Evidence map›Paper›PMID 34486124›Full record

ArticleAlcoholism, clinical and experimental research2021

Patient and provider factors associated with receipt and delivery of brief interventions for unhealthy alcohol use in primary care.

Yun Lu, Felicia W Chi, Sujaya Parthasarathy, Vanessa A Palzes, Andrea H Kline-Simon, Verena E Metz, Constance Weisner, Derek D Satre, Cynthia I Campbell, Joseph Elson and 3 more

Abstract read
In one paragraph

Article in Alcoholism, clinical and experimental research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Article
  7. Observational
  8. Article
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Yun LuDivision of Research, Kaiser Permanente Northern California, Oakland, California, USA.ORCID 0000-0002-0900-4249
Felicia W ChiDivision of Research, Kaiser Permanente Northern California, Oakland, California, USA.
Sujaya ParthasarathyDivision of Research, Kaiser Permanente Northern California, Oakland, California, USA.
Vanessa A PalzesDivision of Research, Kaiser Permanente Northern California, Oakland, California, USA.ORCID 0000-0002-3256-579X
Andrea H Kline-SimonDivision of Research, Kaiser Permanente Northern California, Oakland, California, USA.
Verena E MetzDivision of Research, Kaiser Permanente Northern California, Oakland, California, USA.
Constance WeisnerDivision of Research, Kaiser Permanente Northern California, Oakland, California, USA.
Derek D SatreDivision of Research, Kaiser Permanente Northern California, Oakland, California, USA.
Cynthia I CampbellDivision of Research, Kaiser Permanente Northern California, Oakland, California, USA.
Joseph ElsonThe Permanente Medical Group, San Francisco, California, USA.
Thekla B RossDivision of Research, Kaiser Permanente Northern California, Oakland, California, USA.
Sameer V AwsareThe Permanente Medical Group, TPMG Executive Offices, Oakland, California, USA.
Stacy A SterlingDivision of Research, Kaiser Permanente Northern California, Oakland, California, USA.

Funding

Implementation of Alcohol Screening and Brief Intervention in a Health System: Sustainability, Fidelity and Patient OutcomesR01AA027477 · NIAAA · KAISER FOUNDATION RESEARCH INSTITUTE · PI STERLING, STACY ANN · 2019 to 2023
$2.6M
Mentoring alcohol use intervention research in HIV health care settingsK24AA025703 · NIAAA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Derek D Satre · 2018 to 2026
$1.8M
Population-based Screening and Brief Intervention in Primary Care: Health and Drinking Outcomes, Cost and UtilizationR01AA025902 · NIAAA · KAISER FOUNDATION RESEARCH INSTITUTE · PI STERLING, STACY ANN · 2017 to 2020
$1.6M
NIAAA NIH HHS K24 AA025703NIAAA NIH HHS R01 AA025902NIAAA NIH HHS R01 AA027477
6 · The paper itself

Abstract

backgroundUnhealthy alcohol use is a serious and costly public health problem. Alcohol screening and brief interventions are effective in reducing unhealthy alcohol consumption. However, rates of receipt and delivery of brief interventions vary significantly across healthcare settings, and relatively little is known about the associated patient and provider factors.

methodsThis study examines patient and provider factors associated with the receipt of brief interventions for unhealthy alcohol use in an integrated healthcare system, based on documented brief interventions in the electronic health record. Using multilevel logistic regression models, we retrospectively analyzed 287,551 adult primary care patients (and their 2952 providers) who screened positive for unhealthy drinking between 2014 and 2017.

resultsWe found lower odds of receiving a brief intervention among patients exceeding daily or weekly drinking limits (vs. exceeding both limits), females, older age groups, those with higher medical complexity, and those already diagnosed with alcohol use disorders. Patients with other unhealthy lifestyle activities (e.g., smoking, no/insufficient exercise) were more likely to receive a brief intervention. We also found that female providers and those with longer tenure in the health system were more likely to deliver brief interventions.

conclusionsThese findings point to characteristics that can be targeted to improve universal receipt of brief intervention.

Indexed as

AdolescentAdultAgedAged, 80 and overAlcoholismCrisis InterventionFemaleHealth PersonnelHumansMaleMiddle AgedPatientsPrimary Health CareRetrospective StudiesYoung Adultalcohol screeningpatient and provider factorsreceipt and delivery of brief interventionsunhealthy alcohol use

Identifiers

PMID34486124
PMCPMC8602748

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.