Readiness to change in primary care patients who screened positive for alcohol misuse

Annals of Family Medicine

Volumn 4, Issue 3, 2006, Pages 213-220

  Williams, Emily C ^a,b   Kivlahan, Daniel R ^a,c   Saitz, Richard ^d,e   Merrill, Joseph O ^b,f   Achtmeyer, Carol E ^a   McCormick, Kinsey A ^a,b   Bradley, Katharine A ^a,b,c  

^a VA PUGET SOUND HEALTH CARE SYSTEM   (United States)

^b UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE   (United States)

^c UNIVERSITY OF WASHINGTON   (United States)

^d BOSTON UNIVERSITY SCHOOL OF MEDICINE   (United States)

^e BOSTON UNIVERSITY SCHOOL OF PUBLIC HEALTH   (United States)

^f UNIVERSITY OF WASHINGTON   (United States)

Author keywords

Alcohol drinking; Alcoholism diagnosis; Patient acceptance of health care

Indexed keywords

ADULT; ALCOHOL ABUSE; ARTICLE; ATTITUDE TO CHANGE; CONTROLLED STUDY; DEMOGRAPHY; DRINKING BEHAVIOR; HEALTH SURVEY; HUMAN; MALE; PATIENT ATTITUDE; PRIMARY MEDICAL CARE; QUESTIONNAIRE;

AGED; ALCOHOLISM; CROSS-SECTIONAL STUDIES; DENIAL (PSYCHOLOGY); HEALTH BEHAVIOR; HUMANS; MALE; MASS SCREENING; MIDDLE AGED; MOTIVATION; PRIMARY HEALTH CARE; VETERANS;

EID: 33744756353     PISSN: 15441709     EISSN: 15441717     Source Type: Journal    
DOI: 10.1370/afm.542     Document Type: Article

References (45)

