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. 2012 Sep-Oct;25(5):605-13.
doi: 10.3122/jabfm.2012.05.110077.

Evaluation of a screening and counseling tool for alcohol misuse: a Virginia Practice Support and Research Network (VaPSRN) trial

Scott M Strayer  1 , Sandra L Pelletier, Lisa K Rollins, Steve W Heim, Karen S Ingersoll, Lee M Ritterband, John B Schorling
Affiliations

Evaluation of a screening and counseling tool for alcohol misuse: a Virginia Practice Support and Research Network (VaPSRN) trial

Scott M Strayer et al. J Am Board Fam Med. 2012 Sep-Oct.

Abstract

Background: Surveys reveal limited screening and counseling for alcohol misuse by primary care physicians despite evidence-based recommendations. We developed and evaluated an alcohol screening and misuse counseling tool designed to assist clinicians at the point of care (POC).

Methods: This was a mixed methods, prospective cohort study conducted with licensed clinicians in a practice-based research network. A software tool was designed to guide clinicians through evidence-based alcohol misuse assessment and interventions.

Results: Participants (N = 12) used the tool an average of 3 sessions and 71% were satisfied with the tool. Participants increased their ability to differentiate between patients who are "at risk" drinkers versus those with alcohol use disorders including dependence/abuse (21%; t = 2.4; P = .04). Thematic analysis of interviews suggests that barriers to overall use included perceptions of alcohol use; clinical need to intervene; time; and issues with use of technology, most often at the POC. However, the tool added confidence and a valuable framework for interventions and was valued as an educational tool. Users felt that increased training and practice could increase comfort and impact future POC use. Increased POC usability also may be achieved through simplification of the tool and additional flexibility in options for POC use.

Conclusions: A computer-assisted counseling tool for alcohol misuse and abuse can be implemented in primary care settings and shows promise for improving physician screening and interventions for alcohol misuse. To enhance utility in daily clinical practice we recommend design enhancements and strategies to enhance usage as described in this research.

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Conflict of interest statement

Conflicting and Competing Interests: None

Figures

Figure 1
Figure 1
AMIT screenshots
Figure 2
Figure 2
Summary of suggestions for tool modifications and barriers to use from qualitative analysis
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References

    1. McGinnis JM, Foege WH. Actual causes of death in the united states. JAMA. 1993;270(18):2207–2212. - PubMed
    1. Mokdad AH, Marks JS, Stroup DF, Gerberding JL. Actual causes of death in the united states, 2000. JAMA. 2004;291(10):1238–1245. - PubMed
    1. Centers for Disease Control and Prevention (CDC). . Alcohol-attributable deaths and years of potential life lost--united states, 2001. MMWR Morb Mortal Wkly Rep. 2004;53(37):866–870. - PubMed
    1. Reid MC, Fiellin DA, O’Connor PG. Hazardous and harmful alcohol consumption in primary care. Arch Intern Med. 1999;159(15):1681–1689. - PubMed
    1. National Institute on Alcohol Abuse and Alcoholism. The tenth special report to the US congress on alcohol and health. Rockville, MD: pp. 429–443. NIH Publication No. 00–1583.

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