TY - JOUR KW - Alcoholism/diagnosis/prevention & control/rehabilitation KW - Counseling KW - Female KW - Finland KW - Guidelines as Topic KW - Health Personnel/education KW - Humans KW - Male KW - Preventive Health Services/organization & administration KW - Primary Health Care/manpower KW - Professional Competence KW - Professional-Patient Relations KW - Psychotherapy, Brief KW - Research Design KW - Severity of Illness Index KW - Time Factors AU - M. Aalto AU - P. Pekuri AU - K. Seppa A1 - AB - The objective of this study was to identify possible obstacles to carrying out competent early identification and brief intervention (EIBI) of heavy drinkers in primary health care. Qualitative focus group discussion method study applying the deductive framework approach. Six focus groups involving 18 general practitioners and 19 nurses were recruited from primary health care of the City of Tampere, Finland. Possible obstacles are: (1) confusion regarding the content of early-phase heavy drinking, (2) lack of self-efficacy among primary health care professionals, (3) sense of lacking time needed for carrying out brief intervention, (4) not having simple guidelines for brief intervention, (5) sense of difficulty in identifying of early-phase heavy drinkers, and (6) uncertainty about the justification for initiating discussion on alcohol issues with patients. The main actions to be taken to promote brief intervention are to educate professionals about the content of early-phase heavy drinking and to produce directing, but not excessively demanding guidelines for carrying out EIBI. Probably successful personal experiences carrying out EIBI can improve professionals' self-efficacy and give to them final justification for discussion alcohol issues with their patients. BT - Drug and Alcohol Review C5 - Education & Workforce CP - 2 CY - England DO - 10.1080/09595230100100606 IS - 2 JF - Drug and Alcohol Review N2 - The objective of this study was to identify possible obstacles to carrying out competent early identification and brief intervention (EIBI) of heavy drinkers in primary health care. Qualitative focus group discussion method study applying the deductive framework approach. Six focus groups involving 18 general practitioners and 19 nurses were recruited from primary health care of the City of Tampere, Finland. Possible obstacles are: (1) confusion regarding the content of early-phase heavy drinking, (2) lack of self-efficacy among primary health care professionals, (3) sense of lacking time needed for carrying out brief intervention, (4) not having simple guidelines for brief intervention, (5) sense of difficulty in identifying of early-phase heavy drinkers, and (6) uncertainty about the justification for initiating discussion on alcohol issues with patients. The main actions to be taken to promote brief intervention are to educate professionals about the content of early-phase heavy drinking and to produce directing, but not excessively demanding guidelines for carrying out EIBI. Probably successful personal experiences carrying out EIBI can improve professionals' self-efficacy and give to them final justification for discussion alcohol issues with their patients. PP - England PY - 2003 SN - 0959-5236; 0959-5236 SP - 169 EP - 173 EP - T1 - Obstacles to carrying out brief intervention for heavy drinkers in primary health care: A focus group study T2 - Drug and Alcohol Review TI - Obstacles to carrying out brief intervention for heavy drinkers in primary health care: A focus group study U1 - Education & Workforce U2 - 12850903 U3 - 10.1080/09595230100100606 VL - 22 VO - 0959-5236; 0959-5236 Y1 - 2003 ER -