Factors influencing routine cognitive impairment screening in older at-risk drinkers: findings from a qualitative study in the United Kingdom
Seddon, Jennifer L.
Subject Categories::L510 Health & Welfare
MetadataShow full item record
AbstractCognitive Impairment (CI) screening is recommended for those engaged in harmful levels of alcohol use. However, there is a lack of evidence on implementation. This paper explores the barriers and facilitators to CI screening experienced across a service specifically for older drinkers. The findings draw on data gathered as part of an evaluation of a multilevel programme to reduce alcohol-related harm in adults aged 50 and over in five demonstration areas across the United Kingdom. It is based on qualitative interviews and focus groups with 14 service providers and 22 service users. Findings are presented thematically under the section headings: acceptability of screening, interpretation and making sense of screening and treatment options. It is suggested that engagement with CI screening is most likely when its fit with agency culture and its purpose is clear; where service providers have the technical skills to administer and discuss the results of screening with service users; and where those undertaking screening have had the opportunity to reflect on their own experience of being screened. Engagement with CI screening is also most likely where specific intervention pathways and engagement practices can be accessed to respond to assessed need.
CitationMadoc-Jones I, Wadd S, Elliott L, Whittaker A, Adnum L, Close C, Seddon J, Dutton M, McCann M, Wilson F (2020) 'Factors influencing routine cognitive impairment screening in older at-risk drinkers: findings from a qualitative study in the United Kingdom', Health and Social Care in the Community, 29 (2), pp.344-352.
- Involving the public and other stakeholders in development and evaluation of a community pharmacy alcohol screening and brief advice service.
- Authors: Krska J, Mackridge AJ
- Issue date: 2014 Apr
- Alcohol screening in people with cognitive impairment: an exploratory study.
- Authors: Randall-James J, Wadd S, Edwards K, Thake A
- Issue date: 2015
- UNderstanding uptake of Immunisations in TravellIng aNd Gypsy communities (UNITING): a qualitative interview study.
- Authors: Jackson C, Dyson L, Bedford H, Cheater FM, Condon L, Crocker A, Emslie C, Ireland L, Kemsley P, Kerr S, Lewis HJ, Mytton J, Overend K, Redsell S, Richardson Z, Shepherd C, Smith L
- Issue date: 2016 Sep
- Beyond the black stump: rapid reviews of health research issues affecting regional, rural and remote Australia.
- Authors: Osborne SR, Alston LV, Bolton KA, Whelan J, Reeve E, Wong Shee A, Browne J, Walker T, Versace VL, Allender S, Nichols M, Backholer K, Goodwin N, Lewis S, Dalton H, Prael G, Curtin M, Brooks R, Verdon S, Crockett J, Hodgins G, Walsh S, Lyle DM, Thompson SC, Browne LJ, Knight S, Pit SW, Jones M, Gillam MH, Leach MJ, Gonzalez-Chica DA, Muyambi K, Eshetie T, Tran K, May E, Lieschke G, Parker V, Smith A, Hayes C, Dunlop AJ, Rajappa H, White R, Oakley P, Holliday S
- Issue date: 2020 Dec
- Alcohol use screening and intervention by American primary care providers.
- Authors: Sahker E, Arndt S
- Issue date: 2017 Mar