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Arch Intern Med. 1997 Nov 10;157(20):2334-41.

Provider training for patient-centered alcohol counseling in a primary care setting.

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  • 1Division of Preventive and Behavioral Medicine, University of Massachusetts Medical Center, Worcester, USA.

Abstract

OBJECTIVE:

To assess the impact of a brief training program on primary care providers' skills, attitudes, and knowledge regarding high-risk and problem drinking.

DESIGN:

Training plus pretesting and posttesting for program efficacy.

SETTING:

Ambulatory primary care clinic; academic medical center.

PARTICIPANTS:

Fourteen attending physicians, 12 residents, and 5 nurse practitioners were randomized by clinical team affiliation to a Special Intervention or usual care condition of a larger study. We report the results of the training program for the Special Intervention providers.

INTERVENTION:

Providers received a 2-hour group training session plus a 10- to 20-minute individual tutorial session 2 to 6 weeks after the group session. The training focused on teaching providers how to perform patient-centered counseling for high-risk and problem drinkers.

MAIN OUTCOME MEASURES:

Alcohol counseling skills; attitudes regarding preparedness to intervene and perceived importance and usefulness of intervening with high-risk and problem drinkers; and knowledge of the nature, prevalence, and appropriate treatment of alcohol abuse in primary care populations.

RESULTS:

After training, providers scored significantly higher on measures of counseling skills, preparedness to intervene, perceived usefulness and importance of intervening, and knowledge.

CONCLUSION:

A group training program plus brief individual feedback can significantly improve primary care providers' counseling skills, attitudes, and knowledge regarding high-risk and problem drinkers.

PMID:
9361574
[PubMed - indexed for MEDLINE]
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