title: Development and evaluation of training in culturally specific screening and brief intervention for hospital patients with alcohol-related injuries.
abstract: OBJECTIVE
  To evaluate health practitioners' confidence and knowledge of alcohol screening, brief intervention and referral after training in a culturally adapted intervention on alcohol misuse and well-being issues for trauma patients.
  
  
  METHODS
  Mixed methods, involving semi-structured interviews at baseline and a post-workshop questionnaire.
  
  
  METHODS
  Targeted acute care within a remote area major tertiary referral hospital.
  
  
  METHODS
  Ten key informants and 69 questionnaire respondents from relevant community services and hospital-based health care professionals.
  
  
  METHODS
  Screening and brief intervention training workshops and resources for 59 hospital staff.
  
  
  METHODS
  Self-reported staff knowledge of alcohol screening, brief intervention and referral, and satisfaction with workshop content and format.
  
  
  RESULTS
  After training, 44% of participants reported being motivated to implement alcohol screening and intervention. Satisfaction with training was high, and most participants reported that their knowledge of screening and brief intervention was improved.
  
  
  CONCLUSIONS
  Targeted educational interventions can improve the knowledge and confidence of inpatient staff who manage patients at high risk of alcohol use disorder. Further research is needed to determine the duration of the effect and influence on practice behaviour. Ongoing integrated training, linked with systemic support and established quality improvement processes, is required to facilitate sustained change and widespread dissemination.
authors.affiliation: Menzies School of Health Research, Darwin, Northern Territory, Australia.|Charles Darwin University, Darwin, Northern Territory, Australia.
authors.forename: Megan
authors.initials: M
authors.lastname: Whitty
authors.affiliation: Menzies School of Health Research, Darwin, Northern Territory, Australia.|Charles Darwin University, Darwin, Northern Territory, Australia.|School of Medicine, Flinders University, Adelaide, South Australia, Australia.
authors.forename: Tricia
authors.initials: T
authors.lastname: Nagel
authors.affiliation: Menzies School of Health Research, Darwin, Northern Territory, Australia.|Charles Darwin University, Darwin, Northern Territory, Australia.
authors.forename: Rama
authors.initials: R
authors.lastname: Jayaraj
authors.affiliation: School of Psychology and Counselling, Queensland University of Technology, Brisbane, Queensland, Australia.
authors.forename: David
authors.initials: D
authors.lastname: Kavanagh
mesh_terms: D000435:Alcoholic Intoxication / Q000517:prevention & control*; D001315:Australia; D054521:Cultural Competency; D006282:Health Personnel / Q000193:education*; D006801:Humans; D007297:Inpatients / Q000193:education; D007318:Inservice Training / Q000592:standards*; D007407:Interviews as Topic; D016730:Program Development; D015397:Program Evaluation; D014947:Wounds and Injuries / Q000517:prevention & control*
keywords: Aboriginal health; education/training; evaluation; research; trauma