Do Brief Measures of Readiness to Change Predict Alcohol Consumption and Consequences in Primary Care Patients With Unhealthy Alcohol Use?

2007 ◽  
Vol 31 (3) ◽  
pp. 428-435 ◽  
Author(s):  
Emily C. Williams ◽  
Nicholas J. Horton ◽  
Jeffrey H. Samet ◽  
Richard Saitz
Keyword(s):  
Primary Care ◽  
Alcohol Consumption ◽  
Alcohol Use ◽  
Readiness To Change ◽  
Unhealthy Alcohol Use ◽  
Unhealthy Alcohol ◽  
Primary Care Patients

scholarly journals Does readiness to change predict subsequent alcohol consumption in medical inpatients with unhealthy alcohol use?

2009 ◽  
Vol 34 (8) ◽  
pp. 636-640 ◽  
Author(s):  
Nicolas Bertholet ◽  
Debbie M. Cheng ◽  
Tibor P. Palfai ◽  
Jeffrey H. Samet ◽  
Richard Saitz
Keyword(s):  
Alcohol Consumption ◽  
Alcohol Use ◽  
Readiness To Change ◽  
Unhealthy Alcohol Use ◽  
Unhealthy Alcohol ◽  
Medical Inpatients

Unhealthy alcohol use in primary care patients who screen positive for drug use

2016 ◽  
Vol 38 (3) ◽  
pp. 303-308
Author(s):  
Christine Maynié-François ◽  
Debbie M. Cheng ◽  
Jeffrey H. Samet ◽  
Christine Lloyd-Travaglini ◽  
Tibor Palfai ◽  
...  
Keyword(s):  
Primary Care ◽  
Alcohol Use ◽  
Drug Use ◽  
Unhealthy Alcohol Use ◽  
Unhealthy Alcohol ◽  
Primary Care Patients

scholarly journals Interventions to Reduce Unhealthy Alcohol Use among Primary Care Patients with HIV: the Health and Motivation Randomized Clinical Trial

2019 ◽  
Vol 34 (10) ◽  
pp. 2054-2061 ◽  
Author(s):  
Derek D. Satre ◽  
Amy S. Leibowitz ◽  
Wendy Leyden ◽  
Sheryl L. Catz ◽  
C. Bradley Hare ◽  
...  
Keyword(s):  
Primary Care ◽  
Clinical Trial ◽  
Alcohol Use ◽  
Randomized Clinical Trial ◽  
Unhealthy Alcohol Use ◽  
Unhealthy Alcohol ◽  
Primary Care Patients

scholarly journals “I Felt I Was Reaching a Point with My Health”: Understanding Reasons for Engagement and Acceptability of Treatment Services for Unhealthy Alcohol Use in Primary Care

2021 ◽  
Vol 12 ◽  
pp. 215013272110030
Author(s):  
Megan A. O’Grady ◽  
Joseph Conigliaro ◽  
Svetlana Levak ◽  
Jeanne Morley ◽  
Sandeep Kapoor ◽  
...  
Keyword(s):  
Primary Care ◽  
Alcohol Use ◽  
Primary Care Practice ◽  
Care Practice ◽  
Unhealthy Alcohol Use ◽  
Unhealthy Alcohol ◽  
Program Support ◽  
Primary Care Patients ◽  
Care Practices ◽  
Primary Care Practices

Introduction/Objectives: Despite increasing need, there are large gaps in provision of care for unhealthy alcohol use. Primary care practices have become increasingly important in providing services for unhealthy alcohol use, yet little is known about the reasons patients engage in these services and their views on acceptability of such programs. The purpose of this study was to examine primary care patients’ reasons for engagement, experiences with, and acceptability of a primary care practice-based program for treating unhealthy alcohol use. Methods: This qualitative study was conducted in a primary care practice that was developing a collaborative care model for treating unhealthy alcohol use in primary care. Semi-structured interviews were conducted with 24 primary care patients. Data were analyzed using conventional qualitative content analysis. Results: Findings suggest that patients engaged for both internal (concerns about drinking and health) and external reasons (family or provider concern). Patient experiences in the program were shaped by their affective responses (enjoyable, enlightening), as well as therapeutic benefits (gaining new insights about drinking; staff/provider support). Acceptability was driven by core program elements (medication, therapy, integration) as well as positive impacts on drinking cognition and behavior and flexible, patient-centered approaches. Conclusions: Offering flexible and comprehensive programs with mutiple elements and both abstinence and moderation goals could also improve patient engagement and views on acceptability. Primary care practices will need to be thoughtful about the resources needed to implement these programs in terms of staffing, training, and program support.

Treatment of Unhealthy Alcohol Use

2019 ◽  
Author(s):  
Stephen R Holt ◽  
David A Fiellin
Keyword(s):  
Primary Care ◽  
Alcohol Use ◽  
Behavioral Therapy ◽  
Primary Care Providers ◽  
Similar Efficacy ◽  
Motivational Enhancement Therapy ◽  
Behavioral Strategies ◽  
Care Providers ◽  
Unhealthy Alcohol Use ◽  
Unhealthy Alcohol

Unhealthy alcohol use represents the fifth leading cause of morbidity and mortality globally, and the first leading cause among persons 18 to 45 years of age. Despite the global impact of unhealthy alcohol use, the adoption of evidence-based treatments has been sluggish. Behavioral strategies for lower level drinking include the brief motivational interview, designed to be within the scope of any healthcare provider, and more specialist-driven approaches for those with alcohol use disorder (AUD) such as cognitive behavioral therapy and motivational enhancement therapy. Benzodiazepines remain the mainstay treatment for inpatient alcohol withdrawal treatment, whereas other medications have similar efficacy in managing patients in the outpatient setting with milder forms of withdrawal. For maintenance treatment of AUD, four FDA-approved medications exist, with efficacy in treating AUD, as well as several non–FDA-approved medications that have been found to be effective in promoting abstinence and reducing drinking. The use of medication to treat many patients with AUD falls within the scope of primary care providers. This review contains 6 tables and 54 references. Key Words: addiction, alcohol, counseling, drinking, pharmacotherapy, primary care, psychotherapy, relapse, treatment

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