{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T03:00:07Z","timestamp":1790650807910,"version":"4.1.0"},"reference-count":34,"publisher":"Oxford University Press (OUP)","issue":"6","funder":[{"name":"Kentucky Medicaid","award":["SUP26-C5531"],"award-info":[{"award-number":["SUP26-C5531"]}]},{"DOI":"10.13039\/100000027","name":"NIAAA","doi-asserted-by":"publisher","award":["U01 AA026980-06"],"award-info":[{"award-number":["U01 AA026980-06"]}],"id":[{"id":"10.13039\/100000027","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,20]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>Alcohol use disorder (AUD) and alcohol associated liver disease (ALD) commonly co-occur, and integrated approaches to treatment are associated with better outcomes. This study aimed to develop an online module, the Program for Advanced Training of Hepatologists in Alcohol Use Disorder Management (PRATHAM), to enroll and train hepatologists, and to evaluate changes in participants\u2019 knowledge, attitudes, practices, and self-perceived competence pre- and post-training.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This included identification of specific needs, establishing learning objectives, designing a curriculum, and developing didactic presentations for hepatologists. Interested participants were enrolled in the online module and were asked to submit pre-tests, clinical cases, and a post-test, which included an evaluation of knowledge, attitudes, practice, and self-perceived competence. Descriptive statistics and the Wilcoxon signed-rank test were used to analyze the data. An intention-to-treat analysis was used to address missing data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>An 8-week curriculum was developed for 18 hepatologists from five different countries. Of these, 17 completed the pre-test, and 11 filled out the post-test proforma. Eleven complex clinical cases were discussed. There was a significant improvement in the participants\u2019 knowledge, practice, and self-perceived competence pre- and post-training. However, no significant change in attitudes was noted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study underscores the importance of tailored educational interventions in medical specialties such as hepatology, where practitioners frequently encounter patients with AUD. The significant improvements in practice, self-efficacy, and knowledge highlight the potential of targeted training programs to enhance patient care. Future studies could engage a more diverse group of hepatologists and evaluate patient outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/alcalc\/agag063","type":"journal-article","created":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T11:51:56Z","timestamp":1788954716000},"source":"Crossref","is-referenced-by-count":0,"title":["Training hepatologists in alcohol use disorder management: a pilot study"],"prefix":"10.1093","volume":"61","author":[{"given":"Jayant","family":"Mahadevan","sequence":"first","affiliation":[{"name":"Department of Psychiatry, National Institute of Mental Health and Neurosciences , 13th Cross Road, Bengaluru North, 560029, Karnataka ,","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Udit","family":"Panda","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, National Institute of Mental Health and Neurosciences , 13th Cross Road, Bengaluru North, 560029, Karnataka ,","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhishek Kumar","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, National Institute of Mental Health and Neurosciences , 13th Cross Road, Bengaluru North, 560029, Karnataka ,","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel Paul Ritish","family":"Kavati","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, National Institute of Mental Health and Neurosciences , 13th Cross Road, Bengaluru North, 560029, Karnataka ,","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Likhitha","family":"Chandra","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, National Institute of Mental Health and Neurosciences , 13th Cross Road, Bengaluru North, 560029, Karnataka ,","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N","family":"Kubenthiran","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, National