Effect of training on general practitioners' use of a brief intervention for excessive drinkers.
OBJECTIVE
To determine among general practitioners (GPs) the effect of three different types of training on utilisation of a brief, controlled drinking intervention.


METHODS
A non-randomised intervention study. Setting, participants: 96 GPs (64%) within the South Eastern Sydney Division of General Practice participated; 35 chose workshop training, 39 one-to-one training and 22 received a special kit by mail.


METHODS
Identification by GPs of excessive drinkers by practice audits; use of the program determined by the number of patients recruited in 3 months and by GPs' use of the intervention 6 months after training.


RESULTS
41 (43%) GPs conducted practice audits, identifying 15.1% of males and 6.6% of females as excessive drinkers (regular excessive weekly consumption and/or binge). 179 patients were recruited by 36 GPs over 3 months, and 32% of these patients reported a reduction of alcohol consumption. 63% who attended workshop training, 57% who received one-to-one training, and 36% who received the kit by mail reported they were current users of the program at 6 months. Significantly fewer GPs who received the kit by mail reported ever using the program (59%) compared to the other groups (p < 0.01).


CONCLUSIONS
This naturalistic study found that workshops and one-to-one training sessions in doctors' surgeries achieved greater uptake of a brief intervention for problem drinkers than distribution of a special kit by mail.
Richmond
R L
RL
School of Community Medicine, University of New South Wales, St Vincent's Hospital, Darlinghurst.
G-Novak
K
K
Kehoe
L
L
Calfas
G
G
Mendelsohn
C P
CP
Wodak
A
A
D000293:Adolescent; D000328:Adult; D000368:Aged; D000437:Alcoholism / Q000628:therapy*; D001291:Attitude of Health Personnel; D004502:Education, Medical, Continuing / Q000379:methods*; D005069:Evaluation Studies as Topic; D005194:Family Practice; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D009517:New South Wales; D011795:Surveys and Questionnaires