{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T09:37:35Z","timestamp":1761730655206,"version":"build-2065373602"},"reference-count":22,"publisher":"CSIRO Publishing","issue":"3","license":[{"start":{"date-parts":[[2025,8,17]],"date-time":"2025-08-17T00:00:00Z","timestamp":1755388800000},"content-version":"vor","delay-in-days":1894,"URL":"https:\/\/doi.org\/10.1071\/journalslicense"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,6,23]]},"abstract":"<jats:p>Chronic diseases are a major contributor to the burden of disease in Australia. Alcohol consumption is similar in people with chronic disease and the general public, and may contribute to management challenges. In regional Australia, there are limited options for the management of excess alcohol consumption, so most of this burden falls to general practitioners. This study explored how staff in general practices are managing alcohol in patients with chronic disease with a view to determining what additional services may be appropriate. Brief interviews were conducted with doctors, nurses and allied health practitioners across three general practices in a regional centre. Interviews were analysed using abductive thematic techniques to elicit broad themes. In all, 18 interviews were conducted. All interviewees found the management of patients with chronic disease who were drinking in excess of guidelines to be challenging. The complexity of patients, in terms of health needs and social circumstances, affected management and self-care. Australian drinking cultural norms also affected patients\u2019 and practitioners\u2019 behaviour. Multidisciplinary care was highlighted by all health professionals; however, there were challenges maintaining staff motivation, a lack of training in alcohol management and a lack of referral or assistance services. Experienced practitioners identified that the patient was the key stakeholder who needed to take ownership of their health. The combined burden of excess alcohol consumption and chronic disease is a common management challenge faced by staff in general practice. Although there was evidence of awareness of the issue and a concerted effort to address the problem, most staff felt they had inadequate training, skills and resources. More undergraduate or postgraduate training in alcohol management and more resources are required to support general practitioners in this area.<\/jats:p>","DOI":"10.1071\/py19176","type":"journal-article","created":{"date-parts":[[2020,6,10]],"date-time":"2020-06-10T01:09:07Z","timestamp":1591751347000},"page":"265-270","source":"Crossref","is-referenced-by-count":3,"title":["Qualitative exploration of barriers to alcohol management in patients with chronic disease in a regional setting"],"prefix":"10.1071","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7499-0241","authenticated-orcid":true,"given":"Julie","family":"Mudd","sequence":"first","affiliation":[{"name":"AJames Cook University, College of Medicine and Dentistry, 1 James Cook Drive, Qld 4811, Australia."},{"name":"CCorresponding author. Email: julie.mudd@jcu.edu.au"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4700-1521","authenticated-orcid":true,"given":"Robyn","family":"Preston","sequence":"additional","affiliation":[{"name":"AJames Cook University, College of Medicine and Dentistry, 1 James Cook Drive, Qld 4811, Australia."},{"name":"BCentral Queensland University, School of Health, Medical and Applied Sciences, 538 Flinders Street, Townsville, Qld 4810, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7561-3202","authenticated-orcid":true,"given":"Sarah","family":"Larkins","sequence":"additional","affiliation":[{"name":"AJames Cook University, College of Medicine and Dentistry, 1 James Cook Drive, Qld 4811, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"67","published-online":{"date-parts":[[2020,6,10]]},"reference":[{"key":"2025102822251202600_R1","doi-asserted-by":"publisher","first-page":"165","DOI":"10.1080\/713659318","article-title":"GP attitudes to managing drug- and alcohol-dependent patients: a reluctant role.","volume":"19","author":"Abouyanni","year":"2000","journal-title":"Drug and Alcohol Review"},{"key":"2025102822251202600_R2","doi-asserted-by":"publisher","first-page":"311","DOI":"10.1071\/PY10015","article-title":"Engaging primary health care workers in drug and alcohol and mental health interventions: challenges for service delivery in rural and remote Australia.","volume":"16","author":"Allan","year":"2010","journal-title":"Australian Journal of Primary Health"},{"key":"2025102822251202600_R3"},{"key":"2025102822251202600_R4"},{"key":"2025102822251202600_R5"},{"key":"2025102822251202600_R6","doi-asserted-by":"publisher","first-page":"218","DOI":"10.3390\/ijerph110100218","article-title":"Health professionals\u2019 alcohol-related professional practices and the relationship between their personal alcohol attitudes and behavior and professional practices: a systematic