TY - JOUR
KW - Adult
KW - Alcohol Drinking
KW - Alcohol-Related Disorders/diagnosis
KW - Counseling
KW - Cross-Sectional Studies
KW - Female
KW - Health Personnel/education
KW - Health Promotion
KW - Humans
KW - Male
KW - Mass Screening
KW - Middle Aged
KW - Physicians, Family/education
KW - Primary Health Care
KW - Spain
KW - Surveys and Questionnaires
KW - Alcohol
KW - health professionals
KW - Health system
KW - primary care
KW - training
AU - E. Romero-Rodríguez
AU - L. Á. Pérula de Torres
AU - Ruiz Moral
AU - J. Á. Fernández García
AU - J. M. Parras Rejano
AU - Roldán Villalobos
AU - Camarelles Guillem
AU - Collaborative Group Alco-AP
A1 - 
AB - BACKGROUND: Health professionals' training is a key element to address unhealthy alcohol use in Primary Care (PC). Education about alcohol use can be effective in improving PC provider's knowledge and skills addressing alcohol-related problems. The aim of the study was to evaluate the training of health professionals to address unhealthy alcohol use in PC. METHODS: An observational, descriptive, cross-sectional, multicenter study was performed. LOCATION: PC centres of the Spanish National Health System (SNHS). PARTICIPANTS: Family physicians, residents and nurses completed an online questionnaire that inquired about their training (none, basic, medium or advanced), knowledge and preventive practices aimed at reducing unhealthy alcohol use. The study population was recruited via random sampling, stratified by the regions of the SNHS's PC centre, and by email invitation to members of two Spanish scientific societies of Family Medicine. RESULTS: A total of 1760 professionals participated in the study. Sixty-seven percent (95% CI: 67.5-71.8) reported not having received specific training to address unhealthy alcohol use, 30% (95% CI: 27.4-31.7) reported having received basic training, and 3% (95% CI: 2.3-4.0) medium/advanced training. The training received was greater in younger providers (p < 0.001) who participated in the PAPPS (Preventive Activities and Health Promotion Programme) (p < 0.001). Higher percentages of providers with intermediate or advanced training reported performing screening for unhealthy alcohol use (p < 0.001), clinical assessment of alcohol consumption (p < 0.001), counselling of patients to reduce their alcohol intake (p < 0.001) or to abstain, in the cases of pregnant women and drivers (p < 0.001). CONCLUSION: Our study reveals a low level of training among Spanish PC providers to address unhealthy alcohol use. A higher percentage of screening, clinical assessment and counselling interventions aimed at reducing unhealthy alcohol use was reported by health professionals with an intermediate or advanced level of training.
AD - Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Cordoba, Córdoba, Spain. espe_mrr@hotmail.com.; Teaching Unit of Family and Community Medicine of Cordoba, Program of Preventive Activities and Health Promotion -PAPPS- (semFYC), Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Cordoba, Cordoba, Spain.; Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Cordoba, Córdoba, Spain.; Francisco de Vitoria University, Madrid, Spain.; Villarrubia Health Center, Andalusian Health Service, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Cordoba, Cordoba, Spain.; Villanueva del Rey Health Center, Andalusian Health Service, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Cordoba, Cordoba, Spain.; Teaching Unit of Family and Community Medicine of Cordoba, Carlos Castilla Del Pino Health Center, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Cordoba, Cordoba, Spain.; Infanta Mercedes Health Center, Madrid Health Service, PAPPS Health Education Group (semFYC), Madrid, Spain.
BT - BMC health services research
C5 - Education & Workforce; Opioids & Substance Use
CP - 1
DO - 10.1186/s12913-020-05730-4
IS - 1
JF - BMC health services research
LA - eng
M1 - Journal Article
N2 - BACKGROUND: Health professionals' training is a key element to address unhealthy alcohol use in Primary Care (PC). Education about alcohol use can be effective in improving PC provider's knowledge and skills addressing alcohol-related problems. The aim of the study was to evaluate the training of health professionals to address unhealthy alcohol use in PC. METHODS: An observational, descriptive, cross-sectional, multicenter study was performed. LOCATION: PC centres of the Spanish National Health System (SNHS). PARTICIPANTS: Family physicians, residents and nurses completed an online questionnaire that inquired about their training (none, basic, medium or advanced), knowledge and preventive practices aimed at reducing unhealthy alcohol use. The study population was recruited via random sampling, stratified by the regions of the SNHS's PC centre, and by email invitation to members of two Spanish scientific societies of Family Medicine. RESULTS: A total of 1760 professionals participated in the study. Sixty-seven percent (95% CI: 67.5-71.8) reported not having received specific training to address unhealthy alcohol use, 30% (95% CI: 27.4-31.7) reported having received basic training, and 3% (95% CI: 2.3-4.0) medium/advanced training. The training received was greater in younger providers (p < 0.001) who participated in the PAPPS (Preventive Activities and Health Promotion Programme) (p < 0.001). Higher percentages of providers with intermediate or advanced training reported performing screening for unhealthy alcohol use (p < 0.001), clinical assessment of alcohol consumption (p < 0.001), counselling of patients to reduce their alcohol intake (p < 0.001) or to abstain, in the cases of pregnant women and drivers (p < 0.001). CONCLUSION: Our study reveals a low level of training among Spanish PC providers to address unhealthy alcohol use. A higher percentage of screening, clinical assessment and counselling interventions aimed at reducing unhealthy alcohol use was reported by health professionals with an intermediate or advanced level of training.
PY - 2020
SN - 1472-6963; 1472-6963
SP - 877
T1 - Training health providers to address unhealthy alcohol use in primary care: a cross-sectional, multicenter study
T2 - BMC health services research
TI - Training health providers to address unhealthy alcohol use in primary care: a cross-sectional, multicenter study
U1 - Education & Workforce; Opioids & Substance Use
U2 - 32938457
U3 - 10.1186/s12913-020-05730-4
VL - 20
VO - 1472-6963; 1472-6963
Y1 - 2020
Y2 - Sep 16
ER -