title: Differences between Groups of Family Physicians with Different Attitudes towards At-Risk Drinkers: A Post Hoc Study of the ODHIN Survey in Portugal.
abstract: Introduction. We have recently shown that family physicians can be classified into two groups based on their attitudes towards at-risk drinkers: one with better and the other with worse attitudes. Objective. To compare the two groups regarding demographics, alcohol-related clinical practice, knowledge of sensible drinking limits, and barriers and facilitators to working with at-risk drinkers. Methods. A random sample of 234 Portuguese family physicians who answered the Optimizing Delivery of Health Care Interventions survey was included. The questionnaire asked questions on demographics, alcohol-related clinical practice, knowledge of sensible drinking limits, and barriers and facilitators to working with at-risk drinkers. Results. Family physicians with better attitudes were younger (p = 0.005) and less experienced (p = 0.04) and with higher male proportion (p = 0.01). This group had more hours of postgraduate training (p < 0.001), felt more prepared to counsel risky drinkers (p < 0.001), and considered themselves to have better counselling efficacy (p < 0.001). More family physicians in the group with worse attitudes considered that doctors cannot identify risky drinkers without symptoms (p = 0.01) and believed counselling is difficult (p = 0.005). Conclusions. Family physicians with better attitudes had more education on alcohol and fewer barriers to work with at-risk drinkers. These differences should be taken into account when designing implementation programs seeking to increase alcohol screening and brief advice.
authors.affiliation: Preventive Medicine Institute, Faculty of Medicine of Lisbon, Edifício Egas Moniz, Avenida Professor Egas Moniz, 1649-028 Lisbon, Portugal; Tomaz Ribeiro's Primary Health Care Center, Avenida 25 de Abril, 3460-541 Tondela, Portugal.
authors.forename: Frederico
authors.initials: F
authors.lastname: Rosário
authors.affiliation: Department of Psychiatry, Medical University of Warsaw, Nowowiejska 27, 00-665 Warsaw, Poland; Department of Psychiatry, University of Michigan, Ann Arbor, MI 48105, USA.
authors.forename: Marcin
authors.initials: M
authors.lastname: Wojnar
authors.affiliation: Preventive Medicine Institute, Faculty of Medicine of Lisbon, Edifício Egas Moniz, Avenida Professor Egas Moniz, 1649-028 Lisbon, Portugal.
authors.forename: Cristina
authors.initials: C
authors.lastname: Ribeiro