Do attitudes about unhealthy alcohol and other drug (AOD) use impact primary care professionals' readiness to implement AOD‐related preventive care?

Amaral-Sabadini, Michaela Bitarello do; Saitz, Richard; Formigoni, Maria Lúcia Oliveira de Souza

doi:10.1111/j.1465-3362.2010.00222.x

Cited by 25 publications

(30 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In the knowledge questionnaire, it was observed that there was no significant difference in mean scores, since in both groups the mean score (50%) was similar ( Figure 1). In the attitudes question, it was observed that nurses in both groups tended to present neutral to slightly positive attitudes, a result consistent with previous research conducted in the country (10,17) . Analyzing each of the factors that comprise the SATAAA, it was observed that the EG tended to have more positive attitudes towards the alcoholic (Factor 1), different than the attitudes towards alcoholism that, in both groups, were negative.…”

Section: Discussionsupporting

confidence: 90%

“…The result indicated that nurses with a higher level of education (graduate), who had access to knowledge on the subject during undergraduate education (preparation in chemical dependency) and longer classroom hours tended to have more positive attitudes to alcohol, alcoholism and the alcoholic. This result is supported by the literature, which identified the positive impact of training and education on the attitudes of professionals about issues relating to alcohol and other drug use (15) and that the preparation and knowledge were directly related to positive attitudes (10) .…”

Section: Discussionsupporting

confidence: 64%

“…In contrast to this result, one study (10) showed that preparation and knowledge were directly related to positive attitudes toward the alcoholic patient, suggesting that the level of utilization of knowledge must be greater than 50% so that the education offered has impact on the attitudes of nurses to confront the problems related to the use and abuse of alcohol.…”

Section: Discussionmentioning

confidence: 75%

“…However, if on one hand the increased demand on health services is clear for people with problems related to alcohol, and alcoholism has been considered a public health problem -factors that led to proposals for various methods for coping (5)(6) , on the other hand it has been well documented in the literature that nurses have negative attitudes (6)(7) , stigmatizing (8)(9) and grounded in a moral model of etiological explanation of the problem (8,10) . This phenomenon deserves attention, since there is evidence (6)(7)(8)(9)(10) that negative attitudes of nurses towards people who abuse alcohol may impair the quality of care provided.…”

Section: Introductionmentioning

confidence: 99%

“…Although the majority of publications conducted in Brazil (7,10) and abroad (10,14) about the subject attributed negative attitudes to education and inadequate knowledge for dealing with the problem; still scarce, especially in Brazilian literature, are studies that have occupied ...the increased demand on health services is clear for people with problems related to alcohol, and alcoholism has been considered a public health problem... with investigating the knowledge of these professionals, and more specifically, the impact of educational interventions on the nurses' attitudes.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Knowledge and attitudes of nurses towards alcohol and related problems: the impact of an educational intervention

Soares

Vargas

Formigoni

2013

Rev. esc. enferm. USP

View full text Add to dashboard Cite

RESUMOEstudo exploratório de abordagem quase experimental que objetivou verificar o impacto de uma intervenção educativa em atitudes e conhecimentos de enfermeiros frente ao uso de álcool e problemas associados. A amostra incluiu 185 enfermeiros, divididos em dois grupos: 84 foram submetidos a um curso de capacitação e constituí-ram o grupo experimental. Os dados foram coletados por meio de um questionário de conhecimentos e uma escala de atitudes. As atitudes dos participantes de ambos os grupos foram positivas. Com relação aos conhecimentos, não se observaram diferenças significativas entre os grupos. Os maiores preditores de atitudes positivas foram possuir preparo para atuar com dependentes químicos (OR=2,18), ter recebido maior carga horária durante a graduação sobre a temática álcool e outras drogas (OR=1,70) e ter realizado pós-graduação (OR=2,59). Concluiu-se que a intervenção educativa exerceu impacto positivo nas atitudes dos enfermeiros frente ao alcoolista, ao trabalho e às relações interpessoais com tal clientela. DESCRITORES ABSTRACTAn exploratory study of quasi-experimental approach that aimed to verify the impact of an educational intervention on attitudes and knowledge of nurses towards alcohol use and associated problems. The sample included 185 nurses, divided into two groups: 84 submitted to a training course and formed the experimental group. Data were collected through a knowledge survey and an attitude scale. The attitudes of the participants of both groups were positive. There were no significant differences between groups in relation to knowledge. The strongest predictors of positive attitudes were possessed preparation to act with chemical dependents (OR = 2.18), have received increased workload during graduation on the theme, alcohol and other drugs (OR = 1.70), and completed graduate school (OR = 2.59). The educational intervention had a positive impact on the attitudes of nurses towards alcoholics, work and interpersonal relationships with such clientele. DESCRIPTORSEducation, nursing Alcoholism Health knowledge, attitudes, practice Public health nursing RESUMENEstudio exploratorio cuasi-experimental que tuvo como objetivo verificar el impacto de una intervención educativa sobre los conocimientos y las actitudes de las enfermeras frente al consumo de alcohol y problemas asociados. La muestra incluyó a 185 enfermeras, divididas en dos grupos. De los cuales, 84 se sometieron a un curso de capacitación y formaron el grupo experimental. Los datos fueron recolectados a través de un cuestionario de conocimientos y una escala de actitudes. Las actitudes de los participantes de ambos grupos fueron positivas. En lo que respecta al conocimiento, no hubo diferencias significativas entre los dos grupos. Los principales predictores de las actitudes positivas fueron estar preparados para actuar con dependientes químicos (OR = 2,18), haber recibido mayor carga horaria en el pregrado sobre la temática de alcohol y otras drogas (OR = 1,70) y haber realizado post-grado (OR = 2,59). Se concluyó que la...

