Skills-based residency training in alcohol screening and brief intervention: Results from the georgia-texas improving brief intervention project

J. Paul Seale, Mary M. Velasquez, J Aaron Johnson, Sylvia Shellenberger, Kirk Von Sternberg, Carrie Dodrill, John M. Boltri, Roy Takei, Denice Clark, Daniel Grace

Research output: Contribution to journalArticle

16 Scopus citations

Abstract

Alcohol screening and brief intervention (SBI) is recommended for all primary care patients but is underutilized. This project trained 111 residents and faculty in 8 family medicine residencies to conduct SBI and implement SBI protocols in residency clinics, then assessed changes in self-reported importance and confidence in performing SBI and brief intervention (BI) rates. Clinicians reported significant increases in role security, confidence, and ability to help drinkers reduce drinking and decreased importance of factors that might dissuade them from performing SBI. Stage of change measures indicated 37% of clinicians progressed toward action or maintenance in performing SBI; however, numbers of reported BIs did not increase. At all time points, 33% to 36% of clinicians reported BIs with 10% of the last 50 patients. Future studies should focus on increasing intervention rates using more patient-centered BI approaches, quality improvement approaches, and systems changes that could increase opportunities for performing BIs.

Original languageEnglish (US)
Pages (from-to)261-271
Number of pages11
JournalSubstance Abuse
Volume33
Issue number3
DOIs
StatePublished - Jul 1 2012
Externally publishedYes

Keywords

  • Alcohol screening
  • attitudes of health personnel
  • brief intervention
  • internship and residency
  • medical education
  • program evaluation

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Psychiatry and Mental health

Fingerprint Dive into the research topics of 'Skills-based residency training in alcohol screening and brief intervention: Results from the georgia-texas improving brief intervention project'. Together they form a unique fingerprint.

  • Cite this

    Paul Seale, J., Velasquez, M. M., Johnson, J. A., Shellenberger, S., Von Sternberg, K., Dodrill, C., Boltri, J. M., Takei, R., Clark, D., & Grace, D. (2012). Skills-based residency training in alcohol screening and brief intervention: Results from the georgia-texas improving brief intervention project. Substance Abuse, 33(3), 261-271. https://doi.org/10.1080/08897077.2011.640187