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Problem alcohol use among problem drug users in primary care: a qualitative study of what patients think about screening and treatment

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dc.contributor.author Field, Catherine Anne
dc.contributor.author Klimas, Jan
dc.contributor.author Barry, Joseph
dc.contributor.author Bury, Gerard
dc.contributor.author Keenan, Eamon
dc.contributor.author Smyth, Bobby P.
dc.contributor.author Cullen, Walter
dc.date.accessioned 2013-08-22T10:44:27Z
dc.date.available 2013-08-22T10:44:27Z
dc.date.issued 2013
dc.identifier.uri http://hdl.handle.net/10344/3343
dc.description peer-reviewed en_US
dc.description.abstract Background: Problem alcohol use is common and associated with considerable adverse outcomes among patients who attend primary care in Ireland and other European countries for opiate substitution treatment. This paper aims to describe patients’ experience of, and attitude towards, screening and therapeutic interventions for problem alcohol use in primary care. Methods: This qualitative study recruited problem drug users (N = 28) from primary care based methadone programmes in the Ireland’s Eastern region, using a stratified sampling matrix to include size of general practice and geographical area. Semi-structured interviews were conducted and analysed using thematic analysis, and audited by a third reviewer. Results: We identified three overarching themes relevant to the purpose of this paper: (1) patients’ experience of, and (2) attitude towards, screening and treatment for problem alcohol use in primary care, as well as their (3) views on service improvement. While most patients reported being screened for problem alcohol use at initial assessment, few recalled routine screening or treatment. Among the barriers and enablers to screening and treatment, patients highlighted the importance of the practitioner-patient relationship in helping them address the issue. Nevertheless, patients felt that healthcare professionals should be more proactive in the management of problem alcohol use at a primary care level and that primary care can play an important role in their treatment. Conclusions: Problem alcohol use is an important challenge in the care of problem drug users. While primary care is well placed to address this issue, little data has reported on this topic. The development of interventions which promote screening and brief interventions in practice are likely to benefit this at-risk group and further research and education, that help achieve this goal, are a priority. Strategies such as dissemination of clinical guidelines, educational videos, academic detailing and practice visits, should be explored. en_US
dc.language.iso eng en_US
dc.publisher BioMed Central en_US
dc.relation.ispartofseries BMC Family Practice;14:98
dc.relation.uri http://dx.doi.org/10.1186/1471-2296-14-98
dc.subject alcohol en_US
dc.subject brief intervention en_US
dc.subject illicit drugs en_US
dc.subject primary health care en_US
dc.subject opioids en_US
dc.subject qualitative interviews en_US
dc.subject screening en_US
dc.subject methadone en_US
dc.title Problem alcohol use among problem drug users in primary care: a qualitative study of what patients think about screening and treatment en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.identifier.doi 10.1186/1471-2296-14-98
dc.contributor.sponsor HRB en_US
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US


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