TY - JOUR
KW - Aged
KW - Alcohol Deterrents/administration & dosage
KW - Alcohol Drinking/adverse effects/prevention & control
KW - Alcohol-Related Disorders/complications/drug therapy/therapy
KW - Diabetes Mellitus/epidemiology/therapy
KW - Humans
KW - Hypertension/epidemiology/therapy
KW - Male
KW - Mass Screening/methods
KW - Middle Aged
KW - Physician's Practice Patterns/organization & administration/standards
KW - Primary Health Care/methods/standards
KW - Psychotherapy, Brief/methods
KW - Quality Improvement
KW - Time Factors
AU - S. M. Ornstein
AU - P. M. Miller
AU - A. M. Wessell
AU - R. G. Jenkins
AU - L. S. Nemeth
AU - P. J. Nietert
A1 - 
AB - OBJECTIVE: At-risk drinking and alcohol use disorders are common in primary care and may adversely affect the treatment of patients with diabetes and/or hypertension. The purpose of this article is to report the impact of dissemination of a practice-based quality improvement approach (Practice Partner Research Network-Translating Research into Practice [PPRNet-TRIP]) on alcohol screening, brief intervention for at-risk drinking and alcohol use disorders, and medications for alcohol use disorders in primary care practices. METHOD: Nineteen primary care practices from 15 states representing 26,005 patients with diabetes and/or hypertension participated in a group-randomized trial (early intervention vs. delayed intervention). The 12-month intervention consisted of practice site visits for academic detailing and participatory planning and network meetings for "best practice" dissemination. RESULTS: At the end of Phase 1, eligible patients in early-intervention practices were significantly more likely than patients in delayed-intervention practices to have been screened (odds ratio [OR] = 3.30, 95% CI [1.15, 9.50]) and more likely to have been provided a brief intervention (OR = 6.58, 95% CI [1.69, 25.7]. At the end of Phase 2, patients in delayed-intervention practices were more likely than at the end of Phase 1 to have been screened (OR = 5.18, 95% CI [4.65, 5.76]) and provided a brief intervention (OR = 1.80, 95% CI [1.31, 2.47]). Early-intervention practices maintained their screening and brief intervention performance during Phase 2. Medication for alcohol use disorders was prescribed infrequently. CONCLUSIONS: PPRNet-TRIP is effective in improving and maintaining improvement in alcohol screening and brief intervention for patients with diabetes and/or hypertension in primary care settings.
BT - Journal of studies on alcohol and drugs
C5 - General Literature
CP - 4
CY - United States
IS - 4
JF - Journal of studies on alcohol and drugs
N2 - OBJECTIVE: At-risk drinking and alcohol use disorders are common in primary care and may adversely affect the treatment of patients with diabetes and/or hypertension. The purpose of this article is to report the impact of dissemination of a practice-based quality improvement approach (Practice Partner Research Network-Translating Research into Practice [PPRNet-TRIP]) on alcohol screening, brief intervention for at-risk drinking and alcohol use disorders, and medications for alcohol use disorders in primary care practices. METHOD: Nineteen primary care practices from 15 states representing 26,005 patients with diabetes and/or hypertension participated in a group-randomized trial (early intervention vs. delayed intervention). The 12-month intervention consisted of practice site visits for academic detailing and participatory planning and network meetings for "best practice" dissemination. RESULTS: At the end of Phase 1, eligible patients in early-intervention practices were significantly more likely than patients in delayed-intervention practices to have been screened (odds ratio [OR] = 3.30, 95% CI [1.15, 9.50]) and more likely to have been provided a brief intervention (OR = 6.58, 95% CI [1.69, 25.7]. At the end of Phase 2, patients in delayed-intervention practices were more likely than at the end of Phase 1 to have been screened (OR = 5.18, 95% CI [4.65, 5.76]) and provided a brief intervention (OR = 1.80, 95% CI [1.31, 2.47]). Early-intervention practices maintained their screening and brief intervention performance during Phase 2. Medication for alcohol use disorders was prescribed infrequently. CONCLUSIONS: PPRNet-TRIP is effective in improving and maintaining improvement in alcohol screening and brief intervention for patients with diabetes and/or hypertension in primary care settings.
PP - United States
PY - 2013
SN - 1938-4114; 1937-1888
SP - 598
EP - 604
EP - 
T1 - Integration and sustainability of alcohol screening, brief intervention, and pharmacotherapy in primary care settings
T2 - Journal of studies on alcohol and drugs
TI - Integration and sustainability of alcohol screening, brief intervention, and pharmacotherapy in primary care settings
U1 - General Literature
U2 - 23739024
VL - 74
VO - 1938-4114; 1937-1888
Y1 - 2013
ER -