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Training of hepatology providers improves the screening and resultant interventions for alcohol use disorder
Author(s) -
Saraireh Hamzeh,
Redman Joseph,
Abdelfattah Thaer,
Mangray Sasha,
Wade James B.,
Gilles HoChong S.,
Fuchs Michael,
Morris April,
Malpaya Zenaida,
Puri Puneet,
Davis Brian C.,
Patel Samarth S.,
Bajaj Jasmohan S.
Publication year - 2020
Publication title -
liver international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.873
H-Index - 110
eISSN - 1478-3231
pISSN - 1478-3223
DOI - 10.1111/liv.14589
Subject(s) - medicine , hepatology , referral , alcohol use disorder , population , audit , brief intervention , physical therapy , family medicine , alcohol , randomized controlled trial , biochemistry , chemistry , environmental health , management , economics
Alcohol use disorder (AUD) screening is important but focused training with using AUDIT‐10 with counselling/mental health (MH) referral may be needed. We aimed to compare the effect of training on AUD screening/intervention in hepatology clinics in pre vs post‐training phases of a quality‐improvement initiative. Pre‐training encounters were evaluated for inquiry into AUD, AUDIT‐10 and MH referrals. Dedicated AUD‐related training was provided to hepatology providers and analyses repeated post‐training. Pre‐training (n = 378) and post‐training patients(n = 318) had similar demographics and disease characteristics. Post‐training there was higher inquiry about alcohol(92% vs 80%, P < .0001), counselling (82% vs 68%, P < .0001). This led to higher diagnosis of drinkers (49% vs 31%, P < .0001) of whom higher proportion had AUDIT‐10 administered(91% vs 34%, P < .0001) and referred to MH(29% vs 8%, P < .0001). On regression presumed alcohol‐related aetiology, younger age and post‐training period were associated with AUDIT‐10 administration. AUD‐focused training significantly improves rates of screening and MH referral for problem drinking in a hepatology clinic population.