Physician versus non-physician delivery of alcohol screening, brief intervention and referral to treatment in adult primary care: the ADVISe cluster randomized controlled implementation trial.

ABSTRACT:

Background

Unhealthy alcohol use is a major contributor to the global burden of disease and injury. The US Preventive Services Task Force has recommended alcohol screening and intervention in general medical settings since 2004. Yet less than one in six US adults report health care professionals discussing alcohol with them. Little is known about methods for increasing implementation; different staffing models may be related to implementation effectiveness. This implementation trial compared delivery of alcohol screening, brief intervention and referral to specialty treatment (SBIRT) by physicians versus non-physician providers receiving training, technical assistance, and feedback reports.

Methods

The study was a cluster randomized implementation trial (ADVISe [Alcohol Drin

SUBMITTER: Mertens JR 

PROVIDER: S-EPMC4653951 | biostudies-literature | 2015 Nov

REPOSITORIES: biostudies-literature