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Alcohol brief interventions practice following training for multidisciplinary health and social care teams: A qualitative interview study

INTRODUCTION AND AIMS: Few studies of the implementation of alcohol brief interventions (ABI) have been conducted in community settings such as mental health, social work and criminal justice teams. This qualitative interview study sought to explore the impact of training on ABI delivery by staff fr...

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Autores principales: Fitzgerald, Niamh, Molloy, Heather, MacDonald, Fiona, McCambridge, Jim
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Blackwell Publishing Ltd 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4405088/
https://www.ncbi.nlm.nih.gov/pubmed/25196713
http://dx.doi.org/10.1111/dar.12193
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author Fitzgerald, Niamh
Molloy, Heather
MacDonald, Fiona
McCambridge, Jim
author_facet Fitzgerald, Niamh
Molloy, Heather
MacDonald, Fiona
McCambridge, Jim
author_sort Fitzgerald, Niamh
collection PubMed
description INTRODUCTION AND AIMS: Few studies of the implementation of alcohol brief interventions (ABI) have been conducted in community settings such as mental health, social work and criminal justice teams. This qualitative interview study sought to explore the impact of training on ABI delivery by staff from a variety of such teams. DESIGN AND METHODS: Fifteen semi-structured telephone interviews were carried out with trained practitioners and with managers to explore the use of, perceived need for and approaches to ABI delivery and recording with clients, and compatibility of ABIs with current practice. Interviews were analysed thematically using an inductive approach. RESULTS: Very few practitioners reported delivery of any ABIs following training primarily because they felt ABIs to be inappropriate for their clients. According to practitioners, this was either because they drank too much or too little to benefit. Practitioners reported a range of current activities relating to alcohol, and some felt that their knowledge and confidence were improved following training. One practitioner reported ABI delivery and was considered a training success, while expectations of ABIs did not fit with current practice including assessment procedures for the remainder. DISCUSSION AND CONCLUSIONS: Identified barriers to ABI delivery included issues relating to individual practitioners, their teams, current practice and the ABI model. They are likely to be best addressed by strategic team- and setting-specific approaches to implementation, of which training is only one part. [Fitzgerald N, Molloy H, MacDonald F, McCambridge J. Alcohol brief interventions practice following training for multidisciplinary health and social care teams: A qualitative interview study. Drug Alcohol Rev 2015;34:185–93]
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spelling pubmed-44050882015-04-22 Alcohol brief interventions practice following training for multidisciplinary health and social care teams: A qualitative interview study Fitzgerald, Niamh Molloy, Heather MacDonald, Fiona McCambridge, Jim Drug Alcohol Rev Original Articles INTRODUCTION AND AIMS: Few studies of the implementation of alcohol brief interventions (ABI) have been conducted in community settings such as mental health, social work and criminal justice teams. This qualitative interview study sought to explore the impact of training on ABI delivery by staff from a variety of such teams. DESIGN AND METHODS: Fifteen semi-structured telephone interviews were carried out with trained practitioners and with managers to explore the use of, perceived need for and approaches to ABI delivery and recording with clients, and compatibility of ABIs with current practice. Interviews were analysed thematically using an inductive approach. RESULTS: Very few practitioners reported delivery of any ABIs following training primarily because they felt ABIs to be inappropriate for their clients. According to practitioners, this was either because they drank too much or too little to benefit. Practitioners reported a range of current activities relating to alcohol, and some felt that their knowledge and confidence were improved following training. One practitioner reported ABI delivery and was considered a training success, while expectations of ABIs did not fit with current practice including assessment procedures for the remainder. DISCUSSION AND CONCLUSIONS: Identified barriers to ABI delivery included issues relating to individual practitioners, their teams, current practice and the ABI model. They are likely to be best addressed by strategic team- and setting-specific approaches to implementation, of which training is only one part. [Fitzgerald N, Molloy H, MacDonald F, McCambridge J. Alcohol brief interventions practice following training for multidisciplinary health and social care teams: A qualitative interview study. Drug Alcohol Rev 2015;34:185–93] Blackwell Publishing Ltd 2015-03 2014-09-06 /pmc/articles/PMC4405088/ /pubmed/25196713 http://dx.doi.org/10.1111/dar.12193 Text en © 2014 The Authors. Drug and Alcohol Review published by Wiley Publishing Asia Pty Ltd on behalf of Australasian Professional Society on Alcohol and other Drugs. http://creativecommons.org/licenses/by/4.0/ This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Fitzgerald, Niamh
Molloy, Heather
MacDonald, Fiona
McCambridge, Jim
Alcohol brief interventions practice following training for multidisciplinary health and social care teams: A qualitative interview study
title Alcohol brief interventions practice following training for multidisciplinary health and social care teams: A qualitative interview study
title_full Alcohol brief interventions practice following training for multidisciplinary health and social care teams: A qualitative interview study
title_fullStr Alcohol brief interventions practice following training for multidisciplinary health and social care teams: A qualitative interview study
title_full_unstemmed Alcohol brief interventions practice following training for multidisciplinary health and social care teams: A qualitative interview study
title_short Alcohol brief interventions practice following training for multidisciplinary health and social care teams: A qualitative interview study
title_sort alcohol brief interventions practice following training for multidisciplinary health and social care teams: a qualitative interview study
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4405088/
https://www.ncbi.nlm.nih.gov/pubmed/25196713
http://dx.doi.org/10.1111/dar.12193
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