Alcohol-related problems in the primary health care setting: a review of early intervention strategies.

Alcohol-related problems in the primary health care setting: a review of early intervention strategies.
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初级卫生保健机构中的酒精相关问题:早期干预策略回顾。

DOI:
10.1111/j.1360-0443.1986.tb00291.x
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发表时间:
1986
期刊:
British journal of addiction
影响因子:
--
通讯作者:
Hodgson,RJ
Hodgson,RJ
中科院分区:
--
文献类型:
--
作者:
Babor,TF;Ritson,EB;Hodgson,RJ

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本文综述了初级保健环境中酒精相关问题的二级预防相关的概念问题和研究结果。公共卫生的概念和最近的流行病学研究的讨论之后,审查的筛选程序,以确定个人的风险。旨在减少酒精滥用和治疗有害饮酒的代表性方案进行了总结。几个系统方案评价的结果表明,对饮酒行为和相关问题的影响不大,但可靠,可以从简短的干预措施中得出,特别是对不太严重的问题饮酒者。这些干预措施的基本要素包括提供信息、简要建议、自助手册、自助小组和卫生工作者定期监测进展情况。它的结论是,低强度,简短的干预措施有很多值得推荐的第一种方法的问题饮酒者在初级保健设置。
This paper reviews conceptual issues and research findings relevant to the secondary prevention of alcohol‐related problems in the primary care setting. A discussion of public health concepts and recent epidemiological studies is followed by a review of screening procedures developed to identify individuals at risk. Representative programmes designed to reduce alcohol misuse and treat harmful drinking are summarized. The results of several systematic programme evaluations suggest that modest but reliable effects on drinking behaviour and related problems can follow from brief interventions, especially with the less serious type of problem drinker. The basic elements of these interventions include information giving, brief advice, self‐help manuals, self‐help groups and periodic monitoring of progress by the health worker. It is concluded that low intensity, brief interventions have much to recommend as the first approach to the problem drinker in the primary care setting.
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