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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 and Cullen, W (2016) Feasibility of alcohol screening among patients receiving opioid treatment in primary care. BMC Family Practice, 17 . pp. 153-163. [Journal article]

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Abstract

AbstractBackground: 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.

Item Type:Journal article
Keywords:Alcohol, Primary care, Screening, Agonist treatment, Methadone, General practice, Implementation, Feasibility, Brief intervention, SBIRT
Faculties and Schools:Faculty of Life and Health Sciences
Faculty of Life and Health Sciences > School of Psychology
Research Institutes and Groups:Psychology Research Institute > Psychotraumatology, Mental Health & Suicidal Behaviour
Psychology Research Institute
ID Code:36427
Deposited By: Dr Gillian Shorter
Deposited On:17 Jan 2017 16:12
Last Modified:28 Nov 2018 14:36

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