改善对不健康酒精使用的护理:促进酒精筛查和治疗(FAST)科罗拉多研究的结果。

IF 2.4 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Bonnie T Jortberg, L Miriam Dickinson, Douglas H Fernald, Andrew Bienstock, Dionisia de la Cerda, Kim Wiggins, Carolyn Swenson, Jennifer Halfacre, Stephanie Kirchner, W Perry Dickinson
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引用次数: 0

摘要

导读:不健康的酒精使用(UAU)与可预防的发病率和死亡率有关,在2015年至2019年期间,美国每年有超过14万人死亡。美国预防服务工作组建议对18岁及以上的成年人和孕妇进行常规筛查,然后进行简短的咨询,以获得阳性筛查(B建议)。初级保健临床医生可以通过普遍筛查和提供简短咨询来改善UAU的结果。本研究旨在增加初级保健实践中的筛查、短暂干预、药物辅助治疗(MAT)或转诊治疗(SBI/RT + MAT)。方法:采用整群随机研究,探讨1)虚拟练习促进作为一种加强SBI/RT + MAT实施方法的有效性;2)使用在线学习模块指导和集中虚拟练习促进的过程和内容的潜在附加效益。结果:科罗拉多州的61家初级保健诊所参加了这项研究,其中43家完成了干预并报告了9个月的数据。结果显示,从基线到9个月随访,SBI/RT + MAT实践实施得分总体上有显著改善(P P P)讨论:实践促进可以帮助初级保健实践改善SBI/RT + MAT流程和患者预后,结果为成功使用虚拟实践促进提供了初步证据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Improving Care for Unhealthy Alcohol Use: Results from the Facilitating Alcohol Screening and Treatment (FAST) Colorado Study.

Introduction: Unhealthy alcohol use (UAU) is associated with preventable morbidity and mortality and accounted for more than 140,000 deaths per year in the US during 2015 to 2019. The United States Preventive Services Task Force recommends routine screening for UAU in adults aged 18 years and older and pregnant persons, followed by brief counseling for a positive screening (B recommendation). Primary care clinicians can improve UAU outcomes by universally screening and offering brief counseling. This study aimed to increase screening, brief intervention, medication-assisted treatment (MAT), or referral for treatment (SBI/RT + MAT) in primary care practices.

Methods: Cluster-randomized study to investigate 1) the effectiveness of virtual practice facilitation as a method to enhance implementation of SBI/RT + MAT and 2) the potential added benefit of using alcohol use eLearning modules to guide and focus the process and content of virtual practice facilitation.

Results: Sixty-one primary care practices in Colorado enrolled in the study, with 43 primary practices completing the intervention and reporting 9-month data. Results show significant overall improvements in SBI/RT + MAT practice implementation scores from baseline to 9-month follow-up (P < .0001) and no differences between groups. The number of patients screened for UAU and/or Alcohol Use Disorder (AUD), receiving brief intervention, receiving an AUD diagnosis all significantly increased from baseline (P < .0001); and number receiving MAT also significantly increased (P < .0014).

Discussion: Practice facilitation can assist primary care practices in improving SBI/RT + MAT processes and patient outcomes, with the results providing initial evidence for successful use of virtual practice facilitation.

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来源期刊
CiteScore
4.90
自引率
6.90%
发文量
168
审稿时长
4-8 weeks
期刊介绍: Published since 1988, the Journal of the American Board of Family Medicine ( JABFM ) is the official peer-reviewed journal of the American Board of Family Medicine (ABFM). Believing that the public and scientific communities are best served by open access to information, JABFM makes its articles available free of charge and without registration at www.jabfm.org. JABFM is indexed by Medline, Index Medicus, and other services.
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