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Research ArticleOriginal Research

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

Scott M. Strayer, Sandra L. Pelletier, Lisa K. Rollins, Steve W. Heim, Karen S. Ingersoll, Lee M. Ritterband and John B. Schorling
The Journal of the American Board of Family Medicine September 2012, 25 (5) 605-613; DOI: https://doi.org/10.3122/jabfm.2012.05.110077
Scott M. Strayer
From the Department of Family and Preventive Medicine, University of South Carolina School of Medicine, Columbia (SMS); the Department of Family Medicine (SLP, LKR, SWH), Department of Psychiatry and Neurobehavioral Sciences (KSI, LMR), and Department of Medicine (JBS), University of Virginia Health System, Charlottesville.
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Sandra L. Pelletier
From the Department of Family and Preventive Medicine, University of South Carolina School of Medicine, Columbia (SMS); the Department of Family Medicine (SLP, LKR, SWH), Department of Psychiatry and Neurobehavioral Sciences (KSI, LMR), and Department of Medicine (JBS), University of Virginia Health System, Charlottesville.
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Lisa K. Rollins
From the Department of Family and Preventive Medicine, University of South Carolina School of Medicine, Columbia (SMS); the Department of Family Medicine (SLP, LKR, SWH), Department of Psychiatry and Neurobehavioral Sciences (KSI, LMR), and Department of Medicine (JBS), University of Virginia Health System, Charlottesville.
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Steve W. Heim
From the Department of Family and Preventive Medicine, University of South Carolina School of Medicine, Columbia (SMS); the Department of Family Medicine (SLP, LKR, SWH), Department of Psychiatry and Neurobehavioral Sciences (KSI, LMR), and Department of Medicine (JBS), University of Virginia Health System, Charlottesville.
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Karen S. Ingersoll
From the Department of Family and Preventive Medicine, University of South Carolina School of Medicine, Columbia (SMS); the Department of Family Medicine (SLP, LKR, SWH), Department of Psychiatry and Neurobehavioral Sciences (KSI, LMR), and Department of Medicine (JBS), University of Virginia Health System, Charlottesville.
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Lee M. Ritterband
From the Department of Family and Preventive Medicine, University of South Carolina School of Medicine, Columbia (SMS); the Department of Family Medicine (SLP, LKR, SWH), Department of Psychiatry and Neurobehavioral Sciences (KSI, LMR), and Department of Medicine (JBS), University of Virginia Health System, Charlottesville.
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John B. Schorling
From the Department of Family and Preventive Medicine, University of South Carolina School of Medicine, Columbia (SMS); the Department of Family Medicine (SLP, LKR, SWH), Department of Psychiatry and Neurobehavioral Sciences (KSI, LMR), and Department of Medicine (JBS), University of Virginia Health System, Charlottesville.
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Article Figures & Data

Tables

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    Table 1. Participant Demographics
    Clinician type/affiliation
        Faculty physician6
        Community physician1
        Fellow physician2
        Resident physician
            PGY 31
            PGY 21
        Nurse practitioner1
    Male sex (%)58
    Age (mean years)42
    Practice type
        Academic8
        Academic internal medicine1
        Academic-rural2
        Community-urban1
    • Values provided as n unless otherwise indicated.

    • PGY, postgraduate year.

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    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 AMIT31
        Sessions per user (mean [range])3 (1–10)
        Pages per session (mean)15
        Session length (excludes suspected training), minutes3:28
    • ↵* Includes participants who did not complete study (n = 11).

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    Table 3. Summary of Suggestions for Tool Modifications and Barriers to Use from Qualitative Analysis
    Tool ModificationsBarriers 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
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The Journal of the American Board of Family     Medicine: 25 (5)
The Journal of the American Board of Family Medicine
Vol. 25, Issue 5
September-October 2012
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Evaluation of a Screening and Counseling Tool for Alcohol Misuse: A Virginia Practice Support and Research Network (VaPSRN) Trial
Scott M. Strayer, Sandra L. Pelletier, Lisa K. Rollins, Steve W. Heim, Karen S. Ingersoll, Lee M. Ritterband, John B. Schorling
The Journal of the American Board of Family Medicine Sep 2012, 25 (5) 605-613; DOI: 10.3122/jabfm.2012.05.110077

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Evaluation of a Screening and Counseling Tool for Alcohol Misuse: A Virginia Practice Support and Research Network (VaPSRN) Trial
Scott M. Strayer, Sandra L. Pelletier, Lisa K. Rollins, Steve W. Heim, Karen S. Ingersoll, Lee M. Ritterband, John B. Schorling
The Journal of the American Board of Family Medicine Sep 2012, 25 (5) 605-613; DOI: 10.3122/jabfm.2012.05.110077
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