tobacco,%20alcohol%20and%20abuse%20screening%20tool
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TRANSCRIPT
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Alcohol, Smoking and Abuse Screening Project
ByDonna Clarke-McMullen, PHN
Feb 19, 2007
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Screening Project Outline
Developed 1 page screen & resource package for primary care providersPiloted screen & resource packageAcademic detailingPre-test questionnairePost-test visits & questionnaireEvaluation results
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Screening Project Objectives
Identify “at-risk” womenPrimary care providers incorporate these tools into their practiceStandardize Ask-Advise-AssistEvaluate clinical use of tool by primary care providersAssess detailing approach
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Pre-test Resource Package
Alcohol, smoking and abuse screensBackgrounders on T-ACE, Smoking Cessation & RUCSRelated resource pamphletsPostersResource order sheetPre-test
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Target Audience
Total Visits Pre-test Post-test
Family physicians 178 137 56 32
Nurse practitioners 7 6 6 1
Midwives 5 5 5 5
Total hcp 190 148 67 38
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Pre-test Results
91%79%
51%
8%16%
33%
0%
20%
40%
60%
80%
100%
Tobacco Abuse
Agree
Strongly Agree
Percentage of health care providers
It is appropriate to screen all my female patients.
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Pre-test Results
93%
73%
36%
8%
21%
36%
0%
20%
40%
60%
80%
100%
Tobacco Abuse
Agree
Strongly Agree
Percentage of health care providers
I am comfortable asking my female patients about…
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Pre-test Screening Behaviour
87
66
14
0
20
40
60
80
100
Tobacco Alcohol Abuse
Percentage of health care providers
Screen 90+ % of female patients…
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Post-test Resource Package
Pre-test resultsBrief Interventions WorkWomen Abuse is a Health IssueArticle on intimate partner violenceArticle on brief intervention for alcohol problemsStages of change for smoking cardClinical Tobacco Intervention Bulletin
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Post-test Response
57% response rate from pre-test groupHarder to visit the second time
28% of hcp visited responded to the pre and post test
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Screening Practices
87
66
1427
69
0102030405060708090
100
Tobacco Alcohol Abuse
Pre-testPost-test
Percentage of health care providers who reported screening 90+ % of patients.
Percentage
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Tool Use
61
58
54
50
52
54
56
58
60
62
Tobacco Alcohol Abuse
Percentage
Percentage of health care providers who used the tool or used the same questions.
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Health Professionals Comments
Just over half intend to use T-ACE (56%) and RUCS (54%)Increase in community program referralsSome really liked the toolMost didn’t want an extra piece of paperAnecdotally, some “at risk” identification stories shared
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Academic Detailing
Our experience66% found academic detailing useful66% read the resource package
Lessons learned
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Secondary Gains
Promoted primary care providers resource catalogueLarson prenatal screenCPNP program using screensIncreased resource requests
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Q & A
www.healthunit.on.ca-”What’s New” sectiongo to “Upcoming Events”
Donna [email protected]. 613-549-1232, ext. 529