1. Grant BF, Dawson DA, Stinson FS, et al. The 12-month prevalence and trends in DSM-IV alcohol abuse and dependence: United States, 1991-1992 and 2001-2002. Drug Alcohol Depend. 2004;74:223-234.
2. Tenth Special Report to the US Congress on Alcohol and Health. US Department of Health and Human Services. National Institute on Alcohol Abuse and Alcoholism; 2000.
3. Whitlock EP, Polen MR, Green CA, Orleans T, Klein J. Behavioral counseling interventions in primary care to reduce risky/harmful alcohol use by adults: a summary of the evidence for the U.S. Preventive Services Task Force. Ann Intern Med. 2004;140:557-568.
4. Screening and behavioral counseling interventions in primary care to reduce alcohol misuse: recommendation statement. Ann Intern Med. 2004;140:554-556.
5. Saitz R. Clinical practice. Unhealthy alcohol use. N Engl J Med. 2005;352:596-607.
6. Babor TF, Higgins-Biddle JC. Alcohol screening and brief intervention: dissemination strategies for medical practice and public health. Addiction. 2000;95:677-686.
7. US Department of Health and Human Services. National Institute on Alcohol Abuse and Alcoholism. Helping Patients With Alcohol Problems: A Practitioner's Guide. Bethesda, Md: National Institute of Health; 2003.
8. Rustin TA. Assessing nicotine dependence. Am Fam Physician. 2000;62:579-584, 591-572.
9. Dijkstra A, De Vries H, Roijackers J. Targeting smokers with low readiness to change with tailored and nontailored self-help materials. Prev Med. 1999;28:203-211.
10. Samet JH, Rollnick S, Barnes H. Beyond CAGE. A brief clinical approach after detection of substance abuse. Arch Intern Med. 1996;156:2287-2293.
11. Maisto SA, Conigliaro J, McNeil M, et al. Effects of two types of brief intervention and readiness to change on alcohol use in hazardous drinkers. J Stud Alcohol. 2001;62:605-614.
12. Heather N, Rollnick S, Bell A, Richmond R. Effects of brief counseling among male heavy drinkers identified on general hospital wards. Drug Alcohol Rev. 1996;15:29-38.
13. Beich A, Gannik D, Malterud K. Screening and brief intervention for excessive alcohol use: qualitative interview study of the experiences of general practitioners. BMJ. 2002;325:870.
14. Arborelius E, Damstrom Thakker K. Why is it so difficult for general practitioners to discuss alcohol with patients? Fam Pract. 1995;12:419-422.
15. Thom B, Tellez C. A difficult business: detecting and managing alcohol problems in general practice. Br J Addict. 1986;81:405-418.
16. Aira M, Kauhanen J, Larivaara P, Rautio P. Factors influencing inquiry about patients' alcohol consumption by primary health care physicians: qualitative semi-structured interview study. Fam Pract. 2003;20:270-275.
17. Maisto SA, Conigliaro J, McNeil M, et al. Factor structure of the SOCRATES in a sample of primary care patients. Addict Behav. 1999;24:879-892.
18. Samet JH, O'Connor PG. Alcohol abusers in primary care: readiness to change behavior. Am J Med. 1998;105:302-306.
19. Fihn SD, McDonell MB, Diehr P, et al. Effects of sustained audit/ feedback on self-reported health status of primary care patients. Am J Med. 2004;116:241-248.
20. Bradley KA, Kivlahan DR, Bush KR, et al. Variations on the CAGE alcohol screening questionnaire: strengths and limitations in VA general medical patients. Alcohol Clin Exp Res. 2001;25:1472-1478.
21. Bradley KA, Boyd-Wickizer J, Powell S, Burman ML. Alcohol screening questionnaires in women: a critical review. JAMA. 1998:280:166-171.
22. DiClemente CC, Schlundt D, Gemmell L. Readiness and stages of change in addiction treatment. Am J Addict. 2004;13:103-119.
23. Prochaska JO, DiClemente CC. Transtheoretical therapy: toward a more integrative model of change. Psychother Theory Res Prac. 1982;19:276-288.
24. Vik PW, Culbertson KA, Sellers K. Readiness to change drinking among heavy-drinking college students. J Stud Alcohol. 2000;61:674-680.
25. Isenhart CE. Pretreatment readiness for change in male alcohol dependent subjects: predictors of one-year follow-up status. J Stud Alcohol. 1997;58:351-357.
26. Dent TH, Shepherd RM, Alexander GJ, London M. Do CAGE scores predict readiness to reduce alcohol consumption in medical inpatients? Alcohol Alcohol. 1995;30:577-580.
27. Heather N, Rollnick S, Bell A. Predictive validity of the Readiness to Change Questionnaire. Addiction. 1993;88:1667-1677.
28. Epler AJ, Kivlahan DR, Bush KR, Dobie DJ, Bradley KA. A brief readiness to change drinking algorithm: concurrent validity in female VA primary care patients. Addict Behav. 2005;30:389-395.
29. Prochaska JO, DiClemente CC. Stages and processes of self-change of smoking: toward an integrative model of change. J Consult Clin Psychol. 1983;51:390-395.
30. Rollnick S, Heather N, Gold R, Hall W. Development of a short 'readiness to change' questionnaire for use in brief, opportunistic interventions among excessive drinkers. Br J Addict. 1992;87:743-754.
31. Saunders JB, Aasland OG, Babor TF, de la Fuente JR, Grant M. Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on Early Detection of Persons with Harmful Alcohol Consumption - II. Addiction. 1993;88:791-804.
32. Bradley KA, Bush KR, McDonell MB, Malone T, Fihn SD. Screening for problem drinking: comparison of CAGE and AUDIT. Ambulatory Care Quality Improvement Project (ACQUIP). Alcohol Use Disorders Identification Test. J Gen Intern Med. 1998;13:379-388.
33. Babor TF, Higgins-Biddle JC, Saunders JB, Monteiro M. AUDIT - The Alcohol Use Disorders Identification Test: Guidelines for Use in Primary Health Care. 2nd ed. World Health Organization, Department of Mental Health and Substance Abuse; 2001. Report No.: WHO/MSD/MSB/01.6a.
34. Bush K, Kivlahan DR, McDonell MB, Fihn SD, Bradley KA. The AUDIT alcohol consumption questions (AUDIT-C): an effective brief screening test for problem drinking. Ambulatory Care Quality Improvement Project (ACQUIP). Alcohol Use Disorders Identification Test. Arch Intern Med. 1998;158:1789-1795.
35. Bradley KA, McDonell MB, Bush K, et al. The AUDIT alcohol consumption questions: reliability, validity, and responsiveness to change in older male primary care patients. Alcohol Clin Exp Res. 1998;22:1842-1849.
36. Bradley KA, Kivlahan DR, Zhou XH, et al. Using alcohol screening results and treatment history to assess the severity of at-risk drinking in Veterans Affairs primary care patients. Alcohol Clin Exp Res. 2004;28:448-455.
37. Adams WL, Barry KL, Fleming MF. Screening for problem drinking in older primary care patients. JAMA. 1996;276:1964-1967.
38. Fiellin DA, Reid MC, O'Connor PG. Screening for alcohol problems in primary care: a systematic review. Arch Intern Med. 2000;160:1977-1989.
39. SPSS for Windows [computer program]. Version 10.0.7. Chicago, Ill: SPSS Inc; 1999.
40. Meredith LS, Yano EM, Hickey SC, Sherman SE. Primary care provider attitudes are associated with smoking cessation counseling and referral. Med Care. 2005;43:929-934.
41. US Department of Health and Human Services. National Institute on Alcohol Abuse and Alcoholism. Helping Patients Who Drink Too Much: A Clinician's Guide. Bethesda, Md: National Institute of Health; 2005.
42. Taj N, Devera-Sales A, Vinson DC. Screening for problem drinking: does a single question work? J Fam Pract. 1998;46:328-335.
43. Williams R, Vinson DC. Validation of a single screening question for problem drinking. J Fam Pract. 2001;50:307-312.
44. Lieber CS, Weiss DG, Groszmann R, Paronetto F, Schenker S. I. Veterans Affairs Cooperative Study of polyenylphosphatidylcholine in alcoholic liver disease: effects on drinking behavior by nurse/physician teams. Alcohol Clin Exp Res. 2003;27:1757-1764.
45. Willenbring ML, Olson DH. A randomized trial of integrated outpatient treatment for medically ill alcoholic men. Arch Intern Med. 1999;159:1946-1952.