Barriers and facilitators to implementing screening and brief intervention for alcohol misuse: a systematic review of qualitative evidence

Johnson, M., Jackson, R., Guillaume, L., Meier, P. and Goyder, E. (2011) Barriers and facilitators to implementing screening and brief intervention for alcohol misuse: a systematic review of qualitative evidence. Journal of Public Health, 33(3), pp. 412-421. (doi: 10.1093/pubmed/fdq095) (PMID:21169370)

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Abstract

Background This review aimed to synthesize qualitative evidence for barriers and facilitators to effective implementation of screening and brief intervention for alcohol misuse in adults and children over 10 years. Methods A search of medical and social science databases was carried out and augmented by hand-searching of reference lists and contents of key journals. Qualitative evidence was synthesized thematically. Results A total of 47 papers varying in design and quality were included in the review. Most evaluated implementation in primary care settings. Implementation was reported to be limited by lack of resources, training and support from management, as well as workload. The appropriateness of context in which discussions take place was reported as an acceptability factor for patients and practitioners. Health professionals require sufficient knowledge about alcohol guidelines and risk in order to implement screening and intervention to those most in need. Conclusions Whilst brief screening and brief intervention have been shown to be effective in some settings, this review has identified a number of barriers and facilitators to implementation. Adequate resources, training and the identification of those at risk without stereotyping are the main facilitators in primary care. More research is needed to assess implementation in other settings.

Item Type:Articles
Additional Information:This review was funded by the National Institute for Health and Clinical Excellence (NICE) as part of their programme of public health guidance development. This paper represents the authors' views and not the views of NICE.
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Meier, Professor Petra
Authors: Johnson, M., Jackson, R., Guillaume, L., Meier, P., and Goyder, E.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > MRC/CSO SPHSU
Journal Name:Journal of Public Health
Publisher:Oxford University Press
ISSN:1741-3842
ISSN (Online):1741-3850
Published Online:17 December 2010

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