title: Early risky drug use detection in primary healthcare: how does it work in the real world?
abstract: Despite effectiveness in research, the efficacy of screening and brief intervention (SBI) for risky substance users is not adequately understood in routine clinical practice. Primary healthcare professionals (n = 103) from three cities in a metropolitan area in Brazil were trained and supervised in SBI and then screened 40 patients. One year later, meetings were held in each city to obtain feedback. Twenty professionals who fulfilled the task (Yes [Y]) and 24 who did not (No [N]) were individually interviewed about their SBI experience. Reports were independently interpreted and codified by two researchers. The Y and N groups reported the same barriers and positive beliefs, but only the Y group reported no negative issues. The present study lasted from 2007 to 2009.
authors.affiliation: Departamento de Farmacologia, Universidade Federal do Parana, Setor de Ciencias Biologicas, Centro Politecnico, Jardim das Americas, Curitiba, Brazil. boerngen@ufpr.br
authors.forename: Roseli
authors.initials: R
authors.lastname: Boerngen-Lacerda
authors.forename: Cassia Regina
authors.initials: CR
authors.lastname: Zottis
authors.forename: Viviane Paola
authors.initials: VP
authors.lastname: Zibe-Piegel
authors.forename: Cleuse Maria Brand
authors.initials: CM
authors.lastname: Brandão Barleta
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D001938:Brazil; D042241:Early Diagnosis; D005260:Female; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods; D011320:Primary Health Care; D015397:Program Evaluation; D011614:Psychotherapy, Brief; D019966:Substance-Related Disorders