title: Professional's Attitudes Do Not Influence Screening and Brief Interventions Rates for Hazardous and Harmful Drinkers: Results from ODHIN Study.
abstract: OBJECTIVE
  To determine the relation between existing levels of alcohol screening and brief intervention rates in five European jurisdictions and role security and therapeutic commitment by the participating primary healthcare professionals.
  
  
  METHODS
  Health care professionals consisting of, 409 GPs, 282 nurses and 55 other staff including psychologists, social workers and nurse aids from 120 primary health care centres participated in a cross-sectional 4-week survey. The participants registered all screening and brief intervention activities as part of their normal routine. The participants also completed the Shortened Alcohol and Alcohol Problems Perception Questionnaire (SAAPPQ), which measure role security and therapeutic commitment.
  
  
  RESULTS
  The only significant but small relationship was found between role security and screening rate in a multilevel logistic regression analysis adjusted for occupation of the provider, number of eligible patients and the random effects of jurisdictions and primary health care units (PHCU). No significant relationship was found between role security and brief intervention rate nor between therapeutic commitment and screening rate/brief intervention rate. The proportion of patients screened varied across jurisdictions between 2 and 10%.
  
  
  CONCLUSIONS
  The findings show that the studied factors (role security and therapeutic commitment) are not of great importance for alcohol screening and BI rates. Given the fact that screening and brief intervention implementation rate has not changed much in the last decade in spite of increased policy emphasis, training initiatives and more research being published, this raises a question about what else is needed to enhance implementation.
authors: Department of Medical Specialist and Department of Medicine and Health Sciences, Linköping University, Motala, Sweden preben.bendtsen@liu.se.
authors: Preben
authors: P
authors: Bendtsen
authors: Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK Department of Family Medicine, Maastricht University, School CAPHRI, Maastricht, The Netherlands.
authors: Peter
authors: P
authors: Anderson
authors: Department of Psychiatry, Medical University of Warsaw, Warsaw, Poland Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA.
authors: Marcin
authors: M
authors: Wojnar
authors: Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK.
authors: Dorothy
authors: D
authors: Newbury-Birch
authors: Department of Medicine and Health Sciences, Linköping University, Linköping, Sweden.
authors: Ulrika
authors: U
authors: Müssener
authors: Program on Substance Abuse, Public Health Agency, Government of Catalonia, Barcelona, Spain.
authors: Joan
authors: J
authors: Colom
authors: Department of Medicine and Health Sciences, Linköping University, Linköping, Sweden.
authors: Nadine
authors: N
authors: Karlsson
authors: State Agency for Prevention of Alcohol-Related Problems, Warsaw, Poland.
authors: Krzysztof
authors: K
authors: Brzózka
authors: Department of Social Medicine, University of Gothenburg, Gothenburg, Sweden.
authors: Fredrik
authors: F
authors: Spak
authors: National Addiction Centre, Institute of Psychiatry, King's College London, London, UK.
authors: Paolo
authors: P
authors: Deluca
authors: National Addiction Centre, Institute of Psychiatry, King's College London, London, UK.
authors: Colin
authors: C
authors: Drummond
authors: Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK.
authors: Eileen
authors: E
authors: Kaner
authors: Independent Laboratory of Family Physician Education, Pomeranian Medical University, Szczecin, Poland.
authors: Karolina
authors: K
authors: Kłoda
authors: Independent Laboratory of Family Physician Education, Pomeranian Medical University, Szczecin, Poland.
authors: Artur
authors: A
authors: Mierzecki
authors: State Agency for Prevention of Alcohol-Related Problems, Warsaw, Poland.
authors: Katarzyna
authors: K
authors: Okulicz-Kozaryn
authors: Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK.
authors: Kathryn
authors: K
authors: Parkinson
authors: Addictions Unit, Hospital Clínic de Barcelona, IDIBAPS, Barcelona, Spain.
authors: Jillian
authors: J
authors: Reynolds
authors: Department of Family Medicine, Maastricht University, School CAPHRI, Maastricht, The Netherlands.
authors: Gaby
authors: G
authors: Ronda
authors: Program on Substance Abuse, Public Health Agency, Government of Catalonia, Barcelona, Spain.
authors: Lidia
authors: L
authors: Segura
authors: Program on Substance Abuse, Public Health Agency, Government of Catalonia, Barcelona, Spain.
authors: Jorge
authors: J
authors: Palacio
authors: Program on Substance Abuse, Public Health Agency, Government of Catalonia, Barcelona, Spain.
authors: Begoña
authors: B
authors: Baena
authors: State Agency for Prevention of Alcohol-Related Problems, Warsaw, Poland.
authors: Luiza
authors: L
authors: Slodownik
authors: Department of Family Medicine, Maastricht University, School CAPHRI, Maastricht, The Netherlands.
authors: Ben
authors: B
authors: van Steenkiste
authors: National Addiction Centre, Institute of Psychiatry, King's College London, London, UK.
authors: Amy
authors: A
authors: Wolstenholme
authors: Department of Primary Care and Population Health, University College London, London, UK.
authors: Paul
authors: P
authors: Wallace
authors: Radboud University Medical Center, Scientific Institute for Quality of Healthcare (IQ Healthcare), Nijmegen, The Netherlands.
authors: Myrna N
authors: MN
authors: Keurhorst
authors: Radboud University Medical Center, Scientific Institute for Quality of Healthcare (IQ Healthcare), Nijmegen, The Netherlands Faculty of Health and Social Studies, HAN University of Applied Sciences, Nijmegen, The Netherlands.
authors: Miranda G H
authors: MG
authors: Laurant
authors: Addictions Unit, Hospital Clínic de Barcelona, IDIBAPS, Barcelona, Spain.
authors: Antoni
authors: A
authors: Gual
mesh_terms: D000428:Alcohol Drinking / Q000628:therapy*; D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D005060:Europe; D005260:Female; D006801:Humans; D008297:Male; D011320:Primary Health Care; D024382:Professional Role; D011614:Psychotherapy, Brief; D011795:Surveys and Questionnaires