NEEDS ASSESSMENT AND CURRENT PRACTICE OF ALCOHOL RISK ASSESSMENT OF PREGNANT WOMEN AND WOMEN OF CHILDBE ARING AGE BY PRIM ARY HEALTH CARE PROFESSIONALS
Main Article Content
Keywords
FASD prevention, learning and resource needs, family physicians/general practitioners, nurse practitioners, survey, alcohol risk assessment, pregnant and childbearing aged women
Abstract
Background
Assessing the current practices and learning and resource needs of primary health care professionals in regards to their alcohol risk assessment practices is an important step in providing optimal training and educational methods. Needs and current practices in alcohol risk assessment of pregnant women and women of child bearing years may vary according to practitioner demographics.
Methods
To appraise alcohol risk assessment current practices and learning and resource needs among Saskatchewan primary health care professionals, a mail and online survey was distributed in the spring of 2006 to family physicians/general practitioners and nurse practitioners.
Results
In total, 876 surveys were distributed and 386 were returned for an overall response rate of 44.1%. The majority of survey respondents reported either rarely or never using a standardized screening tool in assessing alcohol risk in women or reported using a standardized screening tool that is less sensitive. Current practices varied according to gender, length of time in practice and practice location, while learning and resource needs were more likely to be identified by nurse practitioners, female physicians, and physicians from rural areas. Physicians who had practiced for less than 5 years were more likely to want an online course.
Discussion
Knowing the needs and practices of health care professionals may assist learning and resource training and could assist in teaching best practices in alcohol risk assessment. Assessing alcohol risk in pregnant women and women of childbearing age is critical for prevention of FASD.
References
2. Chang G. Alcohol-screening instruments for pregnant women. Alcohol Res Health 2001; 25(3):204-209.
3. Russell M, Martier SS, Sokol RJ, Mudar P, Jacobson S, Jacobson J. Detecting risk drinking during pregnancy: A comparison of four screening questionnaires. Am J Public Health 1996; 86(10):1435-1439.
4. Chang G, Wilkins-Haug L, Berman S, Goetz MA, Behr H, Hiley A. Alcohol use and prevention: Improving identification. Obstet Gynecol 1998; 91(6):892-898.
5. Chang G. Screening and brief intervention in prenatal care settings. Alcohol Res Health 2004/2005; 28(2):80-84.
6. Diekman ST, Floyd L, Decoufle P, Schulkin J, Ebrahim SH, Sokol RJ. A survey of obstetrician- gynecologists on their patients’ alcohol use during pregnancy. Obstet Gynecol 2000; 95(5):756-763.
7. Spandorfer JM, Israel Y, Turner B. Primary care physicians’ views on screening and management of alcohol abuse: Inconsistence with national guidelines. J Fam Pract 1999; 48(11):899-902.
8. Gassman RA. Medical specialization, profession, and mediating beliefs that predict stated likelihood of alcohol screening and brief intervention: Targeting educational interventions. Subst Abus 2003; 24(3):141-156.
9. Friedmann P, McCullough D, Chin MH, Saitz R. Screening and intervention for alcohol problems. J Gen Intern Med 2000; 15:84-91.
10. Saskatchewan Prevention Institute. Physician database: Perinatal and Infant Health Program 2007.