282
Views
0
CrossRef citations to date
0
Altmetric
Original Research

Early implementation of screening for substance use in rural primary care: A rapid analytic qualitative study

, PhD, , MS, , BS, , BA, , MS, , BA, , MD, , MA, , PhD, , PhD, , MD & , MD, MS show all

References

  • Cherpitel CJ, Ye Y. Drug use and problem drinking associated with primary care and emergency room utilization in the US general population: data from the 2005 national alcohol survey. Drug Alcohol Depend. 2008;97(3):226–230.
  • Pilowsky DJ, Wu LT. Screening for alcohol and drug use disorders among adults in primary care: A review. Subst Abuse Rehabil. 2012;3(1):25–34.
  • Wu L-T, McNeely J, Subramaniam GA, et al. DSM-5 substance use disorders among adult primary care patients: results from a multisite study. Drug Alcohol Depend. 2017;179:42–46.
  • Pace CA, Uebelacker LA. Addressing unhealthy substance use in primary care. Med Clin North Am. 2018;102(4):567–586.
  • U.S. Preventive Services Task Force (USPSTF). Final recommendation statement: alcohol misuse: screening and behavioral counseling interventions in primary care. 2013. Available from: https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/alcohol-misuse-screening-and-behavioral-counseling-interventions-in-primary-care.
  • U.S. Preventive Services Task Force (USPSTF). Draft recommendation statement: illicit drug use, including nonmedical use of prescription drugs: screening; August 27 2019. Available from: https://www.uspreventiveservicestaskforce.org/Page/Document/draft-recommendation-statement/drug-use-in-adolescents-and-adults-including-pregnant-women-screening.
  • Edlund MJ, Unutzer J, Wells KB. Clinician screening and treatment of alcohol, drug, and mental problems in primary care: Results from healthcare for communities. Med Care. 2004;42(12):1158–1166.
  • D'Amico EJ, Paddock SM, Burnam A, Kung FY. Identification of and guidance for problem drinking by general medical providers: results from a national survey. Med Care. 2005;43(3):229–236.
  • Venner KL, Sánchez V, Garcia J, et al. Moving away from the tip of the pyramid: Screening and brief intervention for risky alcohol and opioid use in underserved patients. J Am Board Fam Med. 2018; 31(2) :243–251.
  • Denny CH, Hungerford DW, McKnight-Eily LR, et al. Self-reported prevalence of alcohol screening among U.S. adults. Am J Prev Med. 2016;50(3):380–383.
  • Talen MR, Baumer JG, and MM. Mann Screening measures in integrated behavioral health and primary care settings. In Talen MR, Valeras B, eds. Integrated Behavioral Health in Primary Care: Evaluating the Evidence, Identifying the Essentials. New York, NY: Springer Science and Business Media, 2013.
  • Kristenson H, Ohlin H, Hultén-Nosslin MB, et al. Identification and intervention of heavy drinking in middle-aged men: results and follow-up of 24–60 months of long-term study with randomized controls. Alcohol Clin Exp Res. 1983;7(2):203–209.
  • WHO Assist Working Group. The Alcohol, Smoking and Substance Involvement Screening Test (ASSIST): development, reliability and feasibility. Addiction. 2002;97(9):1183–1194.
  • Hargraves D, White C, Frederick R, et al. Implementing SBIRT (Screening, Brief Intervention and Referral to Treatment) in primary care: lessons learned from a multi-practice evaluation portfolio. Public Health Rev. 2017;38:31.
  • Friedmann PD, McCullough D, Saitz R. Screening and intervention for illicit drug abuse: a national survey of primary care physicians and psychiatrists. Arch Intern Med. 2001;161(2):248–251.
  • Sterling S, Kline-Simon AH, Wibbelsman C, Wong A, Weisner C. Screening for adolescent alcohol and drug use in pediatric health-care settings: predictors and implications for practice and policy. Addict Sci Clin Prac. 2012;7:13.
  • Johnson M, Jackson R, Guillaume L, et al. Barriers and facilitators to implementing screening and brief intervention for alcohol misuse: a systematic review of qualitative evidence. J Public Health. 2011;33(3):412–421.