Institute of Mental Health and Neurosciences , 13th Cross Road, Bengaluru North, 560029, Karnataka ,","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prabhat Kumar","family":"Chand","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, National Institute of Mental Health and Neurosciences , 13th Cross Road, Bengaluru North, 560029, Karnataka ,","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pratima","family":"Murthy","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, National Institute of Mental Health and Neurosciences , 13th Cross Road, Bengaluru North, 560029, Karnataka ,","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjeev","family":"Arora","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, University of New Mexico Health Sciences Center , 222 University Blvd. SE, New Mexico, Albuquerque, NM 87131 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1207-3998","authenticated-orcid":false,"given":"Ashwani K","family":"Singal","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, University of South Dakota , 419 E Clark St. Vermillion, SD 57069 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,9,28]]},"reference":[{"key":"2026092822363428900_ref1","doi-asserted-by":"publisher","first-page":"1601","DOI":"10.1111\/acer.12117","article-title":"Liver transplantation in alcoholic patients: impact of an alcohol addiction unit within a liver transplant center","volume":"37","author":"Addolorato","year":"2013","journal-title":"Alcohol Clin Exp Res"},{"key":"2026092822363428900_ref2","doi-asserted-by":"publisher","first-page":"30","DOI":"10.1097\/ACM.0000000000000051","article-title":"Demonopolizing medical knowledge","volume":"89","author":"Arora","year":"2014","journal-title":"Acad Med J Assoc Am Med Coll"},{"key":"2026092822363428900_ref3","doi-asserted-by":"publisher","first-page":"329","DOI":"10.1055\/s-0041-1722842","article-title":"Capacity building in mental health for Bihar: overview of the 1-year blended training program for nonspecialist medical officers","volume":"12","author":"Bairy","year":"2021","journal-title":"J Neurosci Rural Pract"},{"key":"2026092822363428900_ref4","doi-asserted-by":"publisher","first-page":"e603","DOI":"10.1097\/TXD.0000000000001054","article-title":"Practice habits, knowledge, and attitudes of hepatologists to alcohol use disorder medication: sobering gaps and opportunities","volume":"6","author":"Cotter","year":"2020","journal-title":"Transplant Direct"},{"key":"2026092822363428900_ref5","doi-asserted-by":"publisher","first-page":"451","DOI":"10.1007\/s40596-016-0535-x","article-title":"Addiction training: striving to fill an unmet need","volume":"40","author":"Das","year":"2016","journal-title":"Acad Psychiatry"},{"key":"2026092822363428900_ref6","doi-asserted-by":"publisher","first-page":"740","DOI":"10.1186\/s12913-019-4608-x","article-title":"Implementation barriers and facilitators of an integrated multidisciplinary lifestyle enhancing treatment for inpatients with severe mental illness: the MULTI study IV","volume":"19","author":"Deenik","year":"2019","journal-title":"BMC Health Serv Res"},{"key":"2026092822363428900_ref7","doi-asserted-by":"publisher","first-page":"186","DOI":"10.1016\/S2468-1253(21)00191-6","article-title":"Barriers to the management of alcohol use disorder and alcohol-associated liver disease: strategies to implement integrated care models","volume":"7","author":"DiMartini","year":"2022","journal-title":"Lancet Gastroenterol Hepatol"},{"key":"2026092822363428900_ref8","doi-asserted-by":"publisher","first-page":"197","DOI":"10.1016\/s0163-8343(02)00170-6","article-title":"The mental health\/primary care interface in the United States: history, structure, and context","volume":"24","author":"Druss","year":"2002","journal-title":"Gen Hosp Psychiatry"},{"key":"2026092822363428900_ref9","doi-asserted-by":"publisher","first-page":"399","DOI":"10.1016\/j.jhep.2012.04.004","article-title":"EASL clinical practical guidelines: management of alcoholic liver disease","volume":"57","author":"European Association for the Study of the Liver","year":"2012","journal-title":"J