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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 2 of 2 Research Studies Displayed
Bishop D, Parsons D, Villalobos G
Reducing stigma through conversations in primary care about unhealthy alcohol use.
To improve how primary care teams talk with patients about alcohol use, this study implemented an 大象视频EvidenceNOW strategy that used practice facilitators to support respectful, nonjudgmental communication. Clinics adopted standard language and workflows to normalize screening and reduce stigma. Materials emphasized that alcohol screening is routine and not targeted, helping patients feel less judged. Findings suggest that even small changes in language and approach can significantly enhance trust and uptake of alcohol-related health interventions.
AHRQ-funded.
Citation: Bishop D, Parsons D, Villalobos G . Reducing stigma through conversations in primary care about unhealthy alcohol use. Ann Fam Med 2025 Jan 27; 23(1):83. doi: 10.1370/afm.240384..
Keywords: Alcohol Use, Substance Abuse, Social Stigma, Primary Care, Communication, Clinician-Patient Communication, Behavioral Health
Alexandre W, Muhammad H, Agbalajobi O
Alcohol treatment discussions and clinical outcomes among patients with alcohol-related cirrhosis.
The purpose of this study was to investigate the relationships between medical dialogues concerning alcohol use disorder (AUD) treatment, AUD treatment engagement, and mortality rates. The retrospective cohort study encompassed all patients diagnosed with cirrhosis and AUD receiving hepatology care within a single healthcare system in 2015. Baseline data on demographics, medical history, liver disease, and AUD treatment were examined. Information on AUD treatment discussions, initiation, alcohol cessation, and the subsequent 5-year mortality rates was gathered. Out of 436 patients with alcohol-related cirrhosis, 15% received AUD treatment at baseline, with 11% undergoing behavioral therapy, 2% receiving pharmacotherapy, and 1% obtaining both. Within the first year after the initial hepatology visit, 37 patients had AUD treatment, 51 remained in treatment, and 14 discontinued. Hepatology-documented AUD treatment recommendations were provided to 30% of patients, while 26% received primary care-documented recommendations. The majority of hepatology (86%) and primary care (88%) recommendations focused on behavioral therapy. Among patients with persistent alcohol use at baseline, AUD treatment after one year was significantly and independently associated with hepatology or primary care treatment discussions, and negatively associated with Medicaid insurance. When treatment discussions occurred in both settings, high treatment rates followed. Over five years, 35% of patients died. Ongoing alcohol use, age, hepatic decompensation, and hepatocellular carcinoma significantly contributed to mortality in the final survival model. In patients with alcohol-related cirrhosis, AUD treatment discussions were documented in fewer than half of hepatology and primary care encounters; however, such discussions were significantly correlated with AUD treatment receipt.
AHRQ-funded; HS019461.
Citation: Alexandre W, Muhammad H, Agbalajobi O . Alcohol treatment discussions and clinical outcomes among patients with alcohol-related cirrhosis. BMC Gastroenterol 2023 Feb 2; 23(1):29. doi: 10.1186/s12876-023-02656-z..
Keywords: Alcohol Use, Substance Abuse, Behavioral Health, Clinician-Patient Communication, Communication

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