TY - JOUR
AU - M. J. Brockman
AU - B. Trivedi
AU - L. Kattamuri
AU - F. Delgado
AU - L. A. Hechanova
AU - A. Deoker
AU - B. P. Edwards
A1 - 
AB - The United States Preventive Services Task Force (USPSTF) recommends routine screening for alcohol use disorders in adults 18 years or older using one to three validated tools. One favored tool is the Alcohol Use Disorders Identification Test-Concise (AUDIT-C), a brief three-item questionnaire noted for its ease of implementation, sensitivity, and specificity. A positive screen on the AUDIT-C should prompt brief behavioral health counseling to help reduce harmful drinking patterns. Before this quality improvement project, the Texas Tech University Health Sciences Center (TTUHSC) El Paso Internal Medicine Residency Clinic did not routinely use the AUDIT-C and its residents had not received training in alcohol-related behavioral health counseling. In response, the AUDIT-C was integrated into the clinic's electronic medical record (EMR), and residents received instruction on alcohol use disorder counseling from a certified physician in Addiction Medicine. This intervention enhanced compliance with USPSTF recommendations and provided an opportunity to evaluate alcohol use in a primarily Hispanic border population. A total of 39 patients reporting alcohol use were screened with the AUDIT-C; 34 screened positive and five screened negative. Among the patients who received behavioral health counseling, 12 completed a post-counseling survey to assess their drinking habits. The survey revealed that 10 (83%) of these patients had never previously received counseling. Furthermore, nine (75%) found the counseling helpful, eight (67%) were surprised by the unhealthiness of their drinking habits, and nine (75%) felt comfortable during the session. Additionally, eight (67%) expressed a willingness to consider changing their drinking behaviors. Among those unwilling to change, five patients did not perceive a problem with their drinking, while one patient did not wish to reduce alcohol consumption. These findings demonstrate a strong willingness among El Paso residents to discuss problematic alcohol use within the clinical setting. The positive patient responses support the broader implementation of the AUDIT-C in practice and underscore the importance of training clinicians in effective intervention techniques.
AD - Internal Medicine, Texas Tech University Health Sciences Center El Paso, Paul L. Foster School of Medicine, El Paso, USA.; Internal Medicine, Texas Tech University Health Sciences Center El Paso, El Paso, USA.; Psychiatry, University of Texas Southwestern Medical Center, Dallas, USA.; Internal Medicine/Nephrology, Texas Tech University Health Sciences Center El Paso, El Paso, USA.
AN - 40546638
BT - Cureus
C5 - Healthcare Disparities; Opioids & Substance Use
CP - 5
DA - May
DO - 10.7759/cureus.84541
DP - NLM
ET - 20250521
IS - 5
JF - Cureus
LA - eng
N2 - The United States Preventive Services Task Force (USPSTF) recommends routine screening for alcohol use disorders in adults 18 years or older using one to three validated tools. One favored tool is the Alcohol Use Disorders Identification Test-Concise (AUDIT-C), a brief three-item questionnaire noted for its ease of implementation, sensitivity, and specificity. A positive screen on the AUDIT-C should prompt brief behavioral health counseling to help reduce harmful drinking patterns. Before this quality improvement project, the Texas Tech University Health Sciences Center (TTUHSC) El Paso Internal Medicine Residency Clinic did not routinely use the AUDIT-C and its residents had not received training in alcohol-related behavioral health counseling. In response, the AUDIT-C was integrated into the clinic's electronic medical record (EMR), and residents received instruction on alcohol use disorder counseling from a certified physician in Addiction Medicine. This intervention enhanced compliance with USPSTF recommendations and provided an opportunity to evaluate alcohol use in a primarily Hispanic border population. A total of 39 patients reporting alcohol use were screened with the AUDIT-C; 34 screened positive and five screened negative. Among the patients who received behavioral health counseling, 12 completed a post-counseling survey to assess their drinking habits. The survey revealed that 10 (83%) of these patients had never previously received counseling. Furthermore, nine (75%) found the counseling helpful, eight (67%) were surprised by the unhealthiness of their drinking habits, and nine (75%) felt comfortable during the session. Additionally, eight (67%) expressed a willingness to consider changing their drinking behaviors. Among those unwilling to change, five patients did not perceive a problem with their drinking, while one patient did not wish to reduce alcohol consumption. These findings demonstrate a strong willingness among El Paso residents to discuss problematic alcohol use within the clinical setting. The positive patient responses support the broader implementation of the AUDIT-C in practice and underscore the importance of training clinicians in effective intervention techniques.
PY - 2025
SN - 2168-8184 (Print); 2168-8184
SP - e84541
ST - Enhancing Screening and Counseling for Alcohol Use Disorder in a Predominantly Hispanic Border Town Population With the Alcohol Use Disorders Identification Test-Concise (AUDIT-C)
T1 - Enhancing Screening and Counseling for Alcohol Use Disorder in a Predominantly Hispanic Border Town Population With the Alcohol Use Disorders Identification Test-Concise (AUDIT-C)
T2 - Cureus
TI - Enhancing Screening and Counseling for Alcohol Use Disorder in a Predominantly Hispanic Border Town Population With the Alcohol Use Disorders Identification Test-Concise (AUDIT-C)
U1 - Healthcare Disparities; Opioids & Substance Use
U3 - 10.7759/cureus.84541
VL - 17
VO - 2168-8184 (Print); 2168-8184
Y1 - 2025
ER -