Hepatol"},{"key":"2026092822363428900_ref10","doi-asserted-by":"publisher","first-page":"1646","DOI":"10.1016\/j.cgh.2022.03.042","article-title":"Creation of an inpatient alcohol liver service improves early liver disease detection in patients with alcohol use disorder","volume":"21","author":"Fomin","year":"2023","journal-title":"Clin Gastroenterol Hepatol"},{"key":"2026092822363428900_ref11","doi-asserted-by":"publisher","first-page":"2407","DOI":"10.1016\/j.cgh.2020.10.026","article-title":"Provider attitudes and practices for alcohol screening, treatment, and education in patients with liver disease: a Survey From the American Association for the Study of Liver Diseases Alcohol-Associated Liver Disease Special Interest Group","volume":"19","author":"Im","year":"2021","journal-title":"Clin Gastroenterol Hepatol Off Clin Pract J Am Gastroenterol Assoc"},{"key":"2026092822363428900_ref12","volume-title":"CMAJ","author":"Intention-to-Treat Principle"},{"key":"2026092822363428900_ref13","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1186\/s13722-022-00292-8","article-title":"Clinicians\u2019 perspectives and perceived barriers to caring for patients with alcohol use disorder and cirrhosis","volume":"17","author":"Johnson","year":"2022","journal-title":"Addict Sci Clin Pract"},{"key":"2026092822363428900_ref14","doi-asserted-by":"publisher","first-page":"295","DOI":"10.3138\/canlivj-2022-0036","article-title":"The development and evaluation of a provider-focused educational intervention about alcohol use disorder in patients with cirrhosis","volume":"6","author":"Johnson","year":"2023","journal-title":"Can Liver J"},{"key":"2026092822363428900_ref15","doi-asserted-by":"publisher","first-page":"30","DOI":"10.14309\/ajg.0000000000002572","article-title":"ACG clinical guideline: alcohol-associated liver disease","volume":"119","author":"Jophlin","year":"2024","journal-title":"Am J Gastroenterol"},{"key":"2026092822363428900_ref16","doi-asserted-by":"publisher","first-page":"609","DOI":"10.4103\/ijmr.IJMR_1851_18","article-title":"Innovative virtual mentoring using the extension for community healthcare outcomes model for primary care providers for the management of alcohol use disorders","volume":"151","author":"Mahadevan","year":"2020","journal-title":"Indian J Med Res"},{"key":"2026092822363428900_ref17","doi-asserted-by":"publisher","first-page":"20","DOI":"10.1016\/j.jsat.2018.05.003","article-title":"Misconceptions, preferences and barriers to alcohol use disorder treatment in alcohol-related cirrhosis","volume":"91","author":"Mellinger","year":"2018","journal-title":"J Subst Abus Treat"},{"key":"2026092822363428900_ref18","doi-asserted-by":"publisher","first-page":"108396","DOI":"10.1016\/j.jsat.2021.108396","article-title":"Feasibility and early experience of a novel multidisciplinary alcohol-associated liver disease clinic","volume":"130","author":"Mellinger","year":"2021","journal-title":"J Subst Abus Treat"},{"key":"2026092822363428900_ref19","doi-asserted-by":"publisher","first-page":"145","DOI":"10.1186\/s12916-014-0145-y","article-title":"Liver cirrhosis mortality in 187 countries between 1980 and 2010: a systematic analysis","volume":"12","author":"Mokdad","year":"2014","journal-title":"BMC Med"},{"key":"2026092822363428900_ref20","doi-asserted-by":"publisher","first-page":"114","DOI":"10.1002\/cld.1177","article-title":"Epidemiology of liver diseases in India","volume":"19","author":"Mondal","year":"2022","journal-title":"Clin Liver Dis"},{"key":"2026092822363428900_ref21","doi-asserted-by":"publisher","DOI":"10.1002\/chp.20001","article-title":"Achieving desired results and improved outcomes: integrating planning and assessment throughout learning activities","volume":"29","author":"Moore","year":"2009","journal-title":"J Contin Educ Heal Prof"},{"key":"2026092822363428900_ref22","doi-asserted-by":"publisher","first-page":"859","DOI":"10.1186\/s12889-023-15749-x","article-title":"Global prevalence, incidence, and outcomes of alcohol related liver diseases: a systematic review and meta-analysis","volume":"23","author":"Niu","year":"2023","journal-title":"BMC Public Health"},{"key":"2026092822363428900_ref23","doi-asserted-by":"publisher","first-page":"607","DOI":"10.1111\/dar.13197","article-title":"Facilitators and barriers to integrating physical health care during treatment for substance use: a socio-ecological analysis","volume":"40","author":"Osborne","year":"2021","journal-title":"Drug Alcohol Rev"},{"key":"2026092822363428900_ref24","author":"R: The R Project for Statistical Computing","year":".."