TY - JOUR
T1 - Skills-based residency training in alcohol screening and brief intervention
T2 - Results from the georgia-texas improving brief intervention project
AU - Paul Seale, J.
AU - Velasquez, Mary M.
AU - Johnson, J Aaron
AU - Shellenberger, Sylvia
AU - Von Sternberg, Kirk
AU - Dodrill, Carrie
AU - Boltri, John M.
AU - Takei, Roy
AU - Clark, Denice
AU - Grace, Daniel
N1 - Funding Information:
KEYWORDS. Alcohol screening, attitudes of health personnel, brief intervention, internship and residency, medical education, program evaluation J. Paul Seale, J. Aaron Johnson, Sylvia Shellenberger, John M. Boltri, Roy Takei, Denice Clark, and Daniel Grace are affiliated with the Department of Family Medicine, Medical Center of Central Georgia and Mercer University School of Medicine, Macon, Georgia, USA. Mary M. Velasquez and Kirk von Sternberg are affiliated with the Health Behavior Research and Training Institute, Center for Social Work Research, University of Texas at Austin, Austin, Texas, USA. Carrie Dodrill is affiliated with the Michael E. Debakey Veterans Affairs Medical Center, Houston, Texas, USA. Address correspondence to: J. Paul Seale, MD, Department of Family Medicine, 3780 Eisenhower Parkway, Macon, GA 31206, USA (E-mail: [email protected]). This study was funded by the US National Institute on Alcohol Abuse and Alcoholism, grant R25-AA-014915.
PY - 2012/7/1
Y1 - 2012/7/1
N2 - 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.
AB - 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.
KW - Alcohol screening
KW - attitudes of health personnel
KW - brief intervention
KW - internship and residency
KW - medical education
KW - program evaluation
UR - https://www.scopus.com/pages/publications/84863534271
UR - https://www.scopus.com/pages/publications/84863534271#tab=citedBy
U2 - 10.1080/08897077.2011.640187
DO - 10.1080/08897077.2011.640187
M3 - Article
C2 - 22738003
AN - SCOPUS:84863534271
SN - 0889-7077
VL - 33
SP - 261
EP - 271
JO - Substance Abuse
JF - Substance Abuse
IS - 3
ER -
SDG 3 Good Health and Well-being