Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on sleep in brain health

LIVE: Thursday 2nd May 2024, 18:00-19:30 (CEST)

Quality sleep is essential for health. But what happens to our brains when sleep patterns are disturbed? Join our experts to explore the interplay between sleep disruption and neurological diseases, and the questions that you need to be asking your patients to help you prevent the harmful effects of sleep deprivation.
ADVANCED SEARCH
Log in
Top
BMC Public Health
Published in: BMC Public Health 1/2017

Open Access 01-12-2017 | Research article

Alcohol screening and brief interventions for adults and young people in health and community-based settings: a qualitative systematic literature review

Authors: Jane Derges, Judi Kidger, Fiona Fox, Rona Campbell, Eileen Kaner, Matthew Hickman

Published in: BMC Public Health | Issue 1/2017

Login to get access

Abstract

Background

Systematic reviews of alcohol screening and brief interventions (ASBI) highlight the challenges of implementation in healthcare and community-based settings. Fewer reviews have explored this through examination of qualitative literature and fewer still focus on interventions with younger people.

Methods

This review aims to examine qualitative literature on the facilitators and barriers to implementation of ASBI both for adults and young people in healthcare and community-based settings. Searches using electronic data bases (Medline on Ovid SP, PsychInfo, CINAHL, Web of Science, and EMBASE), Google Scholar and citation searching were conducted, before analysis.

Results

From a total of 239 papers searched and screened, 15 were included in the final review; these were selected based on richness of content and relevance to the review question. Implementation of ASBI is facilitated by increasing knowledge and skills with ongoing follow-up support, and clarity of the intervention. Barriers to implementation include attitudes towards alcohol use, lack of structural and organisational support, unclear role definition as to responsibility in addressing alcohol use, fears of damaging professional/ patient relationships, and competition with other pressing healthcare needs.

