title: [Screening and brief intervention in primary care: barriers against an early intervention for patients with alcohol misuse].
abstract: OBJECTIVE
  The effectiveness of screening and brief intervention (SBI) to reduce alcohol consumption has been shown by several studies in primary care. In spite of many attempts to establish SBI in routine care only a few patients are treated accordingly. Therefore in the study the General Practitioners' (GPs) assessment of barriers was investigated and tested for social desirability bias in order to determine barriers which are underestimated by GPs.
  
  
  METHODS
  The questionnaire was sent to 700 GPs in Saxony-Anhalt.
  
  
  RESULTS
  178 questionnaires were analysed. Strong agreement could be found for barriers such as insufficient reimbursement and insufficient adherence of patients. GPs with low social desirability bias felt more awkward about asking patients about alcohol consumption and assessed SBI as less relevant for general practice.
  
  
  CONCLUSIONS
  Primary care prevention of dependency should be advanced on the basis of a more elaborate knowledge of motivational effects of relevant barriers.
authors.affiliation: Sektion Allgemeinmedizin, Martin-Luther-Universität Halle-Wittenberg, Halle.
authors.forename: Thomas
authors.initials: T
authors.lastname: Fankhänel
authors.affiliation: Institut für Allgemeinmedizin, Otto-von-Guericke-Universität Magdeburg, Magdeburg.
authors.forename: Lenz
authors.initials: L
authors.lastname: Julia
authors.affiliation: Institut für Allgemeinmedizin, Otto-von-Guericke-Universität Magdeburg, Magdeburg.
authors.forename: Papert
authors.initials: P
authors.lastname: Stephanie
authors.affiliation: Medizinische Klinik und Poliklinik III, Universitätsklinikum Carl Gustav Carus, Dresden.
authors.forename: Voigt
authors.initials: V
authors.lastname: Karen
authors.affiliation: Sektion Allgemeinmedizin, Martin-Luther-Universität Halle-Wittenberg, Halle.
authors.forename: Klement
authors.initials: K
authors.lastname: Andreas
mesh_terms: D000328:Adult; D000437:Alcoholism / Q000517:prevention & control* / Q000523:psychology*; D018479:Early Intervention, Educational; D005260:Female; D058006:General Practice; D005858:Germany; D006801:Humans; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D009042:Motivation; D010342:Patient Acceptance of Health Care / Q000523:psychology; D011320:Primary Health Care; D011614:Psychotherapy, Brief; D011795:Surveys and Questionnaires