Brief alcohol intervention in medical settings - Concerns from the consulting room

Rollnick, Stephen, Butler, Christopher Collett ORCID: https://orcid.org/0000-0002-0102-3453 and Hodgson, Ray 1997. Brief alcohol intervention in medical settings - Concerns from the consulting room. Addiction Research and Theory 5 (4) , pp. 331-341. 10.3109/16066359709004347

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Abstract

Brief alcohol intervention is moving with apparent ease from demonstration outcome research to clinical practice. With benefits to public health in mind, nurses and doctors are being encouraged to give advice to all patients drinking above recommended limits. This paper critically examines the impact of this strategy on practitioners and their patients. It is argued that, firstly practitioners might not be entirely satisfied with the evidence about effectiveness. Secondly, they might have difficulty interpreting the evidence about harmful consumption when talking to patients, particularly those without alcohol-related problems. Thirdly, the recommended framework for intervention, advice-giving, is potentially flawed. A number of possible solutions to these difficulties are raised for discussion. These include the widening of brief intervention to include severely dependent drinkers and the discussion of any health behaviours or concern expressed by the patient. These changes might best be achieved by adopting an intervention framework based on the principles of patient-centred medicine.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Medicine Systems Immunity Research Institute (SIURI)
Subjects:	R Medicine > R Medicine (General)
Uncontrolled Keywords:	Brief intervention; alcohol; patient-centred methods; public health
Publisher:	Informa Healthcare
ISSN:	1606-6359
Last Modified:	25 Oct 2022 09:38
URI:	https://orca.cardiff.ac.uk/id/eprint/59456

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