Psychosocial interventions for problem alcohol use in primary care settings (PINTA): Baseline Feasibility Data

J Klimas, AM Henihan, G McCombe, D Swan, R Anderson, G Bury, C Dunne, E Keenan, J Saunders, Gillian W. Shorter, BP Smyth, W Cullen

    Research output: Contribution to journalArticle

    Abstract

    Objective: Many individuals receiving methadone maintenance receive their treatment through their primary care provider. As many also drink alcohol excessively, there is a need to address alcohol use to improve health outcomes for these individuals. We examined problem alcohol use and its treatment among people attending primary care for methadone maintenance treatment, using baseline data from a feasibility study of an evidence-based complex intervention to improve care. Methods: Data on addiction care processes were collected by (1) reviewing clinical records (n = 129) of people who attended 16 general practices for methadone maintenance treatmentand(2)administeringstructuredquestionnairestobothpatients(n=106)andgeneralpractitioners(GPs)(n=15).Results: Clinical records indicated that 24 patients (19%) were screened for problem alcohol use in the 12 months prior to data collection, with problem alcohol use identified in 14 (58% of those screened, 11% of the full sample). Of those who had positive screening results for problem alcohol use, five received a brief intervention by a GP and none were referred to specialist treatment. Scores on the Alcohol Use Disorders Identification Test (AUDIT) revealed the prevalence of hazardous, harmful, and dependent drinking to be 25% (n=26), 6% (n=6), and 16% (n=17), respectively. The intraclass correlation coefficient (ICC) for the proportion of patients with negative AUDITs was 0.038 (SE =0.01). The ICCs for screening, brief intervention, and/or referral to treatment (SBIRT) were 0.16 (SE=0.014),−0.06 (SE=0.017), and 0.22 (SE=0.026), respectively. Only 12 (11.3%) AUDIT questionnaires concurred with corresponding clinical records that a patient had any/no problem alcohol use. Regular use of primary care was evident, as 25% had visited their GP more than 12 times during the past 3 months. Conclusions: Comparing clinical records with patients’ experience of SBIRT can shed light on the process of care. Alcohol screening in people who attend primary care for substance use treatment is not routinely conducted. Interventions that enhance the care of problem alcohol use among this high-risk group are a priority
    LanguageEnglish
    Pages97-106
    JournalJournal of Dual Diagnosis
    Volume11
    Publication statusAccepted/In press - 18 May 2015

    Fingerprint

    Primary Health Care
    Alcohols
    Methadone
    Therapeutics
    Referral and Consultation
    Feasibility Studies
    General Practice
    Drinking
    Health

    Keywords

    • alcohol
    • SBIRT
    • opioids
    • agonist treatment
    • methadone
    • family medicine
    • implementation

