Development of a Screening and Brief Intervention and Referral for Treatment for ED Patients at Risk for Undiagnosed Hypertension: A Qualitative Study

2014 ◽  
Vol 40 (1) ◽  
pp. e1-e9 ◽  
Author(s):  
Matthew J. Pirotte ◽  
Barbara A. Buckley ◽  
Jill F. Lerhmann ◽  
Paula Tanabe
Keyword(s):  
At Risk ◽  
Qualitative Study ◽  
Brief Intervention ◽  
Screening And Brief Intervention ◽  
Undiagnosed Hypertension ◽  
Patients At Risk

Investigating a Substance Abuse Screening in a Trauma Setting

2021 ◽  
pp. 000313482110241
Author(s):  
Rahul Tuli ◽  
Stephanie Anne Romero ◽  
Cesar Figueroa ◽  
Erika Tay ◽  
Soheil Saadat ◽  
...  
Keyword(s):  
At Risk ◽  
Substance Abuse ◽  
Drug Abuse ◽  
Alcohol Consumption ◽  
Drug Use ◽  
Brief Intervention ◽  
Illicit Drugs ◽  
Statistical Tests ◽  
Screening And Brief Intervention ◽  
Patients At Risk

Introduction Drug and alcohol consumption are often associated with trauma-related injuries. Various studies have been conducted which have shown the benefits of screening and brief intervention (SBI) tools for alcohol consumption. Despite their success, there are few SBI tools utilized for substance use and minimal reports of computerized versions. We hypothesized that a computerized SBI tool for drug use would be effective at identifying patients at risk of substance abuse in a trauma setting. Methods This was a prospective evaluation of a computerized alcohol and drug screening and brief intervention survey derived from the National Institute on Drug Abuse. The survey was given to all eligible trauma patients at UCI’s Level 1 trauma facility between February 2019 and March 2020. Based on self-reported answers, a substance involvement (SI) score was generated which classified a patient’s drug abuse risk as none (0), low (1-3), moderate (4-26), or high (27+). Statistical tests were then used to examine associations between demographic variables and risk categorization. Results A total of 1801 patients completed the entire survey. Of those, 346 (19.3%) patients reported use of illicit drugs: 10 for non-medical prescription use (.6%), 308 (17.1%) for non-prescription drug use, and 28 (1.6%) for both. Secondary analysis revealed a greater number of males were eligible for further SI assessment (25.1% vs 11.0%, P < .001). Of those, a greater proportion of men were classified as moderate/high risk (81.6% vs 61.5%, P < .001). Further breakdown revealed a greater proportion of patients ≤25 years old reported use of drugs compared to >85 years old (37.0% vs .5%, P < .001). In contrast to the self-reported data, there was an overall positive rate of toxicology of 48.51%. Conclusion The analysis shows that the electronic survey identifies patients at risk of drug abuse, allowing for real-time intervention. Furthermore, it is granular enough to specify at-risk groups. However, a lower self-reported rate, as expected, was elucidated. Further studies to evaluate for improved screening and targeted intervention are warranted.

Residents' knowledge of standard drink equivalents: Implications for screening and brief intervention for at-risk alcohol use

2013 ◽  
Vol 23 (2) ◽  
pp. 194-196 ◽  
Author(s):  
Christopher Welsh ◽  
Katherine Earley ◽  
Janine Delahanty ◽  
Katherine S. Wright ◽  
Taylor Berens ◽  
...  
Keyword(s):  
At Risk ◽  
Alcohol Use ◽  
Brief Intervention ◽  
Standard Drink ◽  
Screening And Brief Intervention

SafERTeens: Computerized Screening and Brief Intervention for Teens At-risk for Youth Violence

2007 ◽  
Vol 14 (5 Supplement 1) ◽  
pp. S106-S107 ◽  
Author(s):  
R. Cunningham ◽  
M. Walton ◽  
M. Zimmerman ◽  
R. Stanley ◽  
S. Chermack ◽  
...  
Keyword(s):  
At Risk ◽  
Brief Intervention ◽  
Youth Violence ◽  
Screening And Brief Intervention ◽  
Computerized Screening

scholarly journals Discrepancy in the evaluation of explicit and implicit Nutrition Care Outcomes for patients at risk of malnutrition: a qualitative study