},{"key":"2026092822363428900_ref25","doi-asserted-by":"publisher","first-page":"2090","DOI":"10.1111\/liv.14589","article-title":"Training of hepatology providers improves the screening and resultant interventions for alcohol use disorder","volume":"40","author":"Saraireh","year":"2020","journal-title":"Liver Int"},{"key":"2026092822363428900_ref26","doi-asserted-by":"publisher","first-page":"130","DOI":"10.1097\/CLD.0000000000000026","article-title":"Culture, st,igma, and inequities creating barriers in alcohol use disorder management in alcohol-associated liver disease","volume":"21","author":"Sedarous","year":"2023","journal-title":"Clin Liver Dis"},{"key":"2026092822363428900_ref27","doi-asserted-by":"publisher","first-page":"165","DOI":"10.1001\/jama.2021.7683","article-title":"Diagnosis and treatment of alcohol-associated liver disease: a review","volume":"326","author":"Singal","year":"2021","journal-title":"JAMA"},{"key":"2026092822363428900_ref28","doi-asserted-by":"publisher","first-page":"175","DOI":"10.1038\/ajg.2017.469","article-title":"ACG clinical guideline: Alcoholic liver disease","volume":"113","author":"Singal","year":"2018","journal-title":"Off J Am Coll Gastroenterol ACG"},{"key":"2026092822363428900_ref29","doi-asserted-by":"publisher","first-page":"200","DOI":"10.1097\/LVT.0000000000000296","article-title":"Alcohol use disorder in alcohol-associated liver disease: two sides of the same coin","volume":"30","author":"Singal","year":"2024","journal-title":"Liver Transplant Off Publ Am Assoc Study Liver Dis Int Liver Transplant Soc"},{"key":"2026092822363428900_ref30","doi-asserted-by":"publisher","first-page":"42","DOI":"10.1186\/s13011-021-00380-z","article-title":"Strategies to promote the implementation of Screening, Brief Intervention, and Referral to Treatment (SBIRT) in healthcare settings: a scoping review","volume":"16","author":"Thoele","year":"2021","journal-title":"Subst Abuse Treat Prev Policy"},{"key":"2026092822363428900_ref31","doi-asserted-by":"publisher","first-page":"1480","DOI":"10.1001\/jamainternmed.2017.3947","article-title":"Collaborative care for opioid and alcohol use disorders in primary care: the SUMMIT randomized clinical trial","volume":"177","author":"Watkins","year":"2017","journal-title":"JAMA Intern Med"},{"key":"2026092822363428900_ref32","volume-title":"Biometrics","author":"Wilcoxon Signed Rank Test for Paired Comparisons of Clustered Data","year":".."},{"key":"2026092822363428900_ref33","volume-title":"Global Status Report on Alcohol and Health and Treatment of Substance Use Disorders","author":"World Health Organization","year":"2024"},{"key":"2026092822363428900_ref34","doi-asserted-by":"publisher","first-page":"1991","DOI":"10.1111\/liv.15312","article-title":"Epidemic characteristics of alcohol-related liver disease in Asia from 2000 to 2020: a systematic review and meta-analysis","volume":"42","author":"Xu","year":"2022","journal-title":"Liver Int Off J Int Assoc Study Liver"}],"container-title":["Alcohol and Alcoholism"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/alcalc\/article-pdf\/61\/6\/agag063\/71453429\/agag063.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/alcalc\/article-pdf\/61\/6\/agag063\/71453429\/agag063.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T02:36:46Z","timestamp":1790649406000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/alcalc\/article\/doi\/10.1093\/alcalc\/agag063\/8843069"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,20]]},"references-count":34,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,9,20]]}},"URL":"https:\/\/doi.org\/10.1093\/alcalc\/agag063","relation":{},"ISSN":["0735-0414","1464-3502"],"issn-type":[{"value":"0735-0414","type":"print"},{"value":"1464-3502","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,11]]},"published":{"date-parts":[[2026,9,20]]},"article-number":"agag063"}}