  • Yoast RA, Wilford BB, Hayashi SW. Encouraging physicians to screen for and intervene in substance use disorders: obstacles and strategies for change. J Addict Dis. 2008;27(3):77–97.
  • McCormick KA, Cochran NE, Back AL, et al. How primary care providers talk to patients about alcohol: a qualitative study. J Gen Intern Med. 2006;21(9):966–972.
  • Ducharme LJ, Chandler RK, Harris AH. Implementing effective substance abuse treatments in general medical settings: mapping the research terrain. J Subst Abuse Treat. 2016;60:110–118.
  • Chan Y-F, Lu S-E, Howe B, et al. Screening and follow-up monitoring for substance use in primary care: an exploration of rural-urban variations. J Gen Intern Med. 2016;31(2):215–222.
  • Palombi LC, St Hill CA, Lipsky MS, et al. A scoping review of opioid misuse in the rural United States. Ann Epidemiol. 2018; 28(9) :641–652.
  • Prunuske JP, St Hill CA, Hager KD, et al. Opioid prescribing patterns for non-malignant chronic pain for rural versus non-rural US adults: a population-based study using 2010 NAMCS data. BMC Health Serv Res. 2014;14:563.
  • Hing E, Hsiao CJ. State variability in supply of office-based primary care providers: United States. NCHS Data Brief. 2012;2014(151):1–8.
  • Borders TF, Booth BM. Research on rural residence and access to drug abuse services: where are we and where do we go? J Rural Health. 2007;23(Suppl):79–83.
  • Lenardson J, Gale JA. Distribution of substance abuse treatment facilities across the rural-urban continuum. In: Research and Policy Brief. Portland, ME: Maine Rural Health Research Center, Muskie School of Public Health, University of Southern Maine, 2008.
  • Pullen E, Oser C. Barriers to substance abuse treatment in rural and urban communities: counselor perspectives. Subst Use Misuse. 2014;49(7):891–901.
  • Booth BM, Kirchner J, Fortney J, et al. Rural at-risk drinkers: correlates and one-year use of alcoholism treatment services. J Stud Alcohol. 2000;61(2):267–277.
  • Iyiewuare PO, McCullough C, Ober A, et al. Demographic and mental health characteristics of individuals who present to community health clinics with substance misuse. Health Serv Res Manag Epidemiol. 2017;4:233339281773452.
  • McNeely J, Kumar PC, Rieckmann T, et al. Barriers and facilitators affecting the implementation of substance use screening in primary care clinics: a qualitative study of patients, providers, and staff. Addict Sci Clin Pract. 2018;13(1):8.
  • Adam A, et al. Electronic self-administered screening for substance use in adult primary care patients: Feasibility and acceptability of the tobacco, alcohol, prescription medication, and other substance use (myTAPS) screening tool. Addict Sci Clin Pract. 2019;14(1):39.
  • Gryczynski J, McNeely J, Wu L-T, et al. Validation of the TAPS-1: A four-item screening tool to identify unhealthy substance use in primary care. J Gen Intern Med. 2017;32(9):990–996.
  • McNeely J, Wu L-T, Subramaniam G, et al. Performance of the tobacco, alcohol, prescription medication, and other substance use (TAPS) tool for substance use screening in primary care patients. Ann Intern Med. 2016;165(10):690–699.
  • Schwartz RP, McNeely J, Wu LT, et al. Identifying substance misuse in primary care: TAPS Tool compared to the WHO ASSIST. J Subst Abuse Treat. 2017;76:69–76.
  • Saunders EC, Moore SK, Gardner T, et al. Screening for substance use in rural primary care: a qualitative study of providers and patients. J Gen Intern Med. 2019;34(12):2824–2832.
  • Wu L-T, McNeely J, Subramaniam GA, et al. Design of the NIDA clinical trials network validation study of tobacco, alcohol, prescription medications, and substance use/misuse (TAPS) tool. Contemp Clin Trials. 2016;50:90–97.
  • Graham ID, Logan J, Harrison MB, et al. Lost in knowledge translation: time for a map? J Contin Educ Health Prof. 2006;26(1):13–24.
  • Damschroder LJ. Clarity out of chaos: use of theory in implementation research. Psychiatry Res. 2020;283:112461.
