Implementing alcohol screening and intervention in a family medicine residency clinic.

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 Abus

journal_title

Substance abuse

authors

Seale JP,Shellenberger S,Tillery WK,Boltri J,Vogel R,Barton B,McCauley M

doi

10.1300/j465v26n01_03

subject

Has Abstract

pub_date

2005-03-01 00:00:00

pages

23-31

issue

1

eissn

0889-7077

issn

1547-0164

journal_volume

26

pub_type

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