show abstract

Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 64%

Section: Discussionmentioning

confidence: 75%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Knowledge and attitudes of nurses towards alcohol and related problems: the impact of an educational intervention

Soares

Vargas

Formigoni

2013

Rev. esc. enferm. USP

View full text Add to dashboard Cite

show abstract

Practice-Level Documentation of Alcohol-Related Problems in Primary Care

Waddell,

Leibowitz,

Bonnell

et al. 2023

JAMA Netw Open

View full text Add to dashboard Cite

ImportanceRates of alcohol-associated deaths increased over the past 20 years, markedly between 2019 and 2020. The highest rates are among individuals aged 55 to 64 years, primarily attributable to alcoholic liver disease and psychiatric disorders due to use of alcohol. This study investigates potential geographic disparities in documentation of alcohol-related problems in primary care electronic health records, which could lead to undertreatment of alcohol use disorder.ObjectiveTo identify disparities in documentation of alcohol-related problems by practice-level social deprivation.Design, Setting, and ParticipantsA cross-sectional study using secondary data from the Integrating Behavioral Health and Primary Care clinical trial (September 21, 2017, to January 8, 2021) was performed. A national sample of 44 primary care practices with co-located behavioral health services was included in the analysis. Patients with 2 primary care visits within 2 years and at least 1 chronic medical condition and 1 behavioral health condition or at least 3 chronic medical conditions were included.ExposureThe primary exposure was practice-level Social Deprivation Index (SDI), a composite measure based on county income, educational level, employment, housing, single-parent households, and access to transportation (scores range from 0 to 100; 0 indicates affluent counties and 100 indicates disadvantaged counties).Main Outcomes and MeasuresDocumentation of an alcohol-related problem in the electronic health record was determined by International Classification of Diseases, 9th Revision, Clinical Modification and International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Clinical Modification codes or use of medications for alcohol use disorder in past 2 years. Multivariable models adjusted for alcohol consumption, screening for a substance use disorder, urban residence, age, sex, race and ethnicity, income, educational level, and number of chronic health conditions.ResultsA total of 3105 participants (mean [SD] age, 63.7 [13.0] years; 64.1% female; 11.5% Black, 7.0% Hispanic, 76.7% White, and 11.9% other race or chose not to disclose; 47.8% household income &lt;$30 000; and 80.7% urban residence). Participants had a mean (SD) of 4.0 (1.7) chronic conditions, 9.1% reported higher-risk alcohol consumption, 4% screened positive for substance use disorder, and 6% had a documented alcohol-related problem in the electronic health record. Mean (SD) practice-level SDI score was 45.1 (20.9). In analyses adjusted for individual-level alcohol use, demographic characteristics, and health status, practice-level SDI was inversely associated with the odds of documentation (odds ratio for each 10-unit increase in SDI, 0.89; 95% CI, 0.80 to 0.99; P = .03).Conclusions and RelevanceIn this study, higher practice-level SDI was associated with lower odds of documentation of alcohol-related problems, after adjusting for individual-level covariates. These findings reinforce the need to address primary care practice-level barriers to diagnosis and documentation of alcohol-related problems. Practices located in high need areas may require more specialized training, resources, and practical evidence-based tools that are useful in settings where time is especially limited and patients are complex.

show abstract

Attitudes, Skills and Knowledge Change in Child and Adolescent Mental Health Workers Following AOD Screening and Brief Intervention Training

Christie¹,

Black²,

Dunbar³

et al. 2013

Int J Ment Health Addiction

View full text Add to dashboard Cite

Do attitudes about unhealthy alcohol and other drug (AOD) use impact primary care professionals' readiness to implement AOD‐related preventive care?

Abstract: INTRODUCTION AND AIMS-To explore the association between primary care professionals' (PCPs) attitudes towards unhealthy alcohol and other drug (AOD) use (from risky use through dependence) and readiness to implement AOD-related preventive care.

Cited by 25 publications

References 23 publications

Knowledge and attitudes of nurses towards alcohol and related problems: the impact of an educational intervention

Knowledge and attitudes of nurses towards alcohol and related problems: the impact of an educational intervention

Practice-Level Documentation of Alcohol-Related Problems in Primary Care

Attitudes, Skills and Knowledge Change in Child and Adolescent Mental Health Workers Following AOD Screening and Brief Intervention Training

Contact Info

Product

Resources

About