Attitudes, perceptions and practice of alcohol and drug screening, brief intervention and referral to treatment: a case study of New York State primary care physicians and non-physician providers

Harris, Brett; Yu, Jun

doi:10.1016/j.puhe.2016.05.007

Cited by 33 publications

(30 citation statements)

References 19 publications

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“…Alternatively, other studies have found that practitioners have and retained insecurities in their role in addressing alcohol misuse. [30] While a relatively positive attitude has been found in other studies targeting primary care settings,[31, 32] our overwhelmingly positive findings further validate the relevance and feasibility of further intervention work.…”

Section: Discussionsupporting

confidence: 79%

Perceived barriers by health care providers for screening and management of excessive alcohol use in an emergency department of a low-income country

Staton

Vissoci

Wojcik

et al. 2018

Alcohol

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Annually, alcohol causes 3.3 million deaths; countless more alcohol-related injury patients are treated in emergency departments (EDs) worldwide. Studies show that alcohol-related injury patients reduce their at-risk alcohol-use behavior with a brief negotiational interview (BNI) in the ED. This project aims to identify potential perceived barriers to implementing a BNI in Tanzania. A knowledge, attitude, and practice questionnaire was piloted and administered to all emergency department health care practitioners, including physicians, advanced medical officers, and nurses. The questionnaire included the Perceived Alcohol Stigma (PAS) Scale. The survey was self-administered in English, the language of health care instruction, with a Swahili translation available if preferred. Data were analyzed with relative and absolute frequencies and Spearman's correlation. Thirty-four (100%) health care practitioners completed the survey. Our results found positive attitudes toward addressing alcohol misuse (88%), but very poor knowledge of recommended alcohol-use limits (24%). Participants were willing to discuss alcohol use (88%) and to screen (71%) for alcohol-use disorders. Most health care practitioners report significant stigma against those with alcohol-use disorders (39% discrimination, 53% devaluation, 71% either). Counseling patients about high-risk alcohol use was directly and positively associated with at-risk alcohol and counseling education and believing it was common to ask patients about tobacco and alcohol use; it was negatively associated with believing it was 'not my role' or that knowing about alcohol use 'won't make a difference'. Stigma was negatively and indirectly associated with counseling patients. In conclusion, in an ED in Tanzania, health care practitioners have positive attitudes toward addressing at-risk alcohol use, and endorsed having training in alcohol misuse in school. Unfortunately, participants did not demonstrate knowledge of recommended alcohol limit guidelines. Similarly, among practitioners, there is a significant discrimination and devaluation stigma against those who misuse alcohol. These factors must be addressed prior to a successful implementation of an alcohol harm reduction intervention.

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Section: Discussionsupporting

confidence: 79%

Perceived barriers by health care providers for screening and management of excessive alcohol use in an emergency department of a low-income country

Staton

Vissoci

Wojcik

et al. 2018

Alcohol

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show abstract

“…SBIRT has been endorsed and recommended by various federal agencies, including the National Institute on Alcohol Abuse and Alcoholism (2004,2015), the Substance Abuse and Mental Health Services Administration, and the National Institute on Drug Abuse, along with other organizations (Community Catalyst, 2015). However, SBIRT has not been widely disseminated into practice (Harris & Yu, 2016). The negative attitudes of health care providers toward persons who use substances have been cited as a key barrier to SBIRT implementation, and nurses are no exception (Corrigan et al, 2016a(Corrigan et al, , 2016bLovi & Barr, 2009;Neville & Roan, 2014;van Boekel, Brouwers, van Weeghel, & Garretsen, 2013).…”

mentioning

confidence: 99%

“…Nurses have also reported safety concerns when working with patients with substance use disorders (Neville & Roan, 2014), which further contributes to their negative perceptions toward this patient population. Stigma related to AO use is considered a main barrier to SBIRT implementation, identification of at-risk AO use, and underutilization of substance use treatment services (Corrigan et al, 2016a(Corrigan et al, , 2016bHarris & Yu, 2016;Janulis, Ferrari, & Fowler, 2013).…”

mentioning

confidence: 99%

Can Screening, Brief Intervention, and Referral to Treatment Education and Clinical Exposure Affect Nursing Students’ Stigma Perception Toward Alcohol and Opioid Use?

Mahmoud

Finnell

Lindsay

et al. 2018

J Am Psychiatr Nurses Assoc

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BACKGROUND: Alcohol and/or opioid stigma perceptions are barriers to screening, brief intervention, and referral to treatment (SBIRT) implementation. AIM: To examine SBIRT education and clinical exposure efficacy at decreasing nursing students’ stigma perceptions toward caring for patients affected by alcohol and/or opioid use problems. METHOD: A single-sample, pretest–posttest design with N = 124 nursing students. The students had a 1.5-hour SBIRT education session and a 12-week clinical experience with some patients who had alcohol and/or opioid use problems. RESULTS: The participants’ stigma perceptions improved toward patients who had alcohol and/or opioid use problems. CONCLUSIONS: SBIRT education and clinical exposure may provide a basis for promoting understanding of alcohol and/or opioid use–related stigma and can be used as an intervention to decrease some of stigma’s negative effects.

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“…Although physician perspectives toward PAs and NPs have been previously studied across specialties, 12,5,4 the literature lacks studies examining the patients' perspectives on the various aspects of receiving care from a physician extender within a hand practice. Hand surgery practices are somewhat unique in that they are typically high volume practices, with a high number of minor outpatient procedures, especially injections.…”

Section: Introductionmentioning

confidence: 99%

Physician Extenders in Hand Surgery: The Patient’s Perspective

Manning

Bohl

Luchetti

et al. 2018

Hand (New York, N,Y.)

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Attitudes, perceptions and practice of alcohol and drug screening, brief intervention and referral to treatment: a case study of New York State primary care physicians and non-physician providers

Cited by 33 publications

References 19 publications

Perceived barriers by health care providers for screening and management of excessive alcohol use in an emergency department of a low-income country

Perceived barriers by health care providers for screening and management of excessive alcohol use in an emergency department of a low-income country

Can Screening, Brief Intervention, and Referral to Treatment Education and Clinical Exposure Affect Nursing Students’ Stigma Perception Toward Alcohol and Opioid Use?

Physician Extenders in Hand Surgery: The Patient’s Perspective

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