    Cite this

    Klimas, J., Henihan, AM., McCombe, G., Swan, D., Anderson, R., Bury, G., ... Cullen, W. (Accepted/In press). Psychosocial interventions for problem alcohol use in primary care settings (PINTA): Baseline Feasibility Data. Journal of Dual Diagnosis, 11, 97-106.
    Klimas, J ; Henihan, AM ; McCombe, G ; Swan, D ; Anderson, R ; Bury, G ; Dunne, C ; Keenan, E ; Saunders, J ; Shorter, Gillian W. ; Smyth, BP ; Cullen, W. / Psychosocial interventions for problem alcohol use in primary care settings (PINTA): Baseline Feasibility Data. In: Journal of Dual Diagnosis. 2015 ; Vol. 11. pp. 97-106.
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    title = "Psychosocial interventions for problem alcohol use in primary care settings (PINTA): Baseline Feasibility Data",
    abstract = "Objective: Many individuals receiving methadone maintenance receive their treatment through their primary care provider. As many also drink alcohol excessively, there is a need to address alcohol use to improve health outcomes for these individuals. We examined problem alcohol use and its treatment among people attending primary care for methadone maintenance treatment, using baseline data from a feasibility study of an evidence-based complex intervention to improve care. Methods: Data on addiction care processes were collected by (1) reviewing clinical records (n = 129) of people who attended 16 general practices for methadone maintenance treatmentand(2)administeringstructuredquestionnairestobothpatients(n=106)andgeneralpractitioners(GPs)(n=15).Results: Clinical records indicated that 24 patients (19{\%}) were screened for problem alcohol use in the 12 months prior to data collection, with problem alcohol use identified in 14 (58{\%} of those screened, 11{\%} of the full sample). Of those who had positive screening results for problem alcohol use, five received a brief intervention by a GP and none were referred to specialist treatment. Scores on the Alcohol Use Disorders Identification Test (AUDIT) revealed the prevalence of hazardous, harmful, and dependent drinking to be 25{\%} (n=26), 6{\%} (n=6), and 16{\%} (n=17), respectively. The intraclass correlation coefficient (ICC) for the proportion of patients with negative AUDITs was 0.038 (SE =0.01). The ICCs for screening, brief intervention, and/or referral to treatment (SBIRT) were 0.16 (SE=0.014),−0.06 (SE=0.017), and 0.22 (SE=0.026), respectively. Only 12 (11.3{\%}) AUDIT questionnaires concurred with corresponding clinical records that a patient had any/no problem alcohol use. Regular use of primary care was evident, as 25{\%} had visited their GP more than 12 times during the past 3 months. Conclusions: Comparing clinical records with patients’ experience of SBIRT can shed light on the process of care. Alcohol screening in people who attend primary care for substance use treatment is not routinely conducted. Interventions that enhance the care of problem alcohol use among this high-risk group are a priority",
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    author = "J Klimas and AM Henihan and G McCombe and D Swan and R Anderson and G Bury and C Dunne and E Keenan and J Saunders and Shorter, {Gillian W.} and BP Smyth and W Cullen",
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    Klimas, J, Henihan, AM, McCombe, G, Swan, D, Anderson, R, Bury, G, Dunne, C, Keenan, E, Saunders, J, Shorter, GW, Smyth, BP & Cullen, W 2015, 'Psychosocial interventions for problem alcohol use in primary care settings (PINTA): Baseline Feasibility Data', Journal of Dual Diagnosis, vol. 11, pp. 97-106.

    Psychosocial interventions for problem alcohol use in primary care settings (PINTA): Baseline Feasibility Data. / Klimas, J; Henihan, AM; McCombe, G; Swan, D; Anderson, R; Bury, G; Dunne, C; Keenan, E; Saunders, J; Shorter, Gillian W.; Smyth, BP; Cullen, W.

    In: Journal of Dual Diagnosis, Vol. 11, 18.05.2015, p. 97-106.

    Research output: Contribution to journalArticle

    TY - JOUR

    T1 - Psychosocial interventions for problem alcohol use in primary care settings (PINTA): Baseline Feasibility Data

    AU - Klimas, J

    AU - Henihan, AM

    AU - McCombe, G

    AU - Swan, D

    AU - Anderson, R

    AU - Bury, G

    AU - Dunne, C

    AU - Keenan, E

    AU - Saunders, J

    AU - Shorter, Gillian W.

