Training of hepatology providers improves the screening and resultant interventions for alcohol use disorder.
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.
Published In/Presented At
Saraireh, H., Redman, J., Abdelfattah, T., Mangray, S., Wade, J. B., Gilles, H. S., Fuchs, M., Morris, A., Malpaya, Z., Puri, P., Davis, B. C., Patel, S. S., & Bajaj, J. S. (2020). Training of hepatology providers improves the screening and resultant interventions for alcohol use disorder. Liver international : official journal of the International Association for the Study of the Liver, 40(9), 2090–2094. https://doi.org/10.1111/liv.14589
Medicine and Health Sciences
Department of Medicine