The treatment and prevention of alcohol-related harm requires that attention is paid not only to ... more The treatment and prevention of alcohol-related harm requires that attention is paid not only to alcohol dependence, but also to hazardous and harmful drinking. The prevalence of these problems is high, amounting to about one in four of the adult population of the United Kingdom. The usual goal of intervention is to reduce drinking to low-risk levels, although it may also be abstinence. Screening patients for alcohol problems and providing brief interventions to those identified are potentially effective ways of improving patients’ health and reducing their risk of future harm. The intervention of simple, structured advice can be delivered without extensive training in 3 to 5 minutes. More intensive brief behavioural counselling requires training and takes 20 to 30 minutes, often with follow-up visits.
The British journal of general practice : the journal of the Royal College of General Practitioners, 1999
The recent Green Paper, Our Healthier Nation, identifies professional advice on healthier living ... more The recent Green Paper, Our Healthier Nation, identifies professional advice on healthier living as a key component of its national contract for health. General practitioners (GPs) are ideally placed for this work. However, previous research has reported a discrepancy between patients' expectations of lifestyle advice from GPs and their receipt of such advice. To describe GPs' current attitudes to and involvement in health promotion and lifestyle counselling, and to track changes in these areas over recent years. A postal questionnaire survey of a random sample of 430 GPs, one per practice, from all general practices in Leicestershire, Derbyshire, and Nottinghamshire. GPs who had not responded after two weeks received a reminder telephone call plus two follow-up questionnaires. Four hundred and eleven GPs were eligible for the survey, which yielded a response rate of 68% (n = 279). GPs reported spending an average 16% of practice time on prevention and 79% reported educating...
The British journal of general practice : the journal of the Royal College of General Practitioners, 1997
... the health profession is responsible for. DESMOND SPENCE DAVID BAILLIE DAVID BYFORD CLARE BRI... more ... the health profession is responsible for. DESMOND SPENCE DAVID BAILLIE DAVID BYFORD CLARE BRIGGS 592 British Journal of General Practice, September 1997 Page 3. British Journal of General Practice, September ...
Treatment and prevention of alcohol-related harm includes attention to the full range of alcohol ... more Treatment and prevention of alcohol-related harm includes attention to the full range of alcohol problems that occur, including hazardous and harmful drinking as well as alcohol dependence. The prevalence of these problems is high, amounting to about one in four of the adult population of the United Kingdom, which is similar to the numbers who smoke....
... Alcohol & Alcoholism, 39, 351-359. Anderson, P., Kaner, E., Wutzke, S., Wensing, M., Grol... more ... Alcohol & Alcoholism, 39, 351-359. Anderson, P., Kaner, E., Wutzke, S., Wensing, M., Grol, R., Heather, N., et al.(2003). ... Journal of Studies on Alcohol, 65 2), 191-199. Babor, TE, Higgins-Biddle, J., Dauser, D., Higgins, P., & Burleson, JA (2005). ...
This trial evaluated the clinical impact and cost-effectiveness of strategies promoting screening... more This trial evaluated the clinical impact and cost-effectiveness of strategies promoting screening and brief alcohol intervention (SBI) by nurses in primary care. Randomisation was at the level of the practice and the interventions were: written guidelines (controls, n=76); outreach training (n=68); and training plus telephone-based support (n=68). After 3 months, just 39% of controls implemented the SBI programme compared to 74% of nurses in trained practices and 71% in trained and supported practices. Controls also screened fewer patients and delivered fewer brief interventions to risk drinkers than other colleagues. However, there was a trade-off between the extent and the appropriateness of brief intervention delivery with controls displaying the least errors in overall patient management. Thus cost-effectiveness ratios (cost per patient appropriately treated) were similar between the three strategies. Given the potential for anxiety due to misdirected advice about alcohol-related risk, the balance of evidence favoured the use of written guidelines to promote SBI by nurses in primary care.
... compared brief interventions offered by nurses versus those offered by doctors (Babor, Higgin... more ... compared brief interventions offered by nurses versus those offered by doctors (Babor, Higgins-Biddle, Dauser, Higgins, & Burleson, 2005 ... and fits with primary health care clinicians' self-belief about what is required (Beich, Gannik, & Malterud, 2002; Heather, Dallolio, Hutchings ...
The treatment and prevention of alcohol-related harm requires that attention is paid not only to ... more The treatment and prevention of alcohol-related harm requires that attention is paid not only to alcohol dependence, but also to hazardous and harmful drinking. The prevalence of these problems is high, amounting to about one in four of the adult population of the United Kingdom. The usual goal of intervention is to reduce drinking to low-risk levels, although it may also be abstinence. Screening patients for alcohol problems and providing brief interventions to those identified are potentially effective ways of improving patients’ health and reducing their risk of future harm. The intervention of simple, structured advice can be delivered without extensive training in 3 to 5 minutes. More intensive brief behavioural counselling requires training and takes 20 to 30 minutes, often with follow-up visits.