  • Proctor E, Silmere H, Raghavan R, et al. Outcomes for implementation research: conceptual distinctions, measurement challenges, and research agenda. Adm Policy Ment Health. 2011;38(2):65–76.
  • Burns C. Data: More Opioids Were Handed out per Person in Penobscot County than Anywhere Else in New England. Bangor, ME: Bangor Daily News.
  • Taylor B, Henshall C, Kenyon S, et al. Can rapid approaches to qualitative analysis deliver timely, valid findings to clinical leaders? A mixed methods study comparing rapid and thematic analysis. BMJ Open. 2018;8(10):e019993.
  • Hamilton AB. Qualitative methods in rapid turn-around health services research. In VA Health Services Research and Development Cyberseminar, 2013. Available from: https://www.hsrd.research.va.gov/for_researchers/cyber_seminars/archives/video_archive.cfm?SessionID=780.
  • Keith RE, Crosson JC, O'Malley AS, et al. Using the consolidated framework for implementation research (CFIR) to produce actionable findings: a rapid-cycle evaluation approach to improving implementation. Implement Sci. 2017;12(1):15.
  • Lambert-Kerzner AC, Aasen DM, Overbey DM, et al. Use of the consolidated framework for implementation research to guide dissemination and implementation of new technologies in surgery. J Thorac Dis. 2019;11(Suppl 4):S487–s499.
  • Mattson M, Lipari RN, Hays C, Van Horn SL. A day in the life of older adults: Substance use facts. In The CBHSQ Report. Rockville, MD: Substance Abuse and Mental Health Services Administration (SAMHSA), 2017.
  • Saposnik G, et al. Cognitive biases associated with medical decisions: a systematic review. BMC Med Infomat Decision Mak. 2016;16(1):138.
  • Mamede S, van Gog T, van den Berge K, et al. Effect of availability bias and reflective reasoning on diagnostic accuracy among internal medicine residents. JAMA. 2010;304(11):1198–1203.
  • Keurhorst M, Heinen M, Colom J, et al. Strategies in primary healthcare to implement early identification of risky alcohol consumption: Why do they work or not? A qualitative evaluation of the ODHIN study. BMC Fam Pract. 2016;17:70.
  • Mittman BS. Implementation science in health care. In Brownson RC, Colditz GA, Proctor EK, eds. Dissemination and Implementation Research in Health: Translating Science to Practice. New York, NY: Oxford University Press, 2012: 70.
  • Arditi C, Rège-Walther M, Durieux P, et al. Computer-generated reminders delivered on paper to healthcare professionals: effects on professional practice and healthcare outcomes. Cochrane Database Syst Rev. 2017;7:CD001175.
  • Butler SF, Villapiano A, Malinow A. The effect of computer-mediated administration on self-disclosure of problems on the addiction severity index. J Addict Med. 2009;3(4):194–203.
  • Harris SK, Knight, Jr JR, Van Hook S, et al. Adolescent substance use screening in primary care: validity of computer self-administered versus clinician-administered screening. Substance Abuse. 2016;37(1):197–203.
  • Hankin A, Haley L, Baugher A, et al. Kiosk versus in-person screening for alcohol and drug use in the emergency department: patient preferences and disclosure. WestJEM. 2015;16(2):220–228.
  • Mohr DC, Burns MN, Schueller SM, et al. Behavioral intervention technologies: evidence review and recommendations for future research in mental health. Gen Hosp Psychiatry. 2013;35(4):332–338.
  • Anderson P, Laurant M, Kaner E, et al. Engaging general practitioners in the management of hazardous and harmful alcohol consumption: results of a meta-analysis. J Stud Alcohol. 2004;65(2):191–199.
  • Hyman Z. Brief interventions for high-risk drinkers. J Clin Nurs. 2006;15(11):1383–1396.
  • Giannetti VJ, Sieppert JD, Holosko MJ. Attitudes and knowledge concerning alcohol abuse: curriculum implications. J Health Soc Policy. 2002;15(1):45–58.
  • McGillion J, Wanigaratne S, Feinmann C, et al. GPs' attitudes towards the treatment of drug misusers. Br J Gen Pract. 2000;50(454):385–386.
