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Research ArticleOriginal Research

Patient-Reported Offers of Alcohol Treatment for Primary Care Patients at High-Risk for an Alcohol Use Disorder

Sean Grant, Katherine E. Watkins, Andy Bogart, Susan M. Paddock and Kimberly A. Hepner
The Journal of the American Board of Family Medicine November 2016, 29 (6) 682-687; DOI: https://doi.org/10.3122/jabfm.2016.06.160023
Sean Grant
the RAND Corporation, Santa Monica, CA.
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Katherine E. Watkins
the RAND Corporation, Santa Monica, CA.
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Andy Bogart
the RAND Corporation, Santa Monica, CA.
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Susan M. Paddock
the RAND Corporation, Santa Monica, CA.
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Kimberly A. Hepner
the RAND Corporation, Santa Monica, CA.
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Article Figures & Data

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    Table 1.

    Participant Demographics (n = 349)

    VariableParticipants
    Age (years), mean (SD)54.9 (15.2)
    Married or living as married129 (37.2)
    Highest education completed
        Not complete high school18 (5.2)
        High school or GED119 (34.1)
        Some college159 (45.6)
        College graduate or beyond53 (15.2)
    Ethnicity/race
        Hispanic92 (26.4)
        Non-Hispanic white184 (52.7)
        Other73 (20.9)
    Insurance coverage and medical care
        Insurance coverage outside the VA133 (38.3)
        All/most medical care through VA291 (84.3)
    High risk for alcohol use disorder
        AUDIT-C score ≥8 only146 (41.8)
        AUD diagnosis code at screening visit only116 (33.2)
        Both AUDIT-C ≥8 and AUD diagnosis at index date87 (24.9)
    AUDIT score, mean (SD)14.4 (7.3)
    Mental health symptoms, mean (SD)
        PHQ-9 score5.9 (6.0)
        GAD-7 score4.8 (5.5)
    SF-12, mean (SD)
        Physical health score46.5 (11.0)
        Mental health score50.9 (11.9)
    Readiness to change
        Precontemplation40 (11.7)
        Contemplation182 (53.2)
        Action120 (35.1)
    Drug use in the past month38 (10.9)
    • Data are n (%) unless otherwise indicated.

    • AUD, alcohol use disorder; AUDIT-C, Alcohol Use Disorders Identification Test–Consumption; GAD-7, 7-item Generalized Anxiety Disorder Assessment; GED, General Educational Development; PHQ-9, 9-item Patient Health Questionnaire; SD, standard deviation; SF-12, 12-item Short Form; VA, Veterans Affairs.

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    Table 2.

    Multivariate Logistic Regression of Formal Treatment Offer Receipt on Demographic and Clinical Variables

    VariablesAny Formal Treatment Offer
    AUDIT score1.07 (1.03–1.11)*
    Age at screening visit0.97 (0.95–0.99)*
    Married or living as married1.61 (0.96–2.71)
    Non-Hispanic white race0.98 (0.60–1.59)
    At least some college0.72 (0.44–1.17)
    Employment category
        Employed1 (Referent)
        Unemployed1.30 (0.63–2.67)
        Out of labor force1.08 (0.58–2.04)
    All/most care received at VA1.63 (0.78–3.37)
    Readiness to change category
        Precontemplation1 (Referent)
        Contemplation2.34 (0.93–5.88)
        Action2.33 (0.89–6.10)
    SF-12 measures
        PCS0.98 (0.96–1.00)
        MCS1.00 (0.98–1.02)
    Illegal drug use or prescription misuse1.66 (0.79–3.49)
    • Data are odds ratio (95% confidence interval).

    • ↵* We used continuous measures for age and Alcohol Use Disorders Identification Test (AUDIT; full version) score (P < .05).

    • MCS, mental health score; PCS, physical health score; SF-12, 12-item Short Form; VA, Veterans Affairs.

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The Journal of the American Board of Family     Medicine: 29 (6)
The Journal of the American Board of Family Medicine
Vol. 29, Issue 6
November-December 2016
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Patient-Reported Offers of Alcohol Treatment for Primary Care Patients at High-Risk for an Alcohol Use Disorder
Sean Grant, Katherine E. Watkins, Andy Bogart, Susan M. Paddock, Kimberly A. Hepner
The Journal of the American Board of Family Medicine Nov 2016, 29 (6) 682-687; DOI: 10.3122/jabfm.2016.06.160023

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Patient-Reported Offers of Alcohol Treatment for Primary Care Patients at High-Risk for an Alcohol Use Disorder
Sean Grant, Katherine E. Watkins, Andy Bogart, Susan M. Paddock, Kimberly A. Hepner
The Journal of the American Board of Family Medicine Nov 2016, 29 (6) 682-687; DOI: 10.3122/jabfm.2016.06.160023
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Keywords

  • Alcohol Drinking
  • Alcohol-Related Disorders
  • Demography
  • Health Personnel
  • Mental Health
  • Primary Health Care
  • Self-Report
  • Telephone

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