Identifying parents with risky alcohol consumption habits in a paediatric unit - are screening and brief intervention appropriate methods?

Lene B L Bjerregaard, Oke Gerke, Sune Rubak, Arne Høst, Lis Wagner

Publikation: Bidrag til tidsskriftTidsskriftsartikelForskningpeer review

Abstract

BACKGROUND: There is no systematic identification of parents with excessive alcohol use who have a child admitted to hospital. Children in families with excessive alcohol issues form a high risk group as substantial alcohol consumption has a damaging influence on a child emotionally, cognitively, socially and physically. Alcohol consumption is a sensitive issue, and health staff needs knowledge, qualifications and adequate training in communicating with parents about this taboo.\n\nAIM: • To identify specific patterns in subgroups of parents by comparing results from screening and demographic variables • To identify systematic patterns in staff members by demographic variables to decide whether these factors influence the screening results.\n\nMETHODS: During 1 year, screening and brief intervention (SBI) was accomplished, including health staff conducting dialogues with parents of a hospitalized child using motivational interviewing (MI) and screening for risky alcohol behaviour by Cut down, Annoyance from others, feel Guilty, Early-morning Craving (CAGE)-C. Data were analysed by descriptive statistics, and relationships were tested with a statistical significance level of 0.05, using SPSS (version 16.0).\n\nRESULTS: Motivational dialogues with 779 parents were conducted by 43 staff members, and 11% of the parents were screened positive for risky alcohol behaviour. Drinking alcohol 4 days a week or more and drinking alcohol outside mealtimes were main risk factors. Parents' gender was the strongest predictor of screening positive and OR was 6.8 for men (CI 4.03-11.74) compared to women, p
OriginalsprogEngelsk
TidsskriftScandinavian Journal of Caring Sciences
Vol/bind25
Udgave nummer2
Sider (fra-til)383-393
Antal sider11
ISSN0283-9318
DOI
StatusUdgivet - jun. 2011

Emneord

  • Barriers among health staff
  • Children
  • Motivational interviewing
  • Opportunistic brief intervention
  • Risky alcohol behaviour
  • Screening

Citationsformater