Abstract:
:The purpose of this study was to evaluate the impact of simultaneous systems interventions and clinician training on management of hazardous and harmful drinking in a residency clinic. Systems interventions included forming a multi-disciplinary implementation team, training registration clerks to distribute health risk questionnaires using the AUDIT-C alcohol screen, and training nurses to score the AUDIT-C and administer the AUDIT to screen-positive patients. Clinicians were trained to perform brochure-based interventions on screen-positive patients. Research staff provided compliance feedback. Over 12 months, 8.0% (241/3014) of patients screened positive and 3.8% (115/3014) received brief interventions. For screen-positive patients, comparisons with baseline measurements found increased rates of alcohol assessment (50% vs. 0%, p < .0001) and intervention (48.1% vs. 9.4%, p < .0001). Clinicians intervened more often when prompted with completed AUDITs (72% vs. 23%, p < .0001). Program modifications resulted in progressive increases in numbers of patients screened. This model shows promise for use in other residency programs.
journal_name
Subst Abusjournal_title
Substance abuseauthors
Seale JP,Shellenberger S,Tillery WK,Boltri J,Vogel R,Barton B,McCauley Mdoi
10.1300/j465v26n01_03subject
Has Abstractpub_date
2005-03-01 00:00:00pages
23-31issue
1eissn
0889-7077issn
1547-0164journal_volume
26pub_type
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