Conclusions

There remain significant barriers to implementation of ASBI among health and community-based professionals. Improving the way health service institutions respond to and co-ordinate alcohol services, including who is most appropriate to address alcohol use, would assist in better implementation of ASBI. Finally, a dearth of qualitative studies looking at alcohol intervention and implementation among young people was noted and suggests a need for further qualitative research.
Literature
1.
World Health Organization: The world health report 2002: reducing risks, promoting healthy life. 2002.
2.
Rahm AK, Boggs JM, Martin C, Price DW, Beck A, Backer TE, et al. Facilitators and barriers to implementing screening, brief intervention, and referral to treatment (SBIRT) in primary Care in Integrated Health Care Settings. Subst Abus. 2015;36(3):281–8.CrossRefPubMed
3.
Stafstrom M, Larsson S. The Trelleborg project: a process evaluation of a multi-sector community intervention to reduce alcohol consumption and related harm. Substance use & misuse. 2007;42(12-13):2041–51.CrossRef
4.
Perepletchikova F, Krystal JH, Kaufman J. Practitioner review: adolescent alcohol use disorders: assessment and treatment issues. Journal of child psychology and psychiatry, and allied disciplines. 2008;49(11):1131–54.PubMedPubMedCentral
5.
O'Leary-Barrett M, Mackie CJ, Castellanos-Ryan N, Al-Khudhairy N, Conrod PJ: Personality-targeted interventions delay uptake of drinking and decrease risk of alcohol-related problems when delivered by teachers. Journal of the American Academy of Child & Adolescent Psychiatry 2010, 49(9):954-963. e951.
6.
Grant S, Pedersen ER, Osilla KC, Kulesza M, D'Amico EJ. Reviewing and interpreting the effects of brief alcohol interventions: comment on a Cochrane review about motivational interviewing for young adults. Addiction. 2015;
7.
Newbury-Birch D, Scott S, O'Donnell A, Coulton S, Howel D, McColl E, Stamp E, Graybill E, Gilvarry E, Laing K et al: Public Health Research. In: A pilot feasibility cluster randomised controlled trial of screening and brief alcohol intervention to prevent hazardous drinking in young people aged 14-15 years in a high school setting (SIPS JR-HIGH). edn. Southampton (UK): National Institute for Health Research; 2014.
8.
Babor TF, McRee BG, Kassebaum PA, Grimaldi PL, Ahmed K, Bray J. Screening, brief intervention, and referral to treatment (SBIRT): toward a public health approach to the management of substance abuse. Subst Abus. 2007;28(3):7–30.CrossRefPubMed
9.
Bertholet N, Daeppen J-B, Wietlisbach V, Fleming M, Burnand B. Reduction of alcohol consumption by brief alcohol intervention in primary care: systematic review and meta-analysis. Arch Intern Med. 2005;165(9):986–95.CrossRefPubMed
10.
Kaner EF, Beyer F, Dickinson H, Pienaar E, Campbell F, Schlesinger C, et al. Effectiveness of brief alcohol interventions in primary care populations. The Cochrane database of systematic reviews. 2007;2
11.
Madras BK, Compton WM, Avula D, Stegbauer T, Stein JB, Clark HW. Screening, brief interventions, referral to treatment (SBIRT) for illicit drug and alcohol use at multiple healthcare sites: comparison at intake and 6 months later. Drug Alcohol Depend. 2009;99(1-3):280–95.CrossRefPubMed
12.
McBride N, Farringdon F, Midford R, Meuleners L, Phillips M. Harm minimization in school drug education: final results of the school health and alcohol harm reduction project (SHAHRP). Addiction. 2004;99(3):278–91.CrossRefPubMed
13.
Tripodi SJ, Bender K, Litschge C, Vaughn MG. Interventions for reducing adolescent alcohol abuse: a meta-analytic review. Archives of pediatrics & adolescent medicine. 2010;164(1):85–91.CrossRef
14.
Walton MA, Chermack ST, Shope JT, Bingham CR, Zimmerman MA, Blow FC, et al. Effects of a brief intervention for reducing violence and alcohol misuse among adolescents: a randomized controlled trial. JAMA. 2010;304(5):527–35.CrossRefPubMedPubMedCentral
15.
Hettema JE, Ratanawongsa N, Manuel JK, Ciccarone D, Coffa D, Jain S, et al. A SBIRT curriculum for medical residents: development of a performance feedback tool to build learner confidence. Subst Abus. 2012;33(3):241–50.CrossRefPubMedPubMedCentral
16.
Barry KL, Blow FC, Willenbring ML, McCormick R, Brockmann LM, Visnic S. Use of alcohol screening and brief interventions<br />in primary care settings:implementation and barriers. Subst Abus. 2004;25(1):27–36.CrossRefPubMed
17.
Broyles LM, Rodriguez KL, Kraemer K, Sevick MA, Price DA, Gordon AJ: A qualitative study of anticipated barriers and facilitators to the implementation of nursedelivered alcohol screening, brief intervention, and referral to treatment for hospitalized patients in a Veterans affairs medical center. 2012.
18.
Chossis I, Lane C, Gache P, Michaud PA, Pecoud A, Rollnick S, et al. Effect of training on primary care residents’ performance in brief alcohol intervention: a randomized controlled trial. J Gen Intern Med. 2007;22(8):1144–9.CrossRefPubMedPubMedCentral
19.
Gordon AJ, Ettaro L, Rodriguez KL, Mocik J, Clark DB. Provider, patient, and family perspectives of adolescent alcohol use and treatment in rural settings. J Rural Health. 2011;27(1):81–90.CrossRefPubMed
