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