| Automated screening for at-risk drinking in a primary care office using interactive voice response. | |
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MedLine Citation:
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PMID: 20731979 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: Screening for alcohol misuse in primary care settings is strongly recommended but grossly underused. Using interactive voice response (IVR), we developed an automated screening tool (IVR Screen) for identifying alcohol misuse in outpatient primary care offices and evaluated its use rate and acceptability for both patients and providers. METHOD: Patients (N = 101) presenting to a primary care clinic for scheduled, nonemergent health care visits called the IVR Screen by using a dedicated telephone in the waiting room and answered five questions about their health. Results were printed immediately for patient and provider to review during the visit. Medical assistants interviewed patients about the IVR Screen in the examination room. RESULTS: Ninety-six percent of patients who were invited to participate in the study consented to do so. Of those, 26% met criteria for alcohol misuse. Feedback from patients and providers was positive and included constructive suggestions for revisions to the IVR Screen for future use. CONCLUSIONS: IVR-based screening for at-risk drinking was feasible and did not interfere with the provider-patient interaction. The proportion of heavy drinkers identified by the IVR Screen was comparable to that of published reports of screening with written questionnaires. Implications for behavioral health screening, treatment, and clinical research are considerable because IVR-based screening assessments can be customized and targeted to different populations. Results suggest that continued development of IVR as a tool for health and alcohol screening in primary care settings is warranted. |
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Authors:
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Gail L Rose; Joan M Skelly; Gary J Badger; Charles D Maclean; Megan P Malgeri; John E Helzer |
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Publication Detail:
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Type: Comparative Study; Journal Article; Research Support, N.I.H., Extramural |
Journal Detail:
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Title: Journal of studies on alcohol and drugs Volume: 71 ISSN: 1938-4114 ISO Abbreviation: J Stud Alcohol Drugs Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2010-08-24 Completed Date: 2011-05-31 Revised Date: 2011-09-13 |
Medline Journal Info:
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Nlm Unique ID: 101295847 Medline TA: J Stud Alcohol Drugs Country: United States |
Other Details:
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Languages: eng Pagination: 734-8 Citation Subset: IM |
Affiliation:
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Department of Psychiatry, UHC 457OH3, Fletcher Allen Health Care, The University of Vermont College of Medicine, 1 South Prospect Street, Burlington, Vermont 05401-3456, USA. Gail.Rose@vtmednet.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Alcoholism
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diagnosis*,
psychology Ambulatory Care / methods* Female Humans Male Middle Aged Primary Health Care / methods* Risk Factors Substance Abuse Detection / methods* User-Computer Interface* Voice* |
| Grant Support | |
ID/Acronym/Agency:
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1R21AA015777/AA/NIAAA NIH HHS |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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