{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T13:13:21Z","timestamp":1780492401600,"version":"3.54.1"},"reference-count":38,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2019,10,1]],"date-time":"2019-10-01T00:00:00Z","timestamp":1569888000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Veterans Health Administration\u2019s Office of Research and Development\u2019s Health Services Research and Development\u2019s Quality Enhancement Research Initiative\u2019s Service Directed Project","award":["no. 11-411"],"award-info":[{"award-number":["no. 11-411"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Substance Abuse"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Evidence-based pharmacotherapies for alcohol use disorders (AUDs) are underutilized. This mixed-methods study reports supplementary findings from the alcohol use disorder pharmacotherapy and treatment in primary care (ADaPT-PC) implementation study at 3 Veterans Health Administration (VHA) hospital sites to understand why prescription rates did not increase following the ADaPT-PC intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Qualitative interviews (\n                      <jats:italic toggle=\"yes\">N<\/jats:italic>\n                      \u2009=\u200930) were conducted in advance of the ADaPT-PC intervention to understand patients\u2019 pharmacotherapy attitudes among those in AUD treatment, with previous treatment experience, or who needed assistance with their alcohol use. Following the ADaPT-PC intervention, chart reviews from a random sample of patients with AUD or a most recent Alcohol Use Disorders Identification Test consumption questions (AUDIT-C) score &gt;8, and no active AUD prescription, were conducted to determine the frequency of alcohol-related conversations (\n                      <jats:italic toggle=\"yes\">N<\/jats:italic>\n                      \u2009=\u2009455).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Most interviewed patients welcomed a discussion about their alcohol use and pharmacotherapy. Of the 15 medication-na\u00efve patients interviewed, 6 stated that they would be willing to try pharmacotherapy, 5 stated that they were unlikely, 2 identified reservations, 1 said no, and 1 was not asked. Fifteen patients were either currently taking medications (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200910) or had taken medication in the past (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20097; 2 patients had past and current experience). Chart reviews indicated that although 66% of charts (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u2009299) documented a discussion of their alcohol use with the provider, only 7.5% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200922) of individuals with an AUD diagnosis had a documented discussion of AUD pharmacotherapy, and only 5 received pharmacotherapy.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"conclusions\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Most interviewed patients were open to discussing AUD treatment, including discussions of pharmacotherapy, with their provider. From documented conversations about alcohol use to treatment options, medical records suggests a continuous narrowing of the number of patients engaged in alcohol-related consultations. Although some interviewed patients expressed reticence about initiating pharmacotherapy, these findings suggest that the treatment cascade may have a greater influence on the number of pharmacotherapy prescriptions than patients\u2019 preferences.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1080\/08897077.2019.1576089","type":"journal-article","created":{"date-parts":[[2019,3,4]],"date-time":"2019-03-04T08:45:29Z","timestamp":1551689129000},"page":"501-509","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["Patient Perspectives on Alcohol Use Disorder Pharmacotherapy and Integration of Treatment into Primary Care Settings"],"prefix":"10.1177","volume":"40","author":[{"given":"Sean J.","family":"Haley","sequence":"first","affiliation":[{"name":"Department of Health Policy and Management and Center for Innovation in Mental Health, Graduate School of Public Health and Health Policy, City University of New York, New York, New York, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erika A.","family":"Pinsker","sequence":"additional","affiliation":[{"name":"Center for Chronic Disease Outcomes Research, Minneapolis VA Health Care System, Minneapolis, Minnesota, USA;"},{"name":"Department of Medicine, School of Medicine, University of Minnesota, Minneapolis, Minnesota, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather","family":"Gerould","sequence":"additional","affiliation":[{"name":"Center for Chronic Disease Outcomes Research, Minneapolis VA Health Care System, Minneapolis, Minnesota, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer P.","family":"Wisdom","sequence":"additional","affiliation":[{"name":"Wisdom Consulting, New York, New York, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hildi J.","family":"Hagedorn","sequence":"additional","affiliation":[{"name":"Center for Chronic Disease Outcomes Research, Minneapolis VA Health Care System, Minneapolis, Minnesota, USA;"},{"name":"Department of Psychiatry, School of Medicine, University of Minnesota, Minneapolis, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,10,1]]},"reference":[{"key":"e_1_3_2_2_2","unstructured":"Centers for Disease Control and Prevention. Alcohol Related Disease Impact (ARDI) application. 2013; Alcohol Related Disease Impact (ARDI) application. Accessed September 19 2017."},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.291.10.1238"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/acer.12331"},{"key":"e_1_3_2_5_2","unstructured":"Substance Abuse Mental Health Services Administration. 2016 National Survey on Drug Use and Health (NSDUH): Table 2.20 B\u2014Alcohol Use Binge Alcohol Use and Heavy Alcohol Use in Past Month among Persons Aged 12 or Older by Detailed Age Category: Percentages 2015 and 2016. 