challenge but there are several barriers which may prevent this occurring. The objective of this study was to determine if a complex intervention designed to support screening and brief intervention for problem alcohol use among people receiving opioid agonist treatment is feasible and acceptable to healthcare providers and their patients in a primary care setting.Methods: A randomised, controlled, pre-and-post design measured feasibility and acceptability of alcohol screening based on recruitment and retention rates among patients and practices. Efficacy was measured by screening and brief intervention rates and the proportion of patients with problem alcohol use.Results: Of 149 practices that were invited, 19 (12.8 %) agreed to participate. At follow up, 13 (81.3 %) practices with 81 (62.8 %) patients were retained. Alcohol screening rates in the intervention group were higher at follow up than in the control group (53 % versus 26 %) as were brief intervention rates (47 % versus 19 %). Four (18 %) people reduced their problem drinking (measured by AUDIT-C), compared to two (7 %) in the control group.Conclusions: Alcohol screening among people receiving opioid agonist treatment in primary care seems feasible. A definitive trial is needed. Such a trial would require over sampling and greater support for participating practices to allow for challenges in recruitment of patients and practices.
AB - Background: Identifying and treating problem alcohol use among people who also use illicit drugs is a challenge. Primary care is well placed to address this challenge but there are several barriers which may prevent this occurring. The objective of this study was to determine if a complex intervention designed to support screening and brief intervention for problem alcohol use among people receiving opioid agonist treatment is feasible and acceptable to healthcare providers and their patients in a primary care setting.Methods: A randomised, controlled, pre-and-post design measured feasibility and acceptability of alcohol screening based on recruitment and retention rates among patients and practices. Efficacy was measured by screening and brief intervention rates and the proportion of patients with problem alcohol use.Results: Of 149 practices that were invited, 19 (12.8 %) agreed to participate. At follow up, 13 (81.3 %) practices with 81 (62.8 %) patients were retained. Alcohol screening rates in the intervention group were higher at follow up than in the control group (53 % versus 26 %) as were brief intervention rates (47 % versus 19 %). Four (18 %) people reduced their problem drinking (measured by AUDIT-C), compared to two (7 %) in the control group.Conclusions: Alcohol screening among people receiving opioid agonist treatment in primary care seems feasible. A definitive trial is needed. Such a trial would require over sampling and greater support for participating practices to allow for challenges in recruitment of patients and practices.
KW - Alcohol
KW - Primary care
KW - Screening
KW - Agonist treatment
KW - Methadone
KW - General practice
KW - Implementation
KW - Feasibility
KW - Brief intervention
KW - SBIRT
U2 - 10.1186/s12875-016-0548-2
DO - 10.1186/s12875-016-0548-2
M3 - Article
VL - 17
SP - 153
EP - 163
JO - BMC Family Practice
T2 - BMC Family Practice
JF - BMC Family Practice
SN - 1471-2296
ER -