The British journal of general practice : the journal of the Royal College of General Practitioners, 1999
The recent Green Paper, Our Healthier Nation, identifies professional advice on healthier living ... more The recent Green Paper, Our Healthier Nation, identifies professional advice on healthier living as a key component of its national contract for health. General practitioners (GPs) are ideally placed for this work. However, previous research has reported a discrepancy between patients' expectations of lifestyle advice from GPs and their receipt of such advice. To describe GPs' current attitudes to and involvement in health promotion and lifestyle counselling, and to track changes in these areas over recent years. A postal questionnaire survey of a random sample of 430 GPs, one per practice, from all general practices in Leicestershire, Derbyshire, and Nottinghamshire. GPs who had not responded after two weeks received a reminder telephone call plus two follow-up questionnaires. Four hundred and eleven GPs were eligible for the survey, which yielded a response rate of 68% (n = 279). GPs reported spending an average 16% of practice time on prevention and 79% reported educating...
The British journal of general practice : the journal of the Royal College of General Practitioners, 1997
... the health profession is responsible for. DESMOND SPENCE DAVID BAILLIE DAVID BYFORD CLARE BRI... more ... the health profession is responsible for. DESMOND SPENCE DAVID BAILLIE DAVID BYFORD CLARE BRIGGS 592 British Journal of General Practice, September 1997 Page 3. British Journal of General Practice, September ...
Treatment and prevention of alcohol-related harm includes attention to the full range of alcohol ... more Treatment and prevention of alcohol-related harm includes attention to the full range of alcohol problems that occur, including hazardous and harmful drinking as well as alcohol dependence. The prevalence of these problems is high, amounting to about one in four of the adult population of the United Kingdom, which is similar to the numbers who smoke....
... Alcohol & Alcoholism, 39, 351-359. Anderson, P., Kaner, E., Wutzke, S., Wensing, M., Grol... more ... Alcohol & Alcoholism, 39, 351-359. Anderson, P., Kaner, E., Wutzke, S., Wensing, M., Grol, R., Heather, N., et al.(2003). ... Journal of Studies on Alcohol, 65 2), 191-199. Babor, TE, Higgins-Biddle, J., Dauser, D., Higgins, P., & Burleson, JA (2005). ...
The treatment and prevention of alcohol-related harm requires that attention is paid not only to ... more The treatment and prevention of alcohol-related harm requires that attention is paid not only to alcohol dependence, but also to hazardous and harmful drinking. The prevalence of these problems is high, amounting to about one in four of the adult population of the United Kingdom. The usual goal of intervention is to reduce drinking to low-risk levels, although it may also be abstinence. Screening patients for alcohol problems and providing brief interventions to those identified are potentially effective ways of improving patients’ health and reducing their risk of future harm. The intervention of simple, structured advice can be delivered without extensive training in 3 to 5 minutes. More intensive brief behavioural counselling requires training and takes 20 to 30 minutes, often with follow-up visits.
The British journal of general practice : the journal of the Royal College of General Practitioners, 1999
The recent Green Paper, Our Healthier Nation, identifies professional advice on healthier living ... more The recent Green Paper, Our Healthier Nation, identifies professional advice on healthier living as a key component of its national contract for health. General practitioners (GPs) are ideally placed for this work. However, previous research has reported a discrepancy between patients' expectations of lifestyle advice from GPs and their receipt of such advice. To describe GPs' current attitudes to and involvement in health promotion and lifestyle counselling, and to track changes in these areas over recent years. A postal questionnaire survey of a random sample of 430 GPs, one per practice, from all general practices in Leicestershire, Derbyshire, and Nottinghamshire. GPs who had not responded after two weeks received a reminder telephone call plus two follow-up questionnaires. Four hundred and eleven GPs were eligible for the survey, which yielded a response rate of 68% (n = 279). GPs reported spending an average 16% of practice time on prevention and 79% reported educating...
The British journal of general practice : the journal of the Royal College of General Practitioners, 1997
... the health profession is responsible for. DESMOND SPENCE DAVID BAILLIE DAVID BYFORD CLARE BRI... more ... the health profession is responsible for. DESMOND SPENCE DAVID BAILLIE DAVID BYFORD CLARE BRIGGS 592 British Journal of General Practice, September 1997 Page 3. British Journal of General Practice, September ...
Treatment and prevention of alcohol-related harm includes attention to the full range of alcohol ... more Treatment and prevention of alcohol-related harm includes attention to the full range of alcohol problems that occur, including hazardous and harmful drinking as well as alcohol dependence. The prevalence of these problems is high, amounting to about one in four of the adult population of the United Kingdom, which is similar to the numbers who smoke....