20.
Haller DM, Meynard A, Lefebvre D, Ukoumunne OC, Narring F, Broers B. Effectiveness of training family physicians to deliver a brief intervention to address excessive substance use among young patients: a cluster randomized controlled trial. CMAJ. 2014;186(8):E263–72.CrossRefPubMedPubMedCentral
21.
Hides L, Elkins K, Catania LS, Mathias S, Kay-Lambkin F, Lubman DI. Feasibility and outcomes of an innovative cognitive-behavioural skill training programme for co-occurring disorders in the youth alcohol and other drug (AOD) sector. Drug and alcohol review. 2007;26(5):517–23.CrossRefPubMed
22.
Holmqvist M, Bendtsen P, Spak F, Rommelsjo A, Geirsson M, Nilsen P. Asking patients about their drinking. A national survey among primary health care physicians and nurses in Sweden. Addict Behav. 2008;33(2):301–14.CrossRefPubMed
23.
Lock CA, Kaner E, Lamont S, Bond S. A qualitative study of nurses’ attitudes and practices regarding brief alcohol intervention in primary health care. J Adv Nurs. 2002;39(4):333–42.CrossRefPubMed
24.
Nilsen P. Brief alcohol intervention--where to from here? Challenges remain for research and practice. Addiction. 2010;105(6):954–9.CrossRefPubMed
25.
Nordqvist C, Johansson K, Lindqvist K, Bendtsen P. Attitude changes among emergency department triage staff after conducting routine alcohol screening. Addict Behav. 2006;31(2):191–202.CrossRefPubMed
26.
Giles EL, Scott S, Coulton S, Deluca P, Drummond C, Graybill E, et al. Development of a multicentre randomised controlled trial of screening and brief alcohol intervention to prevent risky drinking in young people in a high-school setting (SIPS JR-HIGH). Lancet. 2015;386:S37.CrossRef
27.
de Visser RO, Graber R, Hart A, Abraham C, Scanlon T, Watten P, et al. Using qualitative methods within a mixed-methods approach to developing and evaluating interventions to address harmful alcohol use among young people. Health Psychol. 2015;34(4):349–60.CrossRefPubMed
28.
29.
Barnett NP, Read JP. Mandatory alcohol intervention for alcohol-abusing college students: a systematic review. J Subst Abus Treat. 2005;29(2):147–58.CrossRef
30.
Gray E, McCambridge J, Strang J. The effectiveness of motivational interviewing delivered by youth workers in reducing drinking, cigarette and cannabis smoking among young people: quasi-experimental pilot study. Alcohol Alcohol. 2005;40(6):535–9.CrossRefPubMed
31.
Patton R, Deluca P, Kaner E, Newbury-Birch D, Phillips T, Drummond C. Alcohol screening and brief intervention for adolescents: the how, what and where of reducing alcohol consumption and related harm among young people. Alcohol Alcohol. 2014;49(2):207–12.CrossRefPubMed
32.
Ozechowski TJ, Becker SJ, Hogue A. SBIRT-A: adapting SBIRT to maximize developmental fit for adolescents in primary care. J Subst Abus Treat. 2016;62:28–37.CrossRef
33.
Anderson JEL, C. A.: Connecting youth with Health Services: a Systematic Review Can Fam Phys 2010;56(8):778-84.
34.
Markey K, Cochrane PA: Online training and practice manual for ERIC data base searchers. 1981.
35.
Schlosser RW, Wendt O, Bhavnani S, Nail-Chiwetalu B. Use of information-seeking strategies for developing systematic reviews and engaging in evidence-based practice: the application of traditional and comprehensive pearl growing. A review. Int J Lang Commun Disord. 2006;41(5):567–82.CrossRefPubMed
36.
Fitzgerald N, Molloy H, MacDonald F, McCambridge J. Alcohol brief interventions practice following training for multidisciplinary health and social care teams: a qualitative interview study. Drug and alcohol review. 2015;34(2):185–93.CrossRefPubMed
37.
Dhital R, Whittlesea CM, Norman IJ, Milligan P. Community pharmacy service users’ views and perceptions of alcohol screening and brief intervention. Drug and alcohol review. 2010;29(6):596–602.CrossRefPubMed
38.
Quirk A, MacNeil V, Dhital R, Whittlesea C, Norman I, McCambridge J. Qualitative process study of community pharmacist brief alcohol intervention effectiveness trial: can research participation effects explain a null finding? Drug Alcohol Depend. 2016;161:36–41.CrossRefPubMed
39.
Beatty SE, Cross DS. Investigating parental preferences regarding the development and implementation of a parent-directed drug-related educational intervention: an exploratory study. Drug and alcohol review. 2006;25(4):333–42.CrossRefPubMed
40.
Clough AR, Margolis SA, Miller A, Shakeshaft A, Doran CM, McDermott R, et al. Alcohol control policies in indigenous communities: a qualitative study of the perceptions of their effectiveness among service providers, stakeholders and community leaders in Queensland (Australia). The International journal on drug policy. 2016;36:67–75.CrossRefPubMed
41.
Johansson K, Akerlind I, Bendtsen P. Under what circumstances are nurses willing to engage in brief alcohol interventions? A qualitative study from primary care in Sweden. Addict Behav. 2005;30(5):1049–53.CrossRefPubMed
42.
