Addressing alcohol related harms within maxillofacial trauma practice

Lee, Kai H., Bobinskas, Alex, & Sun, Jiandong (2015) Addressing alcohol related harms within maxillofacial trauma practice. Journal of Oral and Maxillofacial Surgery, 73(2), 314.e1-e6.

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Abstract

Background

A brief intervention, conducted in the acute setting care setting after an alcohol-related injury, has been reported to be highly beneficial in reducing the risk of re-injury and in reducing subsequent level of alcohol consumption. This project aimed to understand Australasian Oral and Maxillofacial Surgeons' attitudes, knowledge and skills in terms of alcohol screening and brief intervention within acute settings for patients admitted with facial trauma.

Materials and Methods

A web-based survey was made available to all members (n=200-250) of the Australian and New Zealand Association of Oral and Maxillofacial Surgeons (ANZAOMS), promoted through a number of email bulletins sent by the Association to all members. Implied consent is assumed for participants who complete the online survey. The survey explored their current level of involvement in treating patients with alcohol-relatd facial trauma, as well as their knowledge of and attitudes towards alcohol screening and brief intervention. The survey also explored their willingness for further training and involvement in implementing a SBI program. Parts of the survey were based on a hypothetical case with facial injury and drinking history which was presented to the participants and the participants were asked to give their response to this scenario.

Results

A total of 58 surgeons completed the on-line survey. 91% of surgeons surveyed were males and 88% were consultant surgeons. 71% would take alcohol history; 29% would deliver a brief alcohol intervention and 14% would refer the patients to an alcohol treatment service or clinician. 40% agreed to have adequate training in managing patients with alcohol-related injuries, while 17% and 19% felt they had adequate time and resources. 76% of surgeons reported the need for more information on where to refer patients for appropriate alcohol treatment.

Conclusion

The study findings confirm the challenges and barriers to implementing brief alcohol intervention in current practice. There are service gaps that exist, as well as opportunities for training.

Impact and interest:

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ID Code: 77735
Item Type: Journal Article
Refereed: Yes
Keywords: Maxillofacial, trauma, fractures, alcohol intervention
DOI: 10.1016/j.joms.2014.09.026
ISSN: 1531-5053
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > DENTISTRY (110500) > Oral and Maxillofacial Surgery (110504)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Public Health & Social Work
Copyright Owner: Copyright 2014 American Association of Oral and Maxillofacial Surgeons
Copyright Statement: NOTICE: this is the author’s version of a work that was accepted for publication in Journal of Oral and Maxillofacial Surgery. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Journal of Oral and Maxillofacial Surgery, [VOL 73, ISSUE 2, 2015] DOI: 10.1016/j.joms.2014.09.026
Deposited On: 16 Oct 2014 02:18
Last Modified: 07 Mar 2016 15:19

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