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Under the radar: a cross-sectional study of the challenge of identifying at-risk alcohol consumption in the general practice setting
BACKGROUND: Primary care providers are an important source of information regarding appropriate alcohol consumption. As early presentation to a provider for alcohol-related concerns is unlikely, it is important that providers are able to identify at-risk patients in order to provide appropriate advi...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4004529/ https://www.ncbi.nlm.nih.gov/pubmed/24766913 http://dx.doi.org/10.1186/1471-2296-15-74 |
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author | Paul, Christine Yoong, Sze Lin Sanson-Fisher, Rob Carey, Mariko Russell, Grant Makeham, Meredith |
author_facet | Paul, Christine Yoong, Sze Lin Sanson-Fisher, Rob Carey, Mariko Russell, Grant Makeham, Meredith |
author_sort | Paul, Christine |
collection | PubMed |
description | BACKGROUND: Primary care providers are an important source of information regarding appropriate alcohol consumption. As early presentation to a provider for alcohol-related concerns is unlikely, it is important that providers are able to identify at-risk patients in order to provide appropriate advice. This study aimed to report the sensitivity, specificity, positive predictive value and negative predictive value of General Practitioner (GP) assessment of alcohol consumption compared to patient self-report, and explore characteristics associated with GP non-detection of at-risk status. METHOD: GP practices were selected from metropolitan and regional locations in Australia. Eligible patients were adults presenting for general practice care who were able to understand English and provide informed consent. Patients completed a modified AUDIT-C by touchscreen computer as part of an omnibus health survey while waiting for their appointment. GPs completed a checklist for each patient, including whether the patient met current Australian guidelines for at-risk alcohol consumption. Patient self-report and GP assessments were compared for each patient. RESULTS: GPs completed the checklist for 1720 patients, yielding 1565 comparisons regarding alcohol consumption. The sensitivity of GPs’ detection of at-risk alcohol consumption was 26.5%, with specificity of 96.1%. Higher patient education was associated with GP non-detection of at-risk status. CONCLUSIONS: GP awareness of which patients might benefit from advice regarding at-risk alcohol consumption appears low. Given the complexities associated with establishing whether alcohol consumption is ‘at-risk’, computer-based approaches to routine screening of patients are worthy of exploration as a method for prompting the provision of advice in primary care. |
format | Online Article Text |
id | pubmed-4004529 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-40045292014-04-30 Under the radar: a cross-sectional study of the challenge of identifying at-risk alcohol consumption in the general practice setting Paul, Christine Yoong, Sze Lin Sanson-Fisher, Rob Carey, Mariko Russell, Grant Makeham, Meredith BMC Fam Pract Research Article BACKGROUND: Primary care providers are an important source of information regarding appropriate alcohol consumption. As early presentation to a provider for alcohol-related concerns is unlikely, it is important that providers are able to identify at-risk patients in order to provide appropriate advice. This study aimed to report the sensitivity, specificity, positive predictive value and negative predictive value of General Practitioner (GP) assessment of alcohol consumption compared to patient self-report, and explore characteristics associated with GP non-detection of at-risk status. METHOD: GP practices were selected from metropolitan and regional locations in Australia. Eligible patients were adults presenting for general practice care who were able to understand English and provide informed consent. Patients completed a modified AUDIT-C by touchscreen computer as part of an omnibus health survey while waiting for their appointment. GPs completed a checklist for each patient, including whether the patient met current Australian guidelines for at-risk alcohol consumption. Patient self-report and GP assessments were compared for each patient. RESULTS: GPs completed the checklist for 1720 patients, yielding 1565 comparisons regarding alcohol consumption. The sensitivity of GPs’ detection of at-risk alcohol consumption was 26.5%, with specificity of 96.1%. Higher patient education was associated with GP non-detection of at-risk status. CONCLUSIONS: GP awareness of which patients might benefit from advice regarding at-risk alcohol consumption appears low. Given the complexities associated with establishing whether alcohol consumption is ‘at-risk’, computer-based approaches to routine screening of patients are worthy of exploration as a method for prompting the provision of advice in primary care. BioMed Central 2014-04-28 /pmc/articles/PMC4004529/ /pubmed/24766913 http://dx.doi.org/10.1186/1471-2296-15-74 Text en Copyright © 2014 Paul et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. |
spellingShingle | Research Article Paul, Christine Yoong, Sze Lin Sanson-Fisher, Rob Carey, Mariko Russell, Grant Makeham, Meredith Under the radar: a cross-sectional study of the challenge of identifying at-risk alcohol consumption in the general practice setting |
title | Under the radar: a cross-sectional study of the challenge of identifying at-risk alcohol consumption in the general practice setting |
title_full | Under the radar: a cross-sectional study of the challenge of identifying at-risk alcohol consumption in the general practice setting |
title_fullStr | Under the radar: a cross-sectional study of the challenge of identifying at-risk alcohol consumption in the general practice setting |
title_full_unstemmed | Under the radar: a cross-sectional study of the challenge of identifying at-risk alcohol consumption in the general practice setting |
title_short | Under the radar: a cross-sectional study of the challenge of identifying at-risk alcohol consumption in the general practice setting |
title_sort | under the radar: a cross-sectional study of the challenge of identifying at-risk alcohol consumption in the general practice setting |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4004529/ https://www.ncbi.nlm.nih.gov/pubmed/24766913 http://dx.doi.org/10.1186/1471-2296-15-74 |
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