PMID: 8947323Nov 1, 1996Paper

Screening for problem drinking and counseling by the primary care physician-nurse team

Alcoholism, Clinical and Experimental Research
Y IsraelJ G Rankin

Abstract

Present methods to screen for alcohol abuse are generally obtrusive and result in referral to services that deal mainly with alcoholics. These factors deter physicians from identifying alcohol abuse patients at an early stage. In the present study, 81% of all primary care physicians of a single city evaluated (i) the efficiency and the acceptability of a nonobtrusive screening method for the identification of problem drinkers and (ii) the effectiveness of brief cognitive behavioral counseling given by a nurse in a lifestyle context. Patients (n = 15,686) attending the private practices of 42 primary-care physicians were asked four alcohol-neutral trauma questions in the reception area. Physicians asked about alcohol use and alcohol-related problems only to patients with previous trauma. Problem drinkers by defined criteria were offered an appointment with a nurse who, by random assignment, gave either 3-hr of cognitive behavioral counseling over 1 year or simply advised patients to reduce their alcohol intake. The screening method identified 62-85% of expected number of problem drinkers in this population. Following the application of exclusion criteria, 105 problem drinkers were entered in the intervention part of the study. A...Continue Reading

References

Nov 1, 1992·Journal of Studies on Alcohol·K K BucholzJ E Helzer
Jun 1, 1992·British Journal of Addiction·P Anderson, E Scott
Feb 1, 1992·Alcoholism, Clinical and Experimental Research·K B von MoreauH K Seitz
Jan 1, 1991·Social Science & Medicine·A M Roche, G P Richard
Jan 1, 1991·The Psychiatric Quarterly·S H Weissman, P G Bashook
Jun 1, 1991·Alcoholism, Clinical and Experimental Research·Y IsraelE Mezey
Nov 1, 1988·Journal of Gerontology·L Evans
Jun 22, 1985·British Medical Journal·P Anderson
Apr 18, 1986·JAMA : the Journal of the American Medical Association·D B KamerowD I Macdonald
Jan 1, 1985·The American Journal of Psychiatry·C T OrleansH K Brodie
Feb 1, 1985·American Journal of Public Health·M Sanchez-Craig, Y Israel
Jan 1, 1985·Addictive Behaviors·D Murdoch, R O Pihl
Jul 1, 1985·Journal of Studies on Alcohol·D R CherekB R Manno
Dec 1, 1984·Annals of Internal Medicine·H A SkinnerY Israel
Mar 1, 1983·Journal of Studies on Alcohol·R HonkanenT Visuri
Aug 28, 1982·British Medical Journal·D R LindsellJ D Maxwell
Jan 13, 1983·The New England Journal of Medicine·H WechslerJ O Taylor
Oct 1, 1980·Alcoholism, Clinical and Experimental Research·Y IsraelH E Meema
May 11, 1995·The New England Journal of Medicine·C S FuchsB Rosner
Sep 28, 1994·JAMA : the Journal of the American Medical Association·T A Pearson, P Terry

❮ Previous
Next ❯

Citations

Nov 25, 2003·Patient Education and Counseling·Eileen KanerSenga Bond
Feb 19, 2002·Journal of Substance Abuse Treatment·Michael D SteinPeter D Friedmann
May 4, 2002·American Journal of Preventive Medicine·Evelyn P WhitlockJanet Allan
Jun 27, 2002·Addiction·Michael D SteinBradley J Anderson
Sep 1, 2002·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Michael F Fleming
Aug 13, 2003·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Ruth A Gassman
Mar 16, 2005·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Brian R EdlinVictoria A Cargill
Aug 1, 1997·Alcoholism, Clinical and Experimental Research·R J VolkA R Cass
Oct 25, 2000·Alcoholism, Clinical and Experimental Research·L B ManwellK L Barry
May 31, 2001·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·K HoltzJ Hoffman
Oct 28, 2009·PLoS Medicine·Vivek BenegalIsidore S Obot
Apr 25, 2000·Journal of Gerontological Nursing·R E LudwickD S Martsolf
Sep 16, 1998·Mayo Clinic Proceedings·J A TinsleyR M Morse
Sep 10, 2015·Alcoholism, Clinical and Experimental Research·Marlon P MundtPascale Carayon
Jan 19, 2008·American Journal of Preventive Medicine·Leif I SolbergNichol M Edwards
Sep 12, 2006·Critical Care Nursing Clinics of North America·Susan McCabe
Nov 25, 2003·Alcoholism, Clinical and Experimental Research·Charles S LieberUNKNOWN Veterans Affairs Cooperative Study 391 Group
Oct 14, 2006·Journal of Clinical Nursing·Zena Hyman
Jun 6, 2009·Drug and Alcohol Review·Eileen F S KanerNick Heather
May 5, 2006·Journal of Advanced Nursing·Catherine A LockPauline Pearson
May 19, 2010·Alcoholism, Clinical and Experimental Research·Emily C WilliamsRichard Saitz
Jul 1, 1997·International Journal of Trauma Nursing·J S Halpern
Oct 8, 2004·Journal of Drug Education·Philip A AndersonAntonnette V Graham
Jan 27, 2000·The Journal of Trauma·L M GentilelloR R Ries
Feb 25, 2018·The Cochrane Database of Systematic Reviews·Eileen Fs KanerBernard Burnand
Apr 30, 1999·Proceedings of the Association of American Physicians·M C FioreM E Burns
May 28, 2009·Orvosi hetilap·Helga Judit Feith
Feb 1, 2002·Alcoholism, Clinical and Experimental Research·Michael F FlemingKristen Lawton Barry
May 1, 2002·Alcoholism, Clinical and Experimental Research·Hans KristensonFolke Lindgärde
Jun 18, 2002·Alcoholism, Clinical and Experimental Research·Linda Carter SobellJohn A Cunningham
Jul 21, 2006·Alcohol and Alcoholism : International Journal of the Medical Council on Alcoholism·Christopher Littlejohn
Apr 20, 2007·The Cochrane Database of Systematic Reviews·E F S KanerB Burnand
Jul 27, 2005·Alcohol and Alcoholism : International Journal of the Medical Council on Alcoholism·Magnus GeirssonFredrik Spak
Nov 16, 2004·The American Journal of Drug and Alcohol Abuse·Susanna NemesJeffrey Hoffman

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.