Implementing alcohol screening and intervention in a family medicine residency clinic

J. Paul Seale, Sylvia Shellenberger, Wanda Kaye Tillery, John Boltri, Robert Vogel, Barbara Barton, Megan McCauley

Research output: Contribution to journalArticle

27 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)23-31
Number of pages9
JournalSubstance Abuse
Volume26
Issue number1
DOIs
StatePublished - Mar 2005
Externally publishedYes

Keywords

  • Alcohol
  • Brief intervention
  • Hazardous drinking
  • Systems intervention

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Psychiatry and Mental health

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  • Cite this

    Seale, J. P., Shellenberger, S., Tillery, W. K., Boltri, J., Vogel, R., Barton, B., & McCauley, M. (2005). Implementing alcohol screening and intervention in a family medicine residency clinic. Substance Abuse, 26(1), 23-31. https://doi.org/10.1300/J465v26n01_03