Is It My Job? Alcohol Brief Interventions: Knowledge and Attitudes among Future Health-care Professionals in Scotland

Aims: To document knowledge and perceptions relating to the professional role in the area of alcohol misuse within a sample of first year (n = 278) and final year (n = 527) medical, nursing and allied health professional (NAHP) students in Scotland. Methods: A cross sectional survey design involving self-completed questionnaires administered in autumn 2008 (first year students) and spring 2009 (final year students) through course websites and lectures. Results: Gaps in the knowledge relating to current UK health guidelines were identified but more so among NAHP students than medical students. Exploration of the perceived role in this area of practice identified three broad groups of students: those clear about their role (medical and nursing students), those advocating a role but not identified by fellow students (occupational therapy and pharmacy) and those uncertain of their role (radiographers, speech and language therapists/audiologists and physiotherapy). Conclusions: Higher education institutions should address the gaps in the knowledge around guidance for alcohol consumption. The effectiveness of brief interventions may depend on it. Additionally, through inter-professional teaching and in collaboration with the relevant professional bodies, more could be done to promote the contribution of practitioners other than those traditionally linked (i.e. medical and nursing) to this important clinical role.sch_nurAlcohol Learning Centre. (2010) Alcohol IBA e-learning Centre. http:// www.alcohollearningcentre.org.uk/eLearning/IBA/. (6 December 2010, date last accessed). Beeston C, Robinson M, Craig N et al. (2011) Monitoring and evaluating Scotland's Alcohol strategy. Setting the Scene: Alcohol brief interventions: knowledge and views of health-care students 9 Downloaded from alcalc.oxfordjournals.org at Queen Margaret University on June 14, 2011 Theory of change and baseline picture. Edinburgh: NHS Health Scotland. BMA Board of Medical Education. (2004). The Demography of Medical Schools: a Discussion Document. London: BMA. Bromley C, Given L, Ormston R et al. (2010) Knowledge, Attitudes and Motivations to Health. A Module of the Scottish Health Survey, 2008 and 2009. Edinburgh: NHS Health Scotland. Crowder R, Forster S. (2008) Working Together to Reduce Harm: the Substance Misuse Strategy for Wales 2008-2018. London: College of Occupational Therapists. Department of Health. (1995) Department of Health Sensible Drinking: the Report of an Inter-Departmental Working Group. London: Department of Health. Department of Health. (2000) The NHS Plan: a Plan for Investment, a Plan for Reform. London: HMSO. Department of Health. (2001) Working Together-Learning together: a Framework for Lifelong Learning for the NHS. London: HMSO. Dhital R, Whittlesea CM, Norman IJ et al. (2010) Community pharmacy service users' views and perceptions of alcohol screening and brief interventions. Drug Alcohol Rev 29:596-602. Fitzgerald N, Watson H, McCaig D et al. (2009) Developing and evaluating training for community pharmacists to deliver interventions on alcohol issues. Pharm World Sci 31:149-53. Gill JS, O'May F. (2006) People seem confused about sensible drinking messages. Letter. BMJ 332:302-3. Gill J, O'May F. (2007a) Practical demonstration of personal daily consumption limits; a useful intervention tool to promote responsible drinking among UK adults? Alcohol Alcohol 42:436-41. Gill JS, O'May F. (2007b) How 'sensible' is the UK Sensible Drinking message? Preliminary findings amongst newly matriculated female university students in Scotland. J Public Health 29:13-6. Gill J, Nicol M, Gibson C. (2010) Healthcare and medical graduates of 2009; their reactions to four key proposals in the Scottish Government's strategic approach to tackling alcohol misuse. Alcohol Alcohol 45:200-6. Gill J, MacLean F, Renton L et al. (2011) Occupational therapy graduates of 2009: knowledge and attitudes relating to their role in the area of alcohol misuse. Br J Occup Ther 74:1-8. Guise J, Gill J. (2007) Binge drinking? It's good, it's harmless fun': a discourse analysis of accounts of female undergraduate drinking in Scotland. Health Educ Res 22:895-906. Happell B, Taylor C. (2001) Negative attitudes towards clients with drug and alcohol related problems: Finding the elusive solution. Aust NZ J Mental Health Nurs 10:87-96. Information Services Division. (2009a) Alcohol Statistics Scotland 2009. http://www.alcoholinformation.isdscotland.org/alcohol_ misuse/files/alcohol_bulletin09.pdf (18 April 2010, date last accessed). Information Services Division. (2009b) NHS