... Alcohol & Alcoholism, 39, 351-359. Anderson, P., Kaner, E., Wutzke, S., Wensing, M., Grol... more ... Alcohol & Alcoholism, 39, 351-359. Anderson, P., Kaner, E., Wutzke, S., Wensing, M., Grol, R., Heather, N., et al.(2003). ... Journal of Studies on Alcohol, 65 2), 191-199. Babor, TE, Higgins-Biddle, J., Dauser, D., Higgins, P., & Burleson, JA (2005). ...
This trial evaluated the clinical impact and cost-effectiveness of strategies promoting screening... more This trial evaluated the clinical impact and cost-effectiveness of strategies promoting screening and brief alcohol intervention (SBI) by nurses in primary care. Randomisation was at the level of the practice and the interventions were: written guidelines (controls, n=76); outreach training (n=68); and training plus telephone-based support (n=68). After 3 months, just 39% of controls implemented the SBI programme compared to 74% of nurses in trained practices and 71% in trained and supported practices. Controls also screened fewer patients and delivered fewer brief interventions to risk drinkers than other colleagues. However, there was a trade-off between the extent and the appropriateness of brief intervention delivery with controls displaying the least errors in overall patient management. Thus cost-effectiveness ratios (cost per patient appropriately treated) were similar between the three strategies. Given the potential for anxiety due to misdirected advice about alcohol-related risk, the balance of evidence favoured the use of written guidelines to promote SBI by nurses in primary care.
... compared brief interventions offered by nurses versus those offered by doctors (Babor, Higgin... more ... compared brief interventions offered by nurses versus those offered by doctors (Babor, Higgins-Biddle, Dauser, Higgins, & Burleson, 2005 ... and fits with primary health care clinicians' self-belief about what is required (Beich, Gannik, & Malterud, 2002; Heather, Dallolio, Hutchings ...
The treatment and prevention of alcohol-related harm requires that attention is paid not only to ... more The treatment and prevention of alcohol-related harm requires that attention is paid not only to alcohol dependence, but also to hazardous and harmful drinking. The prevalence of these problems is high, amounting to about one in four of the adult population of the United Kingdom. The usual goal of intervention is to reduce drinking to low-risk levels, although it may also be abstinence. Screening patients for alcohol problems and providing brief interventions to those identified are potentially effective ways of improving patients’ health and reducing their risk of future harm. The intervention of simple, structured advice can be delivered without extensive training in 3 to 5 minutes. More intensive brief behavioural counselling requires training and takes 20 to 30 minutes, often with follow-up visits.
The British journal of general practice : the journal of the Royal College of General Practitioners, 1999
The recent Green Paper, Our Healthier Nation, identifies professional advice on healthier living ... more The recent Green Paper, Our Healthier Nation, identifies professional advice on healthier living as a key component of its national contract for health. General practitioners (GPs) are ideally placed for this work. However, previous research has reported a discrepancy between patients' expectations of lifestyle advice from GPs and their receipt of such advice. To describe GPs' current attitudes to and involvement in health promotion and lifestyle counselling, and to track changes in these areas over recent years. A postal questionnaire survey of a random sample of 430 GPs, one per practice, from all general practices in Leicestershire, Derbyshire, and Nottinghamshire. GPs who had not responded after two weeks received a reminder telephone call plus two follow-up questionnaires. Four hundred and eleven GPs were eligible for the survey, which yielded a response rate of 68% (n = 279). GPs reported spending an average 16% of practice time on prevention and 79% reported educating...
The British journal of general practice : the journal of the Royal College of General Practitioners, 1997
... the health profession is responsible for. DESMOND SPENCE DAVID BAILLIE DAVID BYFORD CLARE BRI... more ... the health profession is responsible for. DESMOND SPENCE DAVID BAILLIE DAVID BYFORD CLARE BRIGGS 592 British Journal of General Practice, September 1997 Page 3. British Journal of General Practice, September ...
Treatment and prevention of alcohol-related harm includes attention to the full range of alcohol ... more Treatment and prevention of alcohol-related harm includes attention to the full range of alcohol problems that occur, including hazardous and harmful drinking as well as alcohol dependence. The prevalence of these problems is high, amounting to about one in four of the adult population of the United Kingdom, which is similar to the numbers who smoke....
... Alcohol & Alcoholism, 39, 351-359. Anderson, P., Kaner, E., Wutzke, S., Wensing, M., Grol... more ... Alcohol & Alcoholism, 39, 351-359. Anderson, P., Kaner, E., Wutzke, S., Wensing, M., Grol, R., Heather, N., et al.(2003). ... Journal of Studies on Alcohol, 65 2), 191-199. Babor, TE, Higgins-Biddle, J., Dauser, D., Higgins, P., & Burleson, JA (2005). ...
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Papers by Eileen Kaner