2021 ◽  
Author(s):  
Lina Al‐Adili ◽  
Ylva Orrevall ◽  
Jenny McGreevy ◽  
Margaretha Nydahl ◽  
Anne‐Marie Boström ◽  
...  
Keyword(s):  
At Risk ◽  
Qualitative Study ◽  
Nutrition Care ◽  
Patients At Risk ◽  
Care Outcomes

scholarly journals INCREASED DETECTION OF ALCOHOL CONSUMPTION AND AT-RISK DRINKING WITH COMPUTERISED ALCOHOL SCREENING AND BRIEF INTERVENTION (CASI)

2012 ◽  
Vol 18 (Suppl 1) ◽  
pp. A45.2-A45
Author(s):  
S Lotfipour ◽  
H James ◽  
W Hoonpongsimanont ◽  
S Roumani ◽  
B Chakravarthy ◽  
...  
Keyword(s):  
At Risk ◽  
Alcohol Consumption ◽  
Brief Intervention ◽  
Alcohol Screening ◽  
Screening And Brief Intervention

scholarly journals A preliminary qualitative study of nurses’ and dietitians’ views on malnutrition management and oral nutritional supplementation prescription in the community

2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Patricia Domínguez Castro ◽  
Sharon Kennelly ◽  
Celine Murrin ◽  
Catriona Bradley ◽  
Barbara Clyne ◽  
...  
Keyword(s):  
Primary Care ◽  
At Risk ◽  
Qualitative Study ◽  
Focus Groups ◽  
Community Setting ◽  
Nutritional Supplements ◽  
First Line ◽  
Care Community ◽  
Oral Nutritional Supplements ◽  
Patients At Risk

AbstractProtein-energy malnutrition, or undernutrition, arising from a deficiency of energy and protein intake, can occur in developed countries both in hospitalised patients and in the primary care/community setting. Oral nutritional supplements (ONS) are an effective method of managing malnutrition if prescribed for patients who are malnourished or at risk of malnutrition. Pooled data of older adults at risk of malnutrition indicate that ONS combined with dietary counselling is the most effective intervention. Previous Irish research has demonstrated that management of patients ‘at risk’ of malnutrition in the primary care/community setting is sub-optimal, with low awareness of the condition and its management among non-dietetic health care professionals. Therefore, the aim of this qualitative study is to explore community nurses’ and dietitians’ experiences and opinions on the management of malnutrition and the prescription of ONS in the primary care/community setting in Ireland. Three focus groups were conducted with primary care dietitians (n = 17) and one focus group with community nurses (n = 5), one of the nurses had prescribing rights. The focus groups explored the following domains; the term malnutrition and patient population presenting as malnourished or at risk of malnutrition, barriers and facilitators in the management of malnutrition, ONS prescribing in the primary care/community setting, and future directions in the management of malnutrition and ONS prescribing. Recorded focus groups were transcribed and analysed using inductive thematic analysis. Both professional groups showed similar perspectives, and three preliminary main themes were identified; i) Malnutrition is a misunderstood term, ii) Delayed treatment of malnutrition, iii) Challenges with ONS prescription in the primary care/community setting. Both dietitians and community nurses agreed that the term malnutrition had negative connotations for patients and preferred not to use it with them. Dietitians identified the need for a multidisciplinary approach to manage patients at risk of malnutrition in the community, and community nurses agreed on their pivotal role identifying the risk of malnutrition and providing first line advice to clients. However, community nurses expressed the urgent need for training to provide first line advice to patients to improve their nutritional status to prevent malnutrition. Both groups also agreed on the need for access to more dietitians in the community, and suggested that giving dietitians prescribing rights would improve appropriate ONS prescribing. Community nurses identified a gap in their knowledge of the different ONS products, and the need to receive independent generic education on nutritional supplements.

scholarly journals Vida PURA: results from a pilot randomized trial of a culturally adapted screening and brief intervention to reduce unhealthy alcohol use among Latino day laborers

2019 ◽  
Vol 9 (6) ◽  
pp. 1233-1243 ◽  
Author(s):  
India J Ornelas ◽  
Suzanne R Doyle ◽  
Vanessa N Torres ◽  
Samantha E Serrano ◽  
Bonnie Duran ◽  
...  
Keyword(s):  
At Risk ◽  
Alcohol Use ◽  
Randomized Trial ◽  
Brief Intervention ◽  
Day Laborers ◽  
Screening And Brief Intervention ◽  
Unhealthy Alcohol Use ◽  
Unhealthy Alcohol ◽  
Culturally Adapted ◽  
Latino Day Laborers

Among Latino day laborers at risk for unhealthy alcohol use, those who received a culturally adapted brief intervention did not reduce their alcohol use more than those not receiving the brief intervention.

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