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Task sharing and teamwork: clinician preferences for alcohol screening and brief interventions in cardiology
Karolinska Inst, Dept Global Publ Hlth, Solna, Sweden..
Karolinska Inst, Dept Global Publ Hlth, Solna, Sweden..
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Disciplinary Domain of Medicine and Pharmacy, research centers etc., Centre for Research and Development, Gävleborg. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Physiotherapy and behavioral medicine.ORCID iD: 0000-0002-0282-480x
Reg Gävleborg, Ctr Res & Dev, Gävle, Sweden.;Umeå Univ, Dept Publ Hlth & Clin Med, Umeå, Sweden..
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2025 (English)In: BMC Research Notes, E-ISSN 1756-0500, Vol. 18, no 1, article id 373Article in journal (Refereed) Published
Abstract [en]

Objective: To investigate clinicians' preferences for alcohol screening and brief interventions in clinical cardiology settings.

Results: A total of 664 cardiology clinicians responded to a cross-sectional survey (30.9% response rate), including 55.1% nurses, 21.4% assistant nurses, 18.8% doctors, and 4.7% other clinical staff. Among these participants, 87.5% indicated that patients should be screened for alcohol use on cardiology wards, 79.8% in outpatient clinics, 49.1% in emergency departments, and 45.9% on coronary care units. Doctors and nurses were the preferred professions to be responsible for screening across all clinical contexts, while fewer respondents indicated that assistant nurses or physiotherapists should be responsible for screening (p < .001). Most participants (85.2%) indicated that patients should be screened in more than one clinical context and 84.6% indicated that more than one profession should be responsible for alcohol screening. Clinicians' preferred modality for assessing alcohol use was verbal screening (92% of participants), followed by questionnaires (53.5%), digital tools (28.5%), and alcohol biomarkers (22.1%, p < .001). Just over half of participants (58%) indicated that they would like to attend training on brief interventions. Findings suggest that task sharing, teamwork, and training may be effective strategies for implementation of alcohol screening and brief interventions in clinical cardiology.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2025. Vol. 18, no 1, article id 373
Keywords [en]
Cardiology, Alcohol, Cross-sectional survey, Implementation, Screening, Brief interventions, Preferences
National Category
Drug Abuse and Addiction Cardiology and Cardiovascular Disease Public Health, Global Health and Social Medicine
Identifiers
URN: urn:nbn:se:uu:diva-568269DOI: 10.1186/s13104-025-07452-4ISI: 001565224800002PubMedID: 40883780Scopus ID: 2-s2.0-105014754564OAI: oai:DiVA.org:uu-568269DiVA, id: diva2:2003974
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2021-01710Available from: 2025-10-06 Created: 2025-10-06 Last updated: 2025-10-06Bibliographically approved

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Björck, CarolineHambraeus, Kristina

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