Evaluation of a Screening and Counseling Tool for Alcohol Misuse: A Virginia Practice Support and Research Network (VaPSRN) Trial

Article Figures & Data

Table 1. Participant Demographics

Table 2. Alcohol Misuse Intervention Tool (AMIT) Use Data

Clinicians completing study (n = 12)
Total sessions with AMIT (n)	27
Use of patient interview section (n [%])	19 (70)
Use of educational content (n [%])	8 (30)
Sessions per user (mean [range])	3 (0–10)
Pages per session (mean)	16 (3–37)
Session length (includes suspected training), minutes (mean [range])	4:51 (10 sec to 16 min)
Clinicians using tool^*
Total sessions with AMIT	31
Sessions per user (mean [range])	3 (1–10)
Pages per session (mean)	15
Session length (excludes suspected training), minutes	3:28

Table 3. Summary of Suggestions for Tool Modifications and Barriers to Use from Qualitative Analysis

Tool Modifications	Barriers to Tool Use
• More patient resources (eg, tailored patient handouts, a web portal for patients)	• Perceptions that few patients have alcohol misuse/abuse problems
• Options for targeted use (eg, access to drug dosing in 2 steps, identifying resources)	• Multiple competing demands in primary care settings
• Enhancing the tool design for interactivity with patients	• Lack of time
• Integrating the tool with electronic medical records	• Issues with technology at the point of care
• Completing screening before the physician visit (eg, by patients or other clinical team members)
• Improved navigation through the tool so users can see where they are going in the interview
• Providing assistance with billing and reimbursement