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Judith K. Ockene, PhD; Elizabeth V. Wheeler, PhD; Abigail Adams, MD; Thomas G. Hurley, MS; James Hebert, ScD

Arch Intern Med. 1997;157(20):2334-2341.

Abstract
Objective
To assess the impact of a brief training program on primary care providers' skills, attitudes, and knowledge regarding high-risk and problem drinking.

Design
Training plus pretesting and posttesting for program efficacy.

Setting
Ambulatory primary care clinic; academic medical center.

Participants
Fourteen attending physicians, 12 residents, and 5 nurse practitioners were randomized by clinical team affiliation to a Special Intervention or usual care condition of a larger study. We report the results of the training program for the Special Intervention providers.

Intervention
Providers received a 2-hour group training session plus a 10- to 20-minute individual tutorial session 2 to 6 weeks after the group session. The training focused on teaching providers how to perform patient-centered counseling for high-risk and problem drinkers.

Main Outcome Measures
Alcohol counseling skills; attitudes regarding preparedness to intervene and perceived importance and usefulness of intervening with high-risk and problem drinkers; and knowledge of the nature, prevalence, and appropriate treatment of alcohol abuse in primary care populations.

Results
After training, providers scored significantly higher on measures of counseling skills, preparedness to intervene, perceived usefulness and importance of intervening, and knowledge.

Conclusion
A group training program plus brief individual feedback can significantly improve primary care providers' counseling skills, attitudes, and knowledge regarding high-risk and problem drinkers.

Arch Intern Med. 1997;157:2334-2341

Author Affiliations
From the Division of Preventive and Behavioral Medicine (Drs Ockene, Wheeler, and Hebert and Mr Hurley) and General Medicine and Primary Care (Dr Adams), University of Massachusetts Medical Center, Worcester.

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