Thomas Fankhänel, Benjamin Jovan Panic, Marcus A. Schwarz, Katrin Schulz, T. Frese
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Method: In order to manipulate the seriousness of the health problem GPs were confronted with three different situations each introducing a fictitious patient with either excessive alcohol consumption, or binge drinking, or harmful alcohol consumption. Results: Questionnaires of 185 GPs were analyzed. As hypothesized GPs were less ready to treat patients with excessive consumption in comparison to patients with harmful consumption, t(184) = 5.51, p < .001, d = .40, and binge drinking, t(184) = 6.14, p < .001, d = .43. Their readiness was higher in case of high adherence, F(1, 181) = 17.35, p < .001, η2 = .09. Limitations: Recruitment of GPs was based on voluntary participation. GPs had to assess their readiness in the artificial context of case vignettes. Conclusion: GPs’ readiness to implement a BI was influenced by the seriousness of the health problem and expected patient adherence. 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Based on Expectancy Value Theory of Achievement Motivation we assume that low seriousness of the health problem in association with the treatment of excessive alcohol consumers may be considered as a crucial barrier too. Aims: By our study, we tested for the influence of the seriousness of the health problem on the GP’s readiness to implement brief intervention (BI) in comparison to crucial barriers such as insufficient financial reimbursement and low patient adherence. Method: In order to manipulate the seriousness of the health problem GPs were confronted with three different situations each introducing a fictitious patient with either excessive alcohol consumption, or binge drinking, or harmful alcohol consumption. Results: Questionnaires of 185 GPs were analyzed. As hypothesized GPs were less ready to treat patients with excessive consumption in comparison to patients with harmful consumption, t(184) = 5.51, p < .001, d = .40, and binge drinking, t(184) = 6.14, p < .001, d = .43. 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引用次数: 0
摘要
摘要背景:全科医生(GP)实施筛查和简短干预以减少过量饮酒的意愿较低。虽然过去的研究发现了一些障碍,但改善这些条件并没有改善实施情况。基于成就动机的期望价值理论,我们假设与治疗过量饮酒者相关的健康问题的低严重性也可能被认为是一个关键障碍。目的:通过我们的研究,我们测试了健康问题的严重性对全科医生实施简短干预(BI)的准备程度的影响,并与诸如财务报销不足和患者依从性低等关键障碍进行了比较。方法:为了操纵健康问题的严重性,全科医生面对三种不同的情况,每一种情况都介绍了一个虚构的病人,要么过量饮酒,要么酗酒,要么有害饮酒。结果:对185名全科医生的问卷进行分析。假设全科医生治疗过度饮酒患者比有害饮酒患者更不愿意治疗,t(184) = 5.51, p < 0.001, d = 0.40,酗酒患者t(184) = 6.14, p < 0.001, d = 0.43。依从性越高,其准备程度越高,F(1,181) = 17.35, p < 0.001, η2 = 0.09。局限性:全科医生的招募是基于自愿参与。全科医生必须评估他们的准备情况,在人为的背景下的案例插图。结论:全科医生实施BI的准备程度受健康问题的严重性和预期患者依从性的影响。在财务偿还方面没有发现这种影响。
Treating Excessive Consumers With Brief Intervention to Reduce Their Alcohol Consumption
Abstract. Background: General Practitioners’ (GP) readiness to implement screening and brief intervention to reduce alcohol consumption of excessive consumers is low. Although several barriers were identified by past research, improving these conditions has not led to improved implementation. Based on Expectancy Value Theory of Achievement Motivation we assume that low seriousness of the health problem in association with the treatment of excessive alcohol consumers may be considered as a crucial barrier too. Aims: By our study, we tested for the influence of the seriousness of the health problem on the GP’s readiness to implement brief intervention (BI) in comparison to crucial barriers such as insufficient financial reimbursement and low patient adherence. Method: In order to manipulate the seriousness of the health problem GPs were confronted with three different situations each introducing a fictitious patient with either excessive alcohol consumption, or binge drinking, or harmful alcohol consumption. Results: Questionnaires of 185 GPs were analyzed. As hypothesized GPs were less ready to treat patients with excessive consumption in comparison to patients with harmful consumption, t(184) = 5.51, p < .001, d = .40, and binge drinking, t(184) = 6.14, p < .001, d = .43. Their readiness was higher in case of high adherence, F(1, 181) = 17.35, p < .001, η2 = .09. Limitations: Recruitment of GPs was based on voluntary participation. GPs had to assess their readiness in the artificial context of case vignettes. Conclusion: GPs’ readiness to implement a BI was influenced by the seriousness of the health problem and expected patient adherence. No such effect was found for financial reimbursement.
期刊介绍:
Die "Zeitschrift für Gesundheitspsychologie" wurde gegründet, um dem raschen Anwachsen gesundheitspsychologischer Forschung sowie deren Relevanz für verschiedene Anwendungsfelder gerecht zu werden. Gesundheitspsychologie versteht sich als wissenschaftlicher Beitrag der Psychologie zur Förderung und Erhaltung von Gesundheit, zur Verhütung und Behandlung von Krankheiten, zur Bestimmung von Risikoverhaltensweisen, zur Diagnose und Ursachenbestimmung von gesundheitlichen Störungen sowie zur Verbessung des Systems gesundheitlicher Vorsorge.