Encouraging GP alcohol intervention: pilot study of change-orientated reflective listening (CORL).
OBJECTIVE
To test the feasibility of delivery and potential value of a brief motivational enhancement intervention targeting GPs in relation to alcohol as a public health issue, and to compare data obtained with similar attempts to influence GP intervention with drug users.


METHODS
21 GPs who were not involved in the treatment of drug dependence received a telephone-administered 'change-orientated reflective listening' (CORL) intervention, based on Motivational Interviewing, with an informational adjunct. Assessments were made at baseline and at 2-3 months of activity and willingness to deliver specified alcohol-related interventions, plus overall therapeutic commitment and motivation. Qualitative data was obtained.


RESULTS
There was no change over time in the sample as a whole, with very modest evidence of benefit among individual practitioners. Comparisons with cannabis and drug misuse intervention targets suggest that it may be more difficult to alter views on intervening with drinkers.


CONCLUSIONS
Further attempts are needed to influence practitioner motivation, based on improved understanding of GP views on the delivery of alcohol interventions.
National Addiction Centre (The Maudsley/Institute of Psychiatry), London, UK. j.mccambridge@iop.kcl.ac.uk
Jim
J
McCambridge
Simon
S
Platts
David
D
Whooley
John
J
Strang
D000328:Adult; D000428:Alcohol Drinking / Q000517:prevention & control / Q000628:therapy*; D000437:Alcoholism / Q000517:prevention & control / Q000628:therapy*; D005194:Family Practice / Q000379:methods / Q000706:statistics & numerical data*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007407:Interviews as Topic / Q000379:methods; D008297:Male; D008875:Middle Aged; D009042:Motivation; D010821:Physicians, Family / Q000523:psychology / Q000706:statistics & numerical data*; D010865:Pilot Projects