Rethinking alcohol interventions in health care: a thematic meeting of the International Network on Brief Interventions for Alcohol & Other Drugs (INEBRIA)
Rethinking alcohol interventions in health care: a thematic meeting of the International Network on Brief Interventions for Alcohol & Other Drugs (INEBRIA)
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DOI：
10.1186/s13722-017-0079-8
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发表时间：
2017-05-10
影响因子：
3.7
通讯作者：
Saitz, Richard
中科院分区：
文献类型：
--
作者：
Glass, Joseph E.;Andreasson, Sven;Saitz, Richard
2016年，酒精和其他药物简短干预国际网络召开了一次题为“重新思考医疗保健中的酒精干预”的会议。会议的目的是综合有关筛查和简短干预的最新证据，并根据这些证据确定研究、实践和政策的方向。对于一些不健康饮酒的人来说，筛查和简短的干预可以有效减少自我报告的饮酒量，但其有效性的证据尚缺乏。由于目前尚不清楚筛查和简短干预对于严重不健康饮酒的个人是否有效，因此最近的数据显示，缺乏证据表明将转诊治疗作为筛查和简短干预的一部分，这一点令人震惊。虽然筛查和短暂干预的目的是基于人群的方法，但其范围有限。在现实世界护理中的实施也仍然是一个挑战。本报告总结了我们会议的实践、研究和政策建议以及关键研究进展。为了推动这一领域的发展，提出了一项研究议程：(1) 解决筛查、简短干预和转诊治疗方面的证据差距；(2) 开发创新技术，解决初级保健中严重不健康饮酒的问题；(3) 描述不健康饮酒的耻辱，这种耻辱阻碍了预防和治疗的进展；(4) 重新考虑可能影响医疗保健的不健康饮酒的现有概念；(5) 确定需要做出哪些努力，以提高解决全世界不健康饮酒问题的能力。地区。
In 2016, the International Network on Brief Interventions for Alcohol & Other Drugs convened a meeting titled "Rethinking alcohol interventions in health care". The aims of the meeting were to synthesize recent evidence about screening and brief intervention and to set directions for research, practice, and policy in light of this evidence. Screening and brief intervention is efficacious in reducing self-reported alcohol consumption for some with unhealthy alcohol use, but there are gaps in evidence for its effectiveness. Because screening and brief intervention is not known to be efficacious for individuals with more severe unhealthy alcohol use, recent data showing the lack of evidence for referral to treatment as part of screening and brief intervention are alarming. While screening and brief intervention was designed to be a population-based approach, its reach is limited. Implementation in real world care also remains a challenge. This report summarizes practice, research, and policy recommendations and key research developments from our meeting. In order to move the field forward, a research agenda was proposed to (1) address evidence gaps in screening, brief intervention, and referral to treatment, (2) develop innovations to address severe unhealthy alcohol use within primary care, (3) describe the stigma of unhealthy alcohol use, which obstructs progress in prevention and treatment, (4) reconsider existing conceptualizations of unhealthy alcohol use that may influence health care, and (5) identify efforts needed to improve the capacity for addressing unhealthy alcohol consumption in all world regions.