Madoc-Jones, I., Wadd, S., Elliott, L., McCann, M., Seddon, J., Close, C., Adnum, L., Dutton, M., Whittaker, A. and Wilson, F., 2020. Factors influencing routine cognitive impairment screening in older at-risk drinkers: Findings from a qualitative study in the UK. Health and Social Care in the Community.

Madoc-Jones, I and Wadd, S and Elliott, L and McCann, M and Seddon, J and Close, C and Adnum, L and Dutton, M and Whittaker, A and Wilson, F (2020) Madoc-Jones, I., Wadd, S., Elliott, L., McCann, M., Seddon, J., Close, C., Adnum, L., Dutton, M., Whittaker, A. and Wilson, F., 2020. Factors influencing routine cognitive impairment screening in older at-risk drinkers: Findings from a qualitative study in the UK. Health and Social Care in the Community. Health and Social Care in the Community. ISSN 1365-2524

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Abstract

Cognitive 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.

Item Type:	Article
Additional Information and Comments:	This is the peer reviewed version of the following article: Madoc-Jones, I., Wadd, S., Elliott, L., McCann, M., Seddon, J., Close, C., Adnum, L., Dutton, M., Whittaker, A. and Wilson, F., 2020. Factors influencing routine cognitive impairment screening in older at-risk drinkers: Findings from a qualitative study in the UK. Health and Social Care in the Community which has been published in final form at https://doi.org/10.1111/hsc.13093. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.
Keywords:	Alcohol use among the over 50s
Faculty / Department:	Faculty of Education and Social Sciences > School of Social Sciences
Depositing User:	Laura Adnum
Date Deposited:	07 Aug 2020 08:28
Last Modified:	02 Oct 2020 12:06
URI:	https://hira.hope.ac.uk/id/eprint/3092

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