General Practice Patients' Readiness to be Treated With Brief Intervention to Reduce Alcohol Consumption: A Cross-Sectional Study With Between-Subject Design.

Aims To treat excessive alcohol consumption, general practices (GPs) are recommended to use non-directive implementation strategies. Directive implementation, however, may be perceived by general practice patients as something positive because of possibly indicating higher GP engagement and a more c...

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Publicado en:Alcohol & Alcoholism Vol. 56; no. 3; pp. 291 - 299
Autores principales: Fankhaenel, Thomas, Mueller, Anna-Maria, Frese, Thomas
Formato: research tables/charts Journal Article
Publicado: Oxford University Press / USA May2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2021
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      pub: Oxford University Press / USA
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        10.1093/alcalc/agaa106
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        atl: General Practice Patients' Readiness to be Treated With Brief Intervention to Reduce Alcohol Consumption: A Cross-Sectional Study With Between-Subject Design.
      aug:
        au:
          Fankhaenel, Thomas
          Mueller, Anna-Maria
          Frese, Thomas
        affil: Institute for General Practice and Family Medicine , Medical Faculty, University of Halle-Wittenberg, Magdeburger Str. 8, Halle/Saale 06112, Germany
      sug:
        subj:
          Family Practice
          Alcohol Drinking Prevention and Control
          Patient Attitudes
          Self Disclosure
          Human
          Cross Sectional Studies
          World Health Organization
          Convenience Sample
          Questionnaires
          Repeated Measures
          Analysis of Covariance
      ab: Aims To treat excessive alcohol consumption, general practices (GPs) are recommended to use non-directive implementation strategies. Directive implementation, however, may be perceived by general practice patients as something positive because of possibly indicating higher GP engagement and a more consistent treatment. In our study, we aimed to assess the readiness of patients to be treated with BI in the hypothetical event of excessive alcohol consumption either by a GP using non-directive recommendations according to WHO or by a GP using directive instructions. Additionally, we assessed the patients' dispositional readiness to disclose alcohol-associated personal information, termed alcohol consumption self-disclosure, in order to analyze its influence on their readiness to be treated with brief intervention (BI). Methods When consulting their GP, a convenience sample of general practice patients was asked by questionnaire. By means of a between-subject design, they were asked for the readiness to be treated either with non-directive BI or with directive BI. Repeated-measure ANCOVA was used to analyze the main- and interaction effects. Results A sample of 442 general practice patients preferred the non-directive BI, F (1, 423) = 5.56, P  < 0.05. We found moreover a two-way interaction between implementation and alcohol consumption self-disclosure, F (1, 423) = 18.89, P  < 0.001, showing that only patients with low self-disclosure preferred the non-directive BI, t (428) = 3.99, P  < 0.001. Conclusions Future research should investigate the reasons for the patients' preference for the non-directive BI and may develop strategies to overcome the possibly low readiness of general practice patients to be treated with BI.
      pubtype: Academic Journal
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    language: English
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