title: Alcohol brief interventions practice following training for multidisciplinary health and social care teams: a qualitative interview study.
abstract: OBJECTIVE
  Few studies of the implementation of alcohol brief interventions (ABI) have been conducted in community settings such as mental health, social work and criminal justice teams. This qualitative interview study sought to explore the impact of training on ABI delivery by staff from a variety of such teams.
  
  
  METHODS
  Fifteen semi-structured telephone interviews were carried out with trained practitioners and with managers to explore the use of, perceived need for and approaches to ABI delivery and recording with clients, and compatibility of ABIs with current practice. Interviews were analysed thematically using an inductive approach.
  
  
  RESULTS
  Very few practitioners reported delivery of any ABIs following training primarily because they felt ABIs to be inappropriate for their clients. According to practitioners, this was either because they drank too much or too little to benefit. Practitioners reported a range of current activities relating to alcohol, and some felt that their knowledge and confidence were improved following training. One practitioner reported ABI delivery and was considered a training success, while expectations of ABIs did not fit with current practice including assessment procedures for the remainder.
  
  
  CONCLUSIONS
  Identified barriers to ABI delivery included issues relating to individual practitioners, their teams, current practice and the ABI model. They are likely to be best addressed by strategic team- and setting-specific approaches to implementation, of which training is only one part.
authors.affiliation: Institute for Social Marketing, UK Centre for Tobacco and Alcohol Studies, School of Health Sciences, University of Stirling, Stirling, FK9 4LA, UK.
authors.forename: Niamh
authors.initials: N
authors.lastname: Fitzgerald
authors.forename: Heather
authors.initials: H
authors.lastname: Molloy
authors.forename: Fiona
authors.initials: F
authors.lastname: MacDonald
authors.forename: Jim
authors.initials: J
authors.lastname: McCambridge
mesh_terms: D000428:Alcohol Drinking / Q000523:psychology / Q000628:therapy*; D003376:Counseling / Q000193:education / Q000379:methods; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel / Q000193:education* / Q000523:psychology; D006801:Humans; D007407:Interviews as Topic / Q000379:methods; D008297:Male; D036301:Qualitative Research; D000068217:Social Workers / Q000193:education* / Q000523:psychology
keywords: alcohol consumption; brief intervention; qualitative; social work; training