Interactive Voice Response Technology Can Deliver Alcohol Screening and Brief Intervention in Primary Care

Rose, Gail L.; MacLean, Charles D.; Skelly, Joan M.; Badger, Gary J.; Ferraro, Tonya A.; Helzer, John E.

doi:10.1007/s11606-009-1233-0

Cited by 30 publications

(30 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Whether they are applicable to settings with low computer literacy is debatable. Another technology that has been used in this context is interactive voice response (IVR) technology 68. This technology automates the screening and brief intervention and seems to have an impact on reducing drinking, although little is known about the sustainability of IVR-based interventions.…”

Section: Recent Developmentsmentioning

confidence: 99%

Screening for alcohol and drug use disorders among adults in primary care: a review

Pilowsky

Wu²

2012

SAR

View full text Add to dashboard Cite

BackgroundThe Patient Protection and Affordable Care Act of 2010 supports integration of substance abuse interventions and treatments into the mainstream health care system. Thus, effective screening and intervention for substance use disorders in health care settings is a priority.ObjectiveThis paper reviews the prevalence of alcohol and drug use disorders (abuse or dependence) in primary care settings and emergency departments, as well as current screening tools and brief interventions.MethodsMEDLINE was searched using the following keywords: alcohol use, alcohol use disorder, drug use, drug use disorder, screening, primary care, and emergency departments. Using the related-articles link, additional articles were screened for inclusion. This review focuses on alcohol and drug use and related disorders among adults in primary care settings.ConclusionScreening, brief intervention, and referral for treatment are feasible and effective in primary care settings, provided that funding for screening is available, along with brief interventions and treatment facilities to which patients can be referred and treated promptly.

show abstract

Section: Recent Developmentsmentioning

confidence: 99%

Screening for alcohol and drug use disorders among adults in primary care: a review

Pilowsky

Wu²

2012

SAR

View full text Add to dashboard Cite

show abstract

“…[5][6][7] In two of our previous studies, approximately half of patients interviewed after a primary care visit reported that they themselves had brought up the topic of alcohol for discussion. 8,9 With the dual objective of increasing patient-provider communication about alcohol and offering an automated pre-visit BI to patients who might not otherwise receive one, we developed a system for alcohol screening and BI using Interactive Voice Response (IVR). The IVR performs pre-visit screening to identify individuals with unhealthy alcohol consumption, 10 offers a BI to those who screen positive, and encourages them to discuss alcohol at the upcoming visit.…”

Section: Introductionmentioning

confidence: 99%

“…9 Consequently, we conducted a randomized, controlled trial in a large primary care network to evaluate the effects of IVR-BI on patient-provider communication (Aim 1) and on subsequent alcohol consumption (Aim 2). The current report focuses on Aim 1; clinical results corresponding to Aim 2 are forthcoming.…”

Section: Introductionmentioning

confidence: 99%

A Randomized Controlled Trial of IVR-Based Alcohol Brief Intervention to Promote Patient–Provider Communication in Primary Care

et al. 2016

Self Cite

View full text Add to dashboard Cite

BACKGROUND: Brief interventions for unhealthy drinking in primary care settings are efficacious, but underutilized. Efforts to improve rates of brief intervention though provider education and office systems redesign have had limited impact. Our novel brief intervention uses interactive voice response (IVR) to provide information and advice directly to unhealthy drinkers before a physician office visit, with the goals of stimulating in-office dialogue about drinking and decreasing unhealthy drinking. This automated approach is potentially scalable for wide application. OBJECTIVE: We aimed to examine the effect of a pre-visit IVR-delivered brief alcohol intervention (IVR-BI) on patient-provider discussions of alcohol during the visit. DESIGN: This was a parallel group randomized controlled trial with two treatment arms: 1) IVR-BI or 2) usual care (no IVR-BI). PARTICIPANTS: In all, 1,567 patients were recruited from eight university medical center-affiliated internal medicine and family medicine clinics. INTERVENTIONS: IVR-BI is a brief alcohol intervention delivered by automated telephone. It has four components, based on the intervention steps outlined in the National Institute of Alcohol Abuse and Alcoholism guidelines for clinicians: 1) ask about alcohol use, 2) assess for alcohol use disorders, 3) advise patient to cut down or quit drinking, and 4) follow up at subsequent visits. MAIN MEASURES: Outcomes were patient reported: patient-provider discussion of alcohol during the visit; patient initiation of the discussion; and provider's recommendation about the patient's alcohol use. KEY RESULTS: Patients randomized to IVR-BI were more likely to have reported discussing alcohol with their provider (52 % vs. 44 %, p = 0.003), bringing up the topic themselves (20 % vs. 12 %, p < 0.001), and receiving a recommendation (20 % vs. 14 %, p < 0.001). Other predictors of outcome included baseline consumption, education, age, and alcohol use disorder diagnosis. CONCLUSIONS: Providing automated brief interventions to patients prior to a primary care visit promotes discussion about unhealthy drinking and increases specific professional advice regarding changing drinking behavior.