  • Ghitza UE, Tai B. Challenges and opportunities for integrating preventive substance-use-care services in primary care through the Affordable Care Act. J Health Care Poor Underserved. 2014;25(1 Suppl):36–45.
  • Urada D, et al. Integration of substance use disorder services with primary care: Health center surveys and qualitative interviews. Subst Abuse Treat Prevent Pol. 2014;9:15.
  • van Boekel LC, Brouwers EPM, van Weeghel J, et al. Stigma among health professionals towards patients with substance use disorders and its consequences for healthcare delivery: systematic review. Drug Alcohol Depend. 2013;131(1–2):23–35.
  • Lash SJ, Timko C, Curran GM, et al. Implementation of evidence-based substance use disorder continuing care interventions. Psychol Addict Behav. 2011;25(2):238–251.
  • Spandorfer JM, Israel Y, Turner BJ. Primary care physicians' views on screening and management of alcohol abuse: inconsistencies with national guidelines. J Fam Pract. 1999;48(11):899–902.
  • Pfarrwaller E, Meynard A, Reyre A, et al. Excessive substance use screening to encourage behaviour change among young people in primary care: pilot study in preparation for a randomized trial. Addict Behav. 2019;98:106049.
  • Parker K, et al. Demographic and economic trends in urban, suburban, and rural communities; 2018. https://www.pewsocialtrends.org/2018/05/22/demographic-and-economic-trends-in-urban-suburban-and-rural-communities/. Accessed May 1, 2020.
  • Patnode CD, Perdue LA, Rushkin M, et al. Screening for unhealthy drug use: updated evidence report and systematic review for the US Preventive Services Task Force. JAMA. 2020;323(22):2310–2328.
  • Glass JE, Hamilton AM, Powell BJ, et al. Revisiting our review of screening, brief intervention and referral to treatment (SBIRT): meta-analytical results still point to no efficacy in increasing the use of substance use disorder services. Addiction. 2016;111(1):181–183.
  • Korthuis PT, McCarty D, Weimer M, et al. Primary care-based models for the treatment of opioid use disorder: a scoping review. Ann Intern Med. 2017;166(4):268–278.
  • Stewart MT, Horgan CM, Quinn AE, et al. The role of health plans in supporting behavioral health integration. Adm Policy Ment Health. 2017;44(6):967–977.
  • Eibl JK, Gauthier G, Pellegrini D, et al. The effectiveness of telemedicine-delivered opioid agonist therapy in a supervised clinical setting. Drug Alcohol Depend. 2017;176:133–138.
  • Lin LA, Casteel D, Shigekawa E, et al. Telemedicine-delivered treatment interventions for substance use disorders: a systematic review. J Subst Abuse Treat. 2019;101:38–49.
  • Creedon TB, Schrader KE, O'Brien PL, et al. Rural-nonrural differences in telemedicine use for mental and substance use disorders among Medicaid beneficiaries. PS. 2020;71(8):756–764.
  • Lewis CC, Fischer S, Weiner BJ, et al. Outcomes for implementation science: an enhanced systematic review of instruments using evidence-based rating criteria. Implement Sci. 2015;10:155.
  • Rabin BA, Purcell P, Naveed S, et al. Advancing the application, quality and harmonization of implementation science measures. Implement Sci. 2012;7:119.
  • Nilsen P, Bernhardsson S. Context matters in implementation science: a scoping review of determinant frameworks that describe contextual determinants for implementation outcomes. BMC Health Serv Res. 2019;19(1):189.
  • Clarke A. Focus group interviews in health-care research. Profess Nurse. 1999;14(6):395–397.
  • Kitzinger J. Qualitative research. Introducing focus groups. BMJ. 1995;311(7000):299–302.

Reprints and Corporate Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

To request a reprint or corporate permissions for this article, please click on the relevant link below:

Academic Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

Obtain permissions instantly via Rightslink by clicking on the button below:

If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. For more information, please visit our Permissions help page.