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Screening for At-Risk Alcohol Consumption in Primary Care: A Randomized Evaluation of Screening Approaches

Coulton, S, Dale, V, Deluca, P, Gilvary, E, Godfrey, C, Kaner, E, McGovern, R, Newbury-Birch, D, Patton, Robert, Parrot, S, Perryman, K, Phillips, T, Shepherd, J and Drummond, C (2017) Screening for At-Risk Alcohol Consumption in Primary Care: A Randomized Evaluation of Screening Approaches Alcohol and Alcoholism, 52 (3). pp. 312-317.

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Abstract

Aims The aim of the study was to explore the relative efficiency and effectiveness of targeted versus universal screening for at-risk alcohol use in a primary care population in the UK. Methods The study was a randomized evaluation of screening approach (targeted versus universal) for consecutive attendees at primary care aged 18 years or more. Targeted screening involved screening any patient attending with one of the targeted presentations, conditions associated with excessive alcohol consumption: mental health, gastrointestinal, hypertension, minor injuries or a new patient registration. In the universal arm of the study all presentations in the recruitment period were included. Universal screening included all patients presenting to allocated practices. Results A total of 3562 potential participants were approached. The odds ratio of being screen positive was higher for the targeted group versus the universal group. Yet the vast majority of those screening positive in the universal group of the study would have been missed by a targeted approach. A combination of age and gender was a more efficient approach than targeting by clinical condition or context. Conclusions While screening targeted by age and gender is more efficient than universal screening, targeting by clinical condition or presentation is not. Further universal screening is more effective in identifying the full range of patients who could benefit from brief alcohol interventions, and would therefore have greater public health impact.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences > School of Psychology
Authors :
NameEmailORCID
Coulton, SUNSPECIFIEDUNSPECIFIED
Dale, VUNSPECIFIEDUNSPECIFIED
Deluca, PUNSPECIFIEDUNSPECIFIED
Gilvary, EUNSPECIFIEDUNSPECIFIED
Godfrey, CUNSPECIFIEDUNSPECIFIED
Kaner, EUNSPECIFIEDUNSPECIFIED
McGovern, RUNSPECIFIEDUNSPECIFIED
Newbury-Birch, DUNSPECIFIEDUNSPECIFIED
Patton, Robertr.patton@surrey.ac.ukUNSPECIFIED
Parrot, SUNSPECIFIEDUNSPECIFIED
Perryman, KUNSPECIFIEDUNSPECIFIED
Phillips, TUNSPECIFIEDUNSPECIFIED
Shepherd, JUNSPECIFIEDUNSPECIFIED
Drummond, CUNSPECIFIEDUNSPECIFIED
Date : 24 March 2017
Identification Number : https://doi.org/10.1093/alcalc/agx017
Copyright Disclaimer : © The Author 2017. Medical Council on Alcohol and Oxford University Press. All rights reserved.This is a pre-copyedited, author-produced version of an article accepted for publication in Alcohol and Alcoholism, following peer review. The version of record: Simon Coulton, Veronica Dale, Paolo Deluca, Eilish Gilvarry, Christine Godfrey, Eileen Kaner, Ruth McGovern, Dorothy Newbury-Birch, Robert Patton, Steve Parrott, Katherine Perryman, Thomas Phillips, Jonathan Shepherd, Colin Drummond; Screening for At-Risk Alcohol Consumption in Primary Care: A Randomized Evaluation of Screening Approaches. Alcohol Alcohol 2017; 52 (3): 312-317. doi: 10.1093/alcalc/agx017 is available online at: https://academic.oup.com/alcalc/article-abstract/52/3/312/3084486
Uncontrolled Keywords : Alcohol
Depositing User : Symplectic Elements
Date Deposited : 27 Jun 2017 11:15
Last Modified : 27 Jun 2017 11:15
URI: http://epubs.surrey.ac.uk/id/eprint/813948

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