United Kingdom and United States healthcare providers' recommendations of abstinence versus controlled drinking

United Kingdom and United States healthcare providers' recommendations of abstinence versus controlled drinking
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DOI:
10.1093/alcalc/agh035
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发表时间:
2004-03-01
影响因子:
2.8
通讯作者:
Maurer, KA
Maurer, KA
中科院分区:
医学3区
文献类型:
--
作者:
Cox, WM;Rosenberg, H;Maurer, KA

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目标:评估问题饮酒者的选定特征是否影响英国和美国医疗保健提供者的治疗目标建议-戒酒或控制饮酒。研究方法:由41名英国和31名美国医疗保健提供者阅读了16份病例记录,其中包含有关客户问题严重程度、社会支持程度和性别的不同信息,然后他们在7分制李克特量表上为每个病例提供了控制饮酒与禁欲的建议。结果如下:总的来说,戒酒更强烈地建议那些严重的问题饮酒者,那些有较高的社会支持(一个意外的发现),和女性客户。英国比美国更经常推荐控制饮酒。然而,饮酒者问题的严重程度、社会支持和性别对受访者评分的影响程度取决于一个或多个其他变量的水平和受访者的国家。结论:医疗保健提供者建议戒酒或控制饮酒作为问题饮酒者的结果目标的程度根据客户特征和他们工作的国家而有所不同。
Aim: To assess whether selected characteristics of problem drinkers influence treatment goal recommendations - abstinence or controlled drinking - by healthcare providers in the UK and the US. Methods: Sixteen case-histories, composed with varying information regarding the clients' level of problem severity, degree of social support and sex, were read by 41 UK and 31 US healthcare providers, who then gave a recommendation of controlled drinking versus abstinence for each case on a seven-point Likert scale. Results: Overall, abstinence was recommended more strongly for higher-severity problem drinkers, those with higher social support (an unpredicted finding), and for female clients. Controlled drinking was more often recommended in the UK than in the US. However, the degree to which drinkers' problem severity, social support and sex each affected respondents' ratings depended on the level of one or more of the other variables and the country of the respondents. Conclusion: The degree to which healthcare providers recommend abstinence or controlled drinking as an outcome goal for problem drinkers varies according to both client characteristics and the country in which they work.