TY - JOUR
KW - Alcoholism/diagnosis/prevention & control/therapy
KW - Attitude of Health Personnel
KW - Communication
KW - Female
KW - Focus Groups
KW - General Practice
KW - Humans
KW - Interviews as Topic
KW - Male
KW - Norway
KW - Psychotherapy, Brief/methods
KW - Qualitative Research
KW - Self Efficacy
KW - Substance Abuse Detection
AU - P. Nygaard
AU - O. G. Aasland
A1 - 
AB - AIMS: The qualitative component of this mixed methods study aimed at obtaining more in-depth information about the barriers of implementation of screening and brief interventions (SBI) in general practice identified in the quantitative component by giving general practitioners (GPs) the opportunity to discuss and report on the particular difficulties they experience in relation to identification and treatment of alcohol problems in their daily work. METHODS: Focus-group interviews were performed with seven groups of GPs in different parts of Norway, encompassing 40 participants. The interviews were transcribed and analyzed using the QDA Miner software. RESULTS: The analysis revealed five major groups of factors influencing GPs' reluctance to use SBI for alcohol problems: (a) perception of alcohol problems, (b) integration of SBI into existing routines, (c) prevention vs. treatment, (d) structural issues and (e) the relationship between practitioner and patient. Discussion: The analysis showed that problems of implementing SBI in general practice are a complex issue. The quantitative part of the project revealed a strong association between knowledge/self-efficacy and the use of SBI. However, in the qualitative study, we were able to look in more detail at some of the findings from the first part. Even if the lack of knowledge of SBI was still significant, the five factors identified in this study appeared important for the GPs' decisions to use SBI in individual cases.
BT - Alcohol and Alcoholism (Oxford, Oxfordshire)
C5 - General Literature
CP - 1
CY - England
DO - 10.1093/alcalc/agq073
IS - 1
JF - Alcohol and Alcoholism (Oxford, Oxfordshire)
N2 - AIMS: The qualitative component of this mixed methods study aimed at obtaining more in-depth information about the barriers of implementation of screening and brief interventions (SBI) in general practice identified in the quantitative component by giving general practitioners (GPs) the opportunity to discuss and report on the particular difficulties they experience in relation to identification and treatment of alcohol problems in their daily work. METHODS: Focus-group interviews were performed with seven groups of GPs in different parts of Norway, encompassing 40 participants. The interviews were transcribed and analyzed using the QDA Miner software. RESULTS: The analysis revealed five major groups of factors influencing GPs' reluctance to use SBI for alcohol problems: (a) perception of alcohol problems, (b) integration of SBI into existing routines, (c) prevention vs. treatment, (d) structural issues and (e) the relationship between practitioner and patient. Discussion: The analysis showed that problems of implementing SBI in general practice are a complex issue. The quantitative part of the project revealed a strong association between knowledge/self-efficacy and the use of SBI. However, in the qualitative study, we were able to look in more detail at some of the findings from the first part. Even if the lack of knowledge of SBI was still significant, the five factors identified in this study appeared important for the GPs' decisions to use SBI in individual cases.
PP - England
PY - 2011
SN - 1464-3502; 0735-0414
SP - 52
EP - 60
EP - 
T1 - Barriers to implementing screening and brief interventions in general practice: findings from a qualitative study in Norway
T2 - Alcohol and Alcoholism (Oxford, Oxfordshire)
TI - Barriers to implementing screening and brief interventions in general practice: findings from a qualitative study in Norway
U1 - General Literature
U2 - 21059696
U3 - 10.1093/alcalc/agq073
VL - 46
VO - 1464-3502; 0735-0414
Y1 - 2011
ER -