{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T00:09:00Z","timestamp":1776816540604,"version":"3.51.2"},"reference-count":39,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2006,2,1]],"date-time":"2006-02-01T00:00:00Z","timestamp":1138752000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Substance Abuse"],"published-print":{"date-parts":[[2006,2]]},"abstract":"<jats:p> The purpose of this study was to evaluate the impact of simultaneous systems interventions and clinician training on management of hazardous and harmful drinking in a residency clinic. Systems interventions included forming a multi-disciplinary implementation team, training registration clerks to distribute health risk questionnaires using the AUDIT-C alcohol screen, and training nurses to score the AUDIT-C and administer the AUDIT to screen-positive patients. Clinicians were trained to perform brochure-based interventions on screen-positive patients. Research staff provided compliance feedback. Over 12 months, 8.0% (241\/3014) of patients screened positive and 3.8% (115\/3014) received brief interventions. For screen-positive patients, comparisons with baseline measurements found increased rates of alcohol assessment (50% vs. 0%, p &lt;.0001) and intervention (48.1% vs. 9.4%, p &lt;.0001). Clinicians intervened more often when prompted with completed AUDITs (72% vs. 23%, p &lt;.0001). Program modifications resulted in progressive increases in numbers of patients screened. This model shows promise for use in other residency programs. <\/jats:p>","DOI":"10.1300\/j465v26n01_03","type":"journal-article","created":{"date-parts":[[2006,2,21]],"date-time":"2006-02-21T19:41:08Z","timestamp":1140550868000},"page":"23-31","source":"Crossref","is-referenced-by-count":23,"title":["Implementing Alcohol Screening and Intervention in a Family Medicine Residency Clinic"],"prefix":"10.1177","volume":"26","author":[{"given":"J. Paul","family":"Seale","sequence":"first","affiliation":[{"name":"Department of Family Medicine Medical Center of Central Georgia, Mercer University School of Medicine, Macon, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sylvia","family":"Shellenberger","sequence":"additional","affiliation":[{"name":"Department of Family Medicine Medical Center of Central Georgia, Mercer University School of Medicine, Macon, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wanda Kaye","family":"Tillery","sequence":"additional","affiliation":[{"name":"Department of Family Medicine Medical Center of Central Georgia, Mercer University School of Medicine, Macon, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Boltri","sequence":"additional","affiliation":[{"name":"Department of Family Medicine Medical Center of Central Georgia, Mercer University School of Medicine, Macon, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara","family":"Barton","sequence":"additional","affiliation":[{"name":"Department of Family Medicine Medical Center of Central Georgia, Mercer University School of Medicine, Macon, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Megan","family":"McCauley","sequence":"additional","affiliation":[{"name":"Department of Family Medicine Medical Center of Central Georgia, Mercer University School of Medicine, Macon, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Vogel","sequence":"additional","affiliation":[{"name":"Center for Biostatistics, Georgia Southern University, Statesboro, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2006,2,1]]},"reference":[{"key":"bibr1-J465v26n01_03","doi-asserted-by":"publisher","DOI":"10.1300\/J069v15n01_02"},{"key":"bibr2-J465v26n01_03","doi-asserted-by":"publisher","DOI":"10.3109\/00952999709016881"},{"key":"bibr3-J465v26n01_03","first-page":"393","volume":"15","author":"Fleming M F","year":"2001","journal-title":"Recent Dev Alcohol"},{"key":"bibr4-J465v26n01_03","doi-asserted-by":"publisher","DOI":"10.1046\/j.1360-0443.2002.00018.x"},{"key":"bibr5-J465v26n01_03","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-140-7-200404060-00017"},{"key":"bibr6-J465v26n01_03","doi-asserted-by":"publisher","DOI":"10.1111\/j.1530-0277.2002.tb02429.x"},{"key":"bibr7-J465v26n01_03","doi-asserted-by":"publisher","DOI":"10.1111\/j.1530-0277.1983.tb05441.x"},{"key":"bibr8-J465v26n01_03","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-140-7-200404060-00016"},{"key":"bibr9-J465v26n01_03","doi-asserted-by":"publisher","DOI":"10.1046\/j.1360-0443.2002.0005c.x"},{"key":"bibr10-J465v26n01_03","first-page":"64","volume":"15","author":"Eiseman J M","year":"2000","journal-title":"J Gen Intern Med"},{"key":"bibr11-J465v26n01_03","doi-asserted-by":"publisher","DOI":"10.1097\/00001888-200105000-00007"},{"key":"bibr12-J465v26n01_03","first-page":"162","volume":"18","author":"Deitz D","year":"1994","journal-title":"Alcohol Health Res World"},{"key":"bibr13-J465v26n01_03","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2000.03379.x"},{"key":"bibr14-J465v26n01_03","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1993.00410130093009"},{"key":"bibr15-J465v26n01_03","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.1998.00206.x"},{"key":"bibr16-J465v26n01_03","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-138-5-200303040-00006"},{"key":"bibr17-J465v26n01_03","unstructured":"Higgins-Biddle J. 2001. 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