TY - JOUR
T1 - Consultation contexts and the acceptability of alcohol enquiry from general practitioners - a survey experiment
AU - Tam, Chun Wah Michael
AU - Leong, Louis Hion Lam
AU - Zwar, Nicholas
AU - Hespe, Charlotte
N1 - the journal is open access, readership of the publicly available online
PY - 2015/1/1
Y1 - 2015/1/1
N2 - Background: General practitioners have a crucial role in detecting risky drinking in patients. However, little is known about how the context of the consultation affect patient acceptability of these discussions. Methods: During one week in May 2014, adult patients seen at a community general practice in Sydney were randomised to receive one of two postal questionnaires. Participants rated the acceptability of alcohol enquiry in 20 vignettes of general practice consultations, either within a SNAP (smoking, nutrition, alcohol, physical activity) framework (intervention) or alone (control). Results: Of the 441 patients who received the questionnaires, 144 returned completed and returned it. The intervention group rated an additional 2.1 (95% CI = 0.38-3.7, P = 0.016) vignettes as acceptable compared to the control group. Alcohol enquiry acceptability varied greatly between individual scenarios. Discussion: Alcohol-use assessment may be more acceptable to patients when it is framed within the SNAP framework, especially in certain presentations (eg diabetes management).
AB - Background: General practitioners have a crucial role in detecting risky drinking in patients. However, little is known about how the context of the consultation affect patient acceptability of these discussions. Methods: During one week in May 2014, adult patients seen at a community general practice in Sydney were randomised to receive one of two postal questionnaires. Participants rated the acceptability of alcohol enquiry in 20 vignettes of general practice consultations, either within a SNAP (smoking, nutrition, alcohol, physical activity) framework (intervention) or alone (control). Results: Of the 441 patients who received the questionnaires, 144 returned completed and returned it. The intervention group rated an additional 2.1 (95% CI = 0.38-3.7, P = 0.016) vignettes as acceptable compared to the control group. Alcohol enquiry acceptability varied greatly between individual scenarios. Discussion: Alcohol-use assessment may be more acceptable to patients when it is framed within the SNAP framework, especially in certain presentations (eg diabetes management).
UR - http://www.scopus.com/inward/record.url?scp=84936937821&partnerID=8YFLogxK
M3 - Article
C2 - 26590495
AN - SCOPUS:84936937821
SN - 2208-7958
VL - 44
SP - 490
EP - 496
JO - Australian Family Physician
JF - Australian Family Physician
IS - 7
ER -