Scotland Workforce Statistics 2009. http://www.isdscotland.org/isd/5332.html (6 December 2010, date last accessed). Kaner EFS, Heather N, McAvoy B et al. (1999) Intervention for excessive alcohol consumption in primary health care: attitudes and practices of English general practitioners. Alcohol Alcohol 34:559-66. Kaner EF, Beyer F, Dickinson HO et al. (2007) Effectiveness of brief alcohol interventions in primary care populations. Cochrane Database Syst Rev 2007, doi: 10.1002/14651858. CD004148.pub3. Kaner EFS, Dickinson HO, Beyer F et al. (2009) The effectiveness of brief alcohol interventions in primary care settings: a systematic review. Drug Alcohol Rev 28:301-23. Lock CA. (2004) Screening and brief alcohol interventions: what, why, who, where and when? A review of the literature. J Subst Abuse 9:91-101. Lock CA, Kaner E. (2004) Implementation of brief alcohol interventions by nurses in primary care: do non-clinical factors influence practice? Fam Pract 21:270-4. Lock CA, Kaner E, Lamont S et al. (2002) A qualitative study of nurses' attitudes and practices regarding brief alcohol interventions in primary health care. J Adv Nurs 39:333-42. Lock CA, Wilson G, Kaner E et al. (2010) A survey of general practitioners' knowledge, attitudes and practices regarding the prevention and management of alcohol-related problems: an update of a World Health Organisation survey ten years on. Alcohol Insight 69. London: AERC. Newbury-Birch D, Walshaw D, Kamali F. (2001) Drink and drugs: from medical students to doctors. Drug Alcohol Depend 4:265-70. PHEPA. (2009) Primary health care European project on alcohol. Disseminating Brief Interventions on Alcohol Problems Europe-wide. Barcelona: Government of Catalunya. http://www. gencat.cat/salut/phepa/units/phepa/pdf/phepa_final_report.pdf. (6 December 2010, date last accessed). Pulford J, McCormick R, Wheeler A et al. (2007) Alcohol assessment: the practice, knowledge and attitudes of staff working in the general medical wards of a large metropolitan hospital. N Z Med J 120:1-9. Scottish Executive. (2002) Working for Health: the Workforce Development Action Plan for NHS. Edinburgh: Scottish Executive. Scottish Executive. (2003) Partnership for Care. Edinburgh: NHS Scotland. Scottish Government. (2007) Better Health, Better Care. Edinburgh: Scottish Executive. Scottish Government. (2008) Changing Scotland's Relationship with Alcohol: a Discussion Paper on Our Strategic Approach. Edinburgh: Scottish Government. Scottish Government. (2009a) Scotland's Drinking Habit. News Release. http://www.scotland.gov.uk/News/Releases/2009/02/ 20161722. (6 December 2010, date last accessed). Scottish Government. (2009b) Changing Scotland's Relationship with Alcohol: a Framework for Action. Edinburgh: Scottish Government. Scottish Government. (2010a) The Societal Cost of Alcohol Misuse in Scotland for 2007. Edinburgh: Scottish Government. http ://www.scotland.gov.uk/Resource/Doc/297819/0092744.pdf (6 December 2010, date last accessed). Scottish Government. (2010b) Gross Domestic Product in Current Prices for Scotland 2010, Q1. Edinburgh: Scottish Government. Available at http://www.scotland.gov.uk/Topics/Statistics/ Browse/Economy/SNAP/expstats/GDPi2010Q1 (18 April 2011, date last accessed). Scottish Government. (2010c) Tackling Alcohol Abuse. News Release. Edinburgh: Scottish Government. http://www.scotland. gov.uk/News/Releases/2010/06/29114320. (6 December 2010, date last accessed). Scottish Government. (2011) HEAT: Alcohol Brief Interventions National Guidance on Data Reporting: 2011-12. Edinburgh: Scottish Government. Sheridan J, Wheeler A, Ju-Hsing Chen L et al. (2008) Screening and brief interventions for alcohol: attitudes, knowledge and experience of community pharmacists in Auckland, New Zealand. Drug Alcohol Rev 27:380-7. Steed H, Groome M, Rice P et al. (2010) Evaluation of a new core curriculum on alcohol use disorders for undergraduate medical students. Alcohol Alcohol 45:395-7. Watson HE. (1999) Minimal interventions for problem drinkers: a review of the literature. J Adv Nurs 30:513-9. Watson M, Blenkinsopp A. (2009) The feasibility of providing community pharmacy-based services for alcohol misuse: a literature review. Int J Pharm Pract 9:199-205. Watson M, Blenkinsopp A, Harrison A. (2008) Community Pharmacy and Alcohol Misuse Services-a Review of Policy and Practice. London: Royal Pharmaceutical Society of Great Britain. World Health Organization. (2010) Global Strategy to Reduce the Harmful Use of Alcohol. Geneva: WHO. Yan J, Gilbert JH, Hoffman SJ. (2007) World Health Organization Study Group on Interprofessional Education and Collaborative Practice. J Interprof Care 21:588-9.pub2359pu