Evidence map›Paper›PMID 39653992›Full record

ArticleJournal of general internal medicine2025

Screening and Telephone-Based Intervention for Unhealthy Alcohol Use in a Diverse Federally Qualified Health Center System in Texas.

Michael Pignone, Jessica Calderon-Mora, Patrick Chang, Jocelyn Labrada, Karen Mendoza, John Weems, Mary Velasquez, Matt Hubley, Sara Young, Nicole Kluz

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of general internal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Michael PignoneDepartment of Medicine, Duke University School of Medicine, Durham, NC, USA.
Jessica Calderon-MoraDepartment of Population Health, Dell Medical School, The University of Texas at Austin, Austin, TX, USA.
Patrick ChangDepartment of Population Health, Dell Medical School, The University of Texas at Austin, Austin, TX, USA.
Jocelyn LabradaDepartment of Internal Medicine, Dell Medical School, The University of Texas at Austin, Austin, TX, USA.
Karen MendozaDepartment of Internal Medicine, Dell Medical School, The University of Texas at Austin, Austin, TX, USA.
John WeemsDepartment of Internal Medicine, Dell Medical School, The University of Texas at Austin, Austin, TX, USA.
Mary VelasquezHealth Behavior Research and Training Institute, Steve Hicks School of Social Work, The University of Texas at Austin, Austin, TX, USA.
Matt HubleyDepartment of Internal Medicine, Dell Medical School, The University of Texas at Austin, Austin, TX, USA.
Sara YoungCommUnityCare, Austin, TX, USA.
Nicole KluzDepartment of Internal Medicine, Dell Medical School, The University of Texas at Austin, Austin, TX, USA. nicole.kluz@austin.utexas.edu.ORCID 0000-0002-6112-087X

Funding

Cancer Prevention and Research Institute of Texas 200036
6 · The paper itself

Abstract

backgroundScreening and brief intervention (BI) can reduce risky alcohol use but has not been widely implemented in primary care settings. We sought to implement a screening and telephone-based program within a Federally Qualified Health Center (FQHC).

designPrior to this program, adult patients were routinely screened using AUDIT-C with no further systematic follow-up. We designed a team-based, tele-care-centered program to (1) follow-up positive screening results or provider referrals with full AUDIT and (2) provide a social worker-administered two-session BI for patients with AUDIT 4-12; those with high AUDIT scores received BI and were offered pharmacotherapy and/or referral for additional support. Repeat AUDIT was administered at 3-6 months.

resultsFrom March 2021 to May 2023, 3959 patients were screened using AUDIT-C, with 632 (16%) screening positive. Mean age was 44; 47% identified as female, 58% as Hispanic/Latino; 43% received care through the county-based Medical Access Program (MAP). Men, those with commercial insurance, and English-speakers were more likely to screen positive. Using telephone outreach to direct referrals and to those screening positive, trained counselors successfully administered the full AUDIT to 412 participants. Initial AUDIT scores were ≤ 12 (n = 281, 68.2%) and > 12 (n = 131, 31.8%). Among patients who completed the initial AUDIT, mean age was 46; 32% identified as female, 86% as Hispanic/Latino, and 66% were insured through MAP. Of the 412, 400 (97%) completed one counseling session and 297 (72%) completed two. Of the 131 with initial AUDIT > 12, 19 received pharmacotherapy and 13 had one or more visits with our addiction medicine service. For the 251 patients with AUDIT data at 3-6 months, the mean score change was - 4.1 (95% CI - 3.4, - 4.7). Spanish-speaking patients showed larger decreases than English-speakers; there were no other statistically significant differences.

conclusionsScreening and telephone-based BI reduces unhealthy alcohol use in diverse adult FQHC patients.

Indexed as

AlcoholismMass ScreeningTelephoneAdultFemaleHumansMaleMiddle AgedPrimary Health CareTelemedicineTexasYoung Adultalcohol use disorderalcohol use treatmentrisky drinkingSBIRT

Identifiers

PMID39653992
PMCPMC12463807

What OpenQuestion holds

Textmetadata
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.