show abstract

“…A core component of this change is the use of technology to improve the acquisition, management and reporting of health information, including screening and assessment, patient behavior modification and disease management [4][5][6][7][8][9][10]. The Institute of Medicine asserts that a strong information technology infrastructure is vital to quality care for mental health and substance use (alcohol and other drugs) conditions [1,11].…”

Section: Introductionmentioning

confidence: 99%

The Implementation of an Integrated Information System for Substance Use Screening in General Medical Settings

et al. 2014

View full text Add to dashboard Cite

SummaryThe Massachusetts Screening, Brief Intervention and Referral to Treatment (MASBIRT) Program, a substance use screening program in general medical settings, created a web-based, point-of-care (POC), application -the MASBIRT Portal ( the "Portal") to meet program goals. Objectives: We report on development and implementation of the Portal. Methods: Five year program process outcomes recorded by an independent evaluator and an anonymous survey of Health Educator's (HEs) adoption, perceptions and Portal use with a modified version of the Technology Readiness Index are described.[8] Specific management team members, selected based on their roles in program leadership, development and implementation of the Portal and supervision of HEs, participated in semi-structured, qualitative interviews. Results: At the conclusion of the program 73% (24/33) of the HEs completed a survey on their experience using the Portal. HEs reported that the Portal made recording screening information easy (96%); improved planning their workday (83%); facilitated POC data collection (84%); decreased time dedicated to data entry (100%); and improved job satisfaction (59%). The top two barriers to use were "no or limited wireless connectivity" (46%) and "the tablet was too heavy/bulky to carry" (29%). Qualitative management team interviews identified strategies for successful HIT implementation: importance of engaging HEs in outlining specifications and workflow needs, collaborative testing prior to implementation and clear agreement on data collection purpose, quality requirements and staff roles. Discussion: Overall, HEs perceived the Portal favorably with regard to time saving ability and improved workflow. Lessons learned included identifying core requirements early during system development and need for managers to institute and enforce consistent behavioral work norms. Conclusion: Barriers and HEs' views of technology impacted the utilization of the MASBIRT Portal. Further research is needed to determine best approaches for HIT system implementation in general medical settings. Research Article C. Shanahan et al.: Evaluation of Integrated Information System for Substance Use Screening in General Medical SettingsFor personal or educational use only. No other uses without permission. All rights reserved. The spectrum of unhealthy substance use, from risky use to substance use disorders (SUD), is a major cause of preventable morbidity and death [12, 13]. In the US, from 2012, the prevalence of unhealthy substance use in the adult population is 29.2% for alcohol and 7.0% (adults aged 26 years or older) and 21.3% (young adults aged 18 to 25) for illicit drugs. For SUD, prevalence rates are 8.5% for alcohol and 2% for illicit drugs [14][15][16].To address this public health problem, the Substance Abuse and Mental Health Services Administration (SAMHSA) funded through a cooperative agreement for Screening, Brief Intervention and Referral to Treatment (SBIRT) programs to implement universal SBIRT to address unhealthy substance use in gener...

show abstract

Interactive Voice Response Technology Can Deliver Alcohol Screening and Brief Intervention in Primary Care

Cited by 30 publications

References 29 publications

Screening for alcohol and drug use disorders among adults in primary care: a review

Screening for alcohol and drug use disorders among adults in primary care: a review

A Randomized Controlled Trial of IVR-Based Alcohol Brief Intervention to Promote Patient–Provider Communication in Primary Care

The Implementation of an Integrated Information System for Substance Use Screening in General Medical Settings

Contact Info

Product

Resources

About