    AU - Smyth, BP

    AU - Cullen, W

    PY - 2015/5/18

    Y1 - 2015/5/18

    N2 - Objective: Many individuals receiving methadone maintenance receive their treatment through their primary care provider. As many also drink alcohol excessively, there is a need to address alcohol use to improve health outcomes for these individuals. We examined problem alcohol use and its treatment among people attending primary care for methadone maintenance treatment, using baseline data from a feasibility study of an evidence-based complex intervention to improve care. Methods: Data on addiction care processes were collected by (1) reviewing clinical records (n = 129) of people who attended 16 general practices for methadone maintenance treatmentand(2)administeringstructuredquestionnairestobothpatients(n=106)andgeneralpractitioners(GPs)(n=15).Results: Clinical records indicated that 24 patients (19%) were screened for problem alcohol use in the 12 months prior to data collection, with problem alcohol use identified in 14 (58% of those screened, 11% of the full sample). Of those who had positive screening results for problem alcohol use, five received a brief intervention by a GP and none were referred to specialist treatment. Scores on the Alcohol Use Disorders Identification Test (AUDIT) revealed the prevalence of hazardous, harmful, and dependent drinking to be 25% (n=26), 6% (n=6), and 16% (n=17), respectively. The intraclass correlation coefficient (ICC) for the proportion of patients with negative AUDITs was 0.038 (SE =0.01). The ICCs for screening, brief intervention, and/or referral to treatment (SBIRT) were 0.16 (SE=0.014),−0.06 (SE=0.017), and 0.22 (SE=0.026), respectively. Only 12 (11.3%) AUDIT questionnaires concurred with corresponding clinical records that a patient had any/no problem alcohol use. Regular use of primary care was evident, as 25% had visited their GP more than 12 times during the past 3 months. Conclusions: Comparing clinical records with patients’ experience of SBIRT can shed light on the process of care. Alcohol screening in people who attend primary care for substance use treatment is not routinely conducted. Interventions that enhance the care of problem alcohol use among this high-risk group are a priority

    AB - Objective: Many individuals receiving methadone maintenance receive their treatment through their primary care provider. As many also drink alcohol excessively, there is a need to address alcohol use to improve health outcomes for these individuals. We examined problem alcohol use and its treatment among people attending primary care for methadone maintenance treatment, using baseline data from a feasibility study of an evidence-based complex intervention to improve care. Methods: Data on addiction care processes were collected by (1) reviewing clinical records (n = 129) of people who attended 16 general practices for methadone maintenance treatmentand(2)administeringstructuredquestionnairestobothpatients(n=106)andgeneralpractitioners(GPs)(n=15).Results: Clinical records indicated that 24 patients (19%) were screened for problem alcohol use in the 12 months prior to data collection, with problem alcohol use identified in 14 (58% of those screened, 11% of the full sample). Of those who had positive screening results for problem alcohol use, five received a brief intervention by a GP and none were referred to specialist treatment. Scores on the Alcohol Use Disorders Identification Test (AUDIT) revealed the prevalence of hazardous, harmful, and dependent drinking to be 25% (n=26), 6% (n=6), and 16% (n=17), respectively. The intraclass correlation coefficient (ICC) for the proportion of patients with negative AUDITs was 0.038 (SE =0.01). The ICCs for screening, brief intervention, and/or referral to treatment (SBIRT) were 0.16 (SE=0.014),−0.06 (SE=0.017), and 0.22 (SE=0.026), respectively. Only 12 (11.3%) AUDIT questionnaires concurred with corresponding clinical records that a patient had any/no problem alcohol use. Regular use of primary care was evident, as 25% had visited their GP more than 12 times during the past 3 months. Conclusions: Comparing clinical records with patients’ experience of SBIRT can shed light on the process of care. Alcohol screening in people who attend primary care for substance use treatment is not routinely conducted. Interventions that enhance the care of problem alcohol use among this high-risk group are a priority

    KW - alcohol

    KW - SBIRT

    KW - opioids

    KW - agonist treatment

    KW - methadone

    KW - family medicine

    KW - implementation

    M3 - Article

    VL - 11

    SP - 97

    EP - 106

    JO - Journal of Dual Diagnosis

    T2 - Journal of Dual Diagnosis

    JF - Journal of Dual Diagnosis

    SN - 1550-4263

    ER -

    Klimas J, Henihan AM, McCombe G, Swan D, Anderson R, Bury G et al. Psychosocial interventions for problem alcohol use in primary care settings (PINTA): Baseline Feasibility Data. Journal of Dual Diagnosis. 2015 May 18;11:97-106.