Anton Clifford PhD, Post-doctoral Research Fellow, Anthony Shakeshaft PhD, Associate Professor, Catherine Deans BPsych, Research Officer.
How and when health-care practitioners in Aboriginal Community Controlled Health Services deliver alcohol screening and brief intervention, and why they don't: A qualitative study
Article first published online: 22 MAR 2011
© 2011 Australasian Professional Society on Alcohol and other Drugs
Drug and Alcohol Review
Volume 31, Issue 1, pages 13–19, January 2012
How to Cite
CLIFFORD, A., SHAKESHAFT, A. and DEANS, C. (2012), How and when health-care practitioners in Aboriginal Community Controlled Health Services deliver alcohol screening and brief intervention, and why they don't: A qualitative study. Drug and Alcohol Review, 31: 13–19. doi: 10.1111/j.1465-3362.2011.00305.x
- Issue published online: 2 JAN 2012
- Article first published online: 22 MAR 2011
- Received 11 August 2010; accepted for publication 9 January 2011.
- brief intervention
Introduction.Indigenous Australians experience a disproportionately high burden of alcohol-related harm. Alcohol screening and brief intervention (SBI) offers the potential to reduce this harm if barriers to its delivery in Aboriginal Community Controlled Health Services (ACCHSs) can be optimally targeted.
Aims.Examine health-care practitioners' perceptions of, and practices in, alcohol SBI in ACCHSs.
Methods.Semi-structured group interviews with 37 purposively selected health staff across five ACCHSs.
Results.Alcohol screening independent of standard health assessments was generally selective. The provision of brief intervention was dependent upon factors related to the patient. Four key factors underlying health-care practitioners' perceptions of alcohol SBI were prominent: outcome expectancy; role congruence; utilisation of clinical systems and processes; and options for alcohol referral.
Discussion.The influence of outcome expectancy and role congruence on health-care practitioners' alcohol SBI practices has been identified previously, as has to a lesser extent, their less than optimal use of clinical systems and processes. The influence of options for alcohol referral on health-care practitioners' willingness to deliver alcohol SBI primarily related to their misunderstanding of alcohol SBI and the lack of culturally appropriate alcohol referral options for their patients.
Conclusion.An intervention combining interactive, supportive and reinforcing evidence-based dissemination strategies is most likely required to enhance health-care practitioners' knowledge and skills in alcohol SBI delivery, positively orientate them to their role in its delivery, and facilitate integration of evidence-based alcohol SBI into routine clinical processes and locally available systems.[Clifford A, Shakeshaft A, Deans C. How and when health-care practitioners in Aboriginal Community Controlled Health Services deliver alcohol screening and brief intervention, and why they don't: A qualitative study. Drug Alcohol Rev 2012;31:13–19]