review.","volume":"11","author":"Bakhshi","year":"2013","journal-title":"International Journal of Environmental Research and Public Health"},{"key":"2025102822251202600_R7","first-page":"349","article-title":"Harm reduction: compassionate care of persons with addictions.","volume":"22","author":"Bartlett","year":"2013","journal-title":"Medsurg Nursing: Official Journal of the Academy of Medical-Surgical Nurses"},{"key":"2025102822251202600_R8","doi-asserted-by":"publisher","first-page":"645","DOI":"10.1007\/s10459-012-9404-x","article-title":"Benchmarking curriculum content in entry-level health professional education with special reference to health promotion practice in physical therapy: a multi-institutional international study.","volume":"18","author":"Bodner","year":"2013","journal-title":"Advances in Health Sciences Education: Theory and Practice"},{"key":"2025102822251202600_R9"},{"key":"2025102822251202600_R10","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1186\/1472-6920-10-22","article-title":"Internal medicine residency training for unhealthy alcohol and other drug use: recommendations for curriculum design.","volume":"10","author":"Jackson","year":"2010","journal-title":"BMC Medical Education"},{"key":"2025102822251202600_R11","doi-asserted-by":"publisher","first-page":"1186","DOI":"10.1111\/acer.12763","article-title":"Screening for at-risk drinking in a population reporting symptoms of depression: a validation of the AUDIT, AUDIT-C, and AUDIT-3.","volume":"39","author":"Levola","year":"2015","journal-title":"Alcoholism, Clinical and Experimental Research"},{"key":"2025102822251202600_R12","doi-asserted-by":"publisher","first-page":"205","DOI":"10.4276\/030802214X13968769798872","article-title":"The topic of alcohol within the Scottish occupational therapy curricula.","volume":"77","author":"Maclean","year":"2014","journal-title":"British Journal of Occupational Therapy"},{"key":"2025102822251202600_R13"},{"key":"2025102822251202600_R100"},{"key":"2025102822251202600_R14"},{"key":"2025102822251202600_R15","doi-asserted-by":"publisher","first-page":"163","DOI":"10.1071\/PY18075","article-title":"Patterns of alcohol consumption among people with major chronic diseases.","volume":"25","author":"Pham","year":"2019","journal-title":"Australian Journal of Primary Health"},{"key":"2025102822251202600_R17","doi-asserted-by":"publisher","first-page":"509","DOI":"10.1046\/j.1360-0443.2003.00328.x","article-title":"Linking alcohol- and drug-dependent adults to primary medical care: a randomized controlled trial of a multi-disciplinary health intervention in a detoxification unit.","volume":"98","author":"Samet","year":"2003","journal-title":"Addiction (Abingdon, England)"},{"key":"2025102822251202600_R18","first-page":"370","article-title":"Prevalence and predictors of problem drinking among primary care diabetic patients.","volume":"37","author":"Spangler","year":"1993","journal-title":"The Journal of Family Practice"},{"key":"2025102822251202600_R19"},{"key":"2025102822251202600_R20","doi-asserted-by":"crossref","first-page":"468","DOI":"10.1177\/000313481608200524","article-title":"Impact of a quality improvement intervention to increase brief alcohol and drug interventions on a Level I trauma service.","volume":"82","author":"Thomas","year":"2016","journal-title":"The American Surgeon"},{"key":"2025102822251202600_R21","doi-asserted-by":"publisher","first-page":"167","DOI":"10.1177\/0735275112457914","article-title":"Theory construction in qualitative research: from grounded theory to abductive analysis.","volume":"30","author":"Timmermans","year":"2012","journal-title":"Sociological Theory"},{"key":"2025102822251202600_R22","doi-asserted-by":"publisher","first-page":"557","DOI":"10.7326\/0003-4819-140-7-200404060-00017","article-title":"Behavioral counseling interventions in primary care to reduce risky\/harmful alcohol use by adults: a summary of the evidence for the U.S. Preventive Services Task Force.","volume":"140","author":"Whitlock","year":"2004","journal-title":"Annals of Internal Medicine"}],"container-title":["Australian Journal of Primary Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/connectsci.au\/py\/article-pdf\/26\/3\/265\/753595\/py19176.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/connectsci.au\/py\/article-pdf\/26\/3\/265\/753595\/py19176.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T02:25:18Z","timestamp":1761704718000},"score":1,"resource":{"primary":{"URL":"https:\/\/connectsci.au\/py\/article\/26\/3\/265\/92491\/Qualitative-exploration-of-barriers-to-alcohol"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6,10]]},"references-count":22,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2020,6,23]]}},"URL":"https:\/\/doi.org\/10.1071\/py19176","relation":{},"ISSN":["1448-7527","1836-7399"],"issn-type":[{"type":"print","value":"1448-7527"},{"type":"electronic","value":"1836-7399"}],"subject":[],"published":{"date-parts":[[2020,6,10]]}}}