National Healthcare Quality and Disparities Report
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大象视频Research Studies
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Research Studies is a compilation of published research articles funded by 大象视频or authored by 大象视频researchers.
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1 to 4 of 4 Research Studies DisplayedRockwell MS, Funk AJ, Huffstetler AN
Screening for unhealthy alcohol use among patients with multiple chronic conditions in primary care.
This study investigated the impact of multiple chronic conditions on screening for unhealthy alcohol use in primary care. Analyzing electronic health records from 67 Virginia practices (2020-2023), the results showed that 58% of 11,789 patients had multiple chronic conditions. While 69% were screened for alcohol use, only 16% used a U.S. Preventive Services Task Force-recommended instrument. Patients with physical and mental health conditions were less likely to receive screening, despite being more likely to screen positive for unhealthy alcohol use. The findings highlight the need for improved alcohol-related preventive services in primary care, especially for patients with complex health issues.
AHRQ-funded; HS027077.
Citation: Rockwell MS, Funk AJ, Huffstetler AN .
Screening for unhealthy alcohol use among patients with multiple chronic conditions in primary care.
AJPM Focus 2024 Aug; 3(4):100233. doi: 10.1016/j.focus.2024.100233..
Keywords: Screening, Alcohol Use, Chronic Conditions, Primary Care, Substance Abuse, Behavioral Health, U.S. Preventive Services Task Force (USPSTF)
Huffstetler AN, Villalobos G, Brooks EM
The current state of alcohol screening and management in Virginia primary care practices: an evaluation of preventive service use.
This study used the recommendations of the US Preventive Services Task Force on screening and behavioral counseling for adults over 18 years for unhealthy alcohol use to examine the current state of alcohol screening and management in Virginia primary care practices. Clinicians were advised to use the following recommended screening instruments: the Alcohol Use Disorders Identification Test-Concise and or Single Alcohol Screening Question. Baseline data showed that clinicians appropriately screened only 10.8% of patients and only identified 9.6% as having risky drinking. However, 24% of patients reported risky drinking on a survey, demonstrating the implementation gap of the USPSTF recommendation and opportunity to improve health.
AHRQ-funded; HS027077.
Citation: Huffstetler AN, Villalobos G, Brooks EM .
The current state of alcohol screening and management in Virginia primary care practices: an evaluation of preventive service use.
Med Clin North Am 2023 Nov; 107(6s):e1-e17. doi: 10.1016/j.mcna.2023.07.001..
Keywords: U.S. Preventive Services Task Force (USPSTF), Alcohol Use, Screening, Substance Abuse, Behavioral Health, Primary Care, Evidence-Based Practice
Mabry-Hernandez I, Scoulios N
大象视频Author: Mabry-Hernandez I
Screening and behavioral counseling interventions to reduce unhealthy alcohol use in adolescents and adults.
This case study concerns a 20-year-old male university student with a history of exercise-induced asthma presenting for his yearly physical. He expresses that he occasionally misses classes in the morning because he is tired.
AHRQ-authored.
Citation: Mabry-Hernandez I, Scoulios N .
Screening and behavioral counseling interventions to reduce unhealthy alcohol use in adolescents and adults.
Am Fam Physician 2019 Jun 15;99(12):771-72..
Keywords: U.S. Preventive Services Task Force (USPSTF), Alcohol Use, Substance Abuse, Screening, Prevention, Primary Care, Case Study
Ludman EJ, Curry SJ
Perspectives in implementing a primary care-based intervention to reduce alcohol misuse.
This study, Options Regarding Consumption of Alcohol (ORCA), was designed to test whether a primary care-based intervention would reduce alcohol misuse among patients who screened positive for risky or hazardous drinking. This paper assesses the study features using the Pragmatic-Explanatory Continuum Indicator Summary Model domains. As a randomized trial, the study included some explanatory features (e.g., standardized follow-up surveys administered by study personnel); however, several aspects of the study were highly pragmatic.
AHRQ-funded; 290201000004I.
Citation: Ludman EJ, Curry SJ .
Perspectives in implementing a primary care-based intervention to reduce alcohol misuse.
Am J Prev Med 2015 Sep;49(3 Suppl 2):S194-9. doi: 10.1016/j.amepre.2015.05.016.
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Keywords: Alcohol Use, Behavioral Health, Prevention, Primary Care, U.S. Preventive Services Task Force (USPSTF)