Keurhorst M, Heinen M, Colom J, Linderoth C, Mussener U, Okulicz-Kozaryn K, et al. Strategies in primary healthcare to implement early identification of risky alcohol consumption: why do they work or not? A qualitative evaluation of the ODHIN study. BMC Fam Pract. 2016;17(1):70.CrossRefPubMedPubMedCentral
43.
Whittle AE, Buckelew SM, Satterfield JM, Lum PJ, O'Sullivan P. Addressing adolescent substance use: teaching screening, brief intervention, and referral to treatment (SBIRT) and motivational interviewing (MI) to residents. Subst Abus. 2015;36(3):325–31.CrossRefPubMed
44.
Tam CWM, Zwar N, Markham R. Australian general practitioner perceptions of the detection and screening of at-risk drinking, and the role of the AUDIT-C: a qualitative study. Practice. 2013;1(6):10.
45.
Amaral MB, Ronzani TM, Souza-Formigoni ML. Process evaluation of the implementation of a screening and brief intervention program for alcohol risk in primary health care: an experience in Brazil. Drug and alcohol review. 2010;29(2):162–8.CrossRefPubMed
46.
Hutchings D, Cassidy P, Dallolio E, Pearson P, Heather N, Kaner E. Implementing screening and brief alcohol interventions in primary care: views from both sides of the consultation. Primary Health Care Research and Development. 2006;7(03):221–9.
47.
Aalto M, Pekuri P, Seppa K. Obstacles to carrying out brief intervention for heavy drinkers in primary health care: a focus group study. Drug and alcohol review. 2003;22(2):169–73.CrossRefPubMed
48.
Nygaard P, Aasland OG. Barriers to implementing screening and brief interventions in general practice: findings from a qualitative study in Norway. Alcohol Alcohol. 2011;46(1):52–60.CrossRefPubMed
49.
Beich A, Gannik D, Malterud K. Screening and brief intervention for excessive alcohol use: qualitative interview study of the experiences of general practitioners. BMJ. 2002;325(7369):870.CrossRefPubMedPubMedCentral
50.
Peltzer K, Matseke G, Azwihangwisi M, Babor T. Evaluation of alcohol screening and brief intervention in routine practice of primary care nurses in Vhembe District, South Africa. Croatian medical journal. 2008;49(3):392–401.CrossRefPubMedPubMedCentral
51.
Williams EC, Achtmeyer CE, Young JP, Rittmueller SE, Ludman EJ, Lapham GT, et al. Local implementation of alcohol screening and brief intervention at five Veterans health Administration primary care clinics: perspectives of clinical and administrative staff. J Subst Abus Treat. 2016;60:27–35.CrossRef
52.
Johnson M, Jackson R, Guillaume L, Meier P, Goyder E. Barriers and facilitators to implementing screening and brief intervention for alcohol misuse: a systematic review of qualitative evidence. Journal of public health (Oxford, England). 2011;33(3):412–21.CrossRef
53.
Malone GP, Vale Arismendez S, Schneegans Warzinski S, Amodei N, Burge SK, Wathen PI, et al. South Texas residency screening, brief intervention, and referral to treatment (SBIRT) training: 12-month outcomes. Subst Abus. 2015;36(3):272–80.CrossRefPubMed
54.
McLellan AT, Meyers K. Contemporary addiction treatment: a review of systems problems for adults and adolescents. Biol Psychiatry. 2004;56(10):764–70.CrossRefPubMed
55.
Patton R, Shute J, Hinchley G, Ranzetta L. Efficacy of alcohol screening in the accident and emergency department managed by reception staff: a pilot study. Emergency medicine journal : EMJ. 2009;26(6):424–5.CrossRefPubMed
56.
Gmel G, Gaume J, Bertholet N, Daeppen JB. Brief alcohol intervention as pragmatic intervention: who is voluntarily taking an offered intervention? Alcohol (Fayetteville, NY). 2012;46(6):551–8.CrossRef
57.
May C, Rapley T, Kaner E. Clinical reasoning, clinical trials and risky drinkers in everyday primary care: a qualitative study of British general practitioners. Addiction Research & Theory. 2006;14(4):387–97.CrossRef
58.
59.
Greenhalgh T, Robert G, Macfarlane F, Bate P, Kyriakidou O. Diffusion of innovations in service organizations: systematic review and recommendations. Milbank Q. 2004;82(4):581–629.CrossRefPubMedPubMedCentral
Metadata
Title
Alcohol screening and brief interventions for adults and young people in health and community-based settings: a qualitative systematic literature review
Authors
Jane Derges
Judi Kidger
Fiona Fox
Rona Campbell
Eileen Kaner
Matthew Hickman
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2017
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-017-4476-4

Other articles of this Issue 1/2017

BMC Public Health 1/2017 Go to the issue

Research article

Health promotion via SMS improves hypertension knowledge for deaf South Africans

Research article

Knowledge, attitudes and behaviours related to dietary salt among adults in the state of Victoria, Australia 2015

Research article

Exploring consensus on how to measure smoking cessation. A Delphi study

Research article

Male suicide among construction workers in Australia: a qualitative analysis of the major stressors precipitating death

Research article

Theories, models and frameworks used in capacity building interventions relevant to public health: a systematic review

Research article

Challenges of implementing the integrated disease surveillance and response strategy in Zambia: a health worker perspective