2017; https:\/\/www.google.com\/url?sa=t&rct=j&q=&esrc=s&source=web&cd=6&cad=rja&uact=8&ved=0ahUKEwjr2NKK67HWAhWJr1QKHU5cBf8QFgg-MAU&url=https%3A%2F%2Fwww.samhsa.gov%2Fdata%2Fsites%2Fdefault%2Ffiles%2FNSDUH-DetTabs-2015%2FNSDUH-DetTabs-2015%2FNSDUH-DetTabs-2015.pdf&usg\u2009=\u2009AFQjCNE5LCs4Hq0dPoLXRaStGl8cINi0UQ Accessed September 19 2017."},{"key":"e_1_3_2_6_2","unstructured":"Substance Abuse Mental Health Services Administration. 2016 National Survey on Drug Use and Health (NSDUH):Table 6.52B Alcohol Use Disorder in Past Year among Persons Aged 18 or Older by Age First Used Alcohol and Demographic Characteristics:Percentages 2015 and 2016. 2017; https:\/\/www.google.com\/url?sa=t&rct=j&q=&esrc=s&source=web&cd=6&cad=rja&uact=8&ved=0ahUKEwjr2NKK67HWAhWJr1QKHU5cBf8QFgg-MAU&url=https%3A%2F%2Fwww.samhsa.gov%2Fdata%2Fsites%2Fdefault%2Ffiles%2FNSDUH-DetTabs-2015%2FNSDUH-DetTabs-2015%2FNSDUH-DetTabs-2015.pdf&usg\u2009=\u2009AFQjCNE5LCs4Hq0dPoLXRaStGl8cINi0UQ Accessed September 19 2017."},{"key":"e_1_3_2_7_2","unstructured":"National Institute on Alcohol Abuse and Alcoholism. Alcohol Use Disorders. 2016; https:\/\/www.niaaa.nih.gov\/alcohol-health\/overview-alcohol-consumption\/alcohol-use-disorders. Accessed September 20 2016."},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2015.05.031"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.7249\/RR1695"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2013.11.016"},{"key":"e_1_3_2_11_2","unstructured":"Veterans Health Administration. Handbook 1160: Uniform mental health services in VA medical centers and clinics. 2015; https:\/\/www.va.gov\/vhapublications\/ViewPublication.asp?pub_ID=1762. Accessed Feb 22 2019."},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2008.07.018"},{"key":"e_1_3_2_13_2","volume-title":"The Prescriber's Guide","author":"Stahl SM","year":"2011","unstructured":"Stahl SM. The Prescriber's Guide. Cambridge, UK: Cambridge University Press; 2011."},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.jcp.0000222512.25649.08"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1176\/ps.2010.61.4.392"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1037\/a0030949"},{"key":"e_1_3_2_17_2","first-page":"275","volume-title":"What we Need Is a System: creating a Responsive and Effective Substance Abuse Treatment System. Rethinking Substance Abuse: What the Science Shows and What we Should Do about It","author":"McLellan AT","year":"2006","unstructured":"McLellan AT. What we Need Is a System: creating a Responsive and Effective Substance Abuse Treatment System. Rethinking Substance Abuse: What the Science Shows and What we Should Do about It. New York, USA: Guildford Press; 2006: 275\u2013292."},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-011-0222-2"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1360-0443.2003.00377.x"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1521-0391.2003.tb00543.x"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-016-0431-5"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2017.09.002"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2018.06.001"},{"key":"e_1_3_2_24_2","volume-title":"Designing and Conducting Mixed Methods Research","author":"Creswell JW","year":"2007","unstructured":"Creswell JW, , Clark VLP. Designing and Conducting Mixed Methods Research. 2nd ed. Thousand Oaks, CA: Sage; 2007.","edition":"2"},{"key":"e_1_3_2_25_2","volume-title":"Analytic Strategies and Sample Size.","author":"Jm M","year":"2015","unstructured":"Jm M. Analytic Strategies and Sample Size. Los Angeles, CA: SAGE Publications Sage CA; 2015."},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.320.7227.114"},{"issue":"2002","key":"e_1_3_2_27_2","first-page":"305","article-title":"Qualitative data analysis for applied policy research","volume":"573","author":"Ritchie J","year":"2002","unstructured":"Ritchie J, , Spencer L. Qualitative data analysis for applied policy research. Qualt Res Comp. 2002;573(2002):305\u2013329.","journal-title":"Qualt Res Comp."},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.1136\/ebmed-2014-110050"},{"key":"e_1_3_2_29_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.158.16.1789"},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2017.06.011"},{"key":"e_1_3_2_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2006.08.013"},{"key":"e_1_3_2_32_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2014.3628"},{"key":"e_1_3_2_33_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2006.03942.x"},{"key":"e_1_3_2_34_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.288.19.2469"},{"key":"e_1_3_2_35_2","doi-asserted-by":"publisher","DOI":"10.2307\/3350391"},{"key":"e_1_3_2_36_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0738-3991(02)00032-0"},{"key":"e_1_3_2_37_2","doi-asserted-by":"publisher","DOI":"10.15288\/jsa.2000.61.134"},{"key":"e_1_3_2_38_2","unstructured":"Center for Substance Abuse Treatment. Enhancing Motivation for Change in Substance Abuse Treatment. Rockville (MD): Substance Abuse and Mental Health Services Administration (US); 1999. (Treatment Improvement Protocol (TIP) Series No. 35.) 2016."},{"key":"e_1_3_2_39_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(03)14546-1"}],"container-title":["Substance Abuse"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1080\/08897077.2019.1576089","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1080\/08897077.2019.1576089","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1080\/08897077.2019.1576089","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T12:45:12Z","timestamp":1780490712000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1080\/08897077.2019.1576089"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,10]]},"references-count":38,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2019,10]]}},"alternative-id":["10.1080\/08897077.2019.1576089"],"URL":"https:\/\/doi.org\/10.1080\/08897077.2019.1576089","relation":{},"ISSN":["0889-7077","1547-0164"],"issn-type":[{"value":"0889-7077","type":"print"},{"value":"1547-0164","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,10]]}}}