Alcohol, Smoking and Abuse
     Screening Project

               By
   Donna Clarke-McMullen, PHN
          Feb 19, 2007
Screening Project Outline

 Developed 1 page screen & resource
 package for primary care providers
 Piloted screen & resou...
Screening Project Objectives

 Identify “at-risk” women
 Primary care providers incorporate
 these tools into their practi...
Pre-test Resource Package

 Alcohol, smoking and abuse screens
 Backgrounders on T-ACE, Smoking
 Cessation & RUCS
 Related...
Target Audience

                Total Visits Pre-test Post-test
Family
                178    137     56        32
physic...
Pre-test Results
  It is appropriate to screen all my
  female patients.
             100%
                      8%
      ...
Pre-test Results
    I am comfortable asking my female
    patients about…
            100%     8%

                      ...
Pre-test Screening Behaviour
   Screen 90+ % of female patients…
             100
                     87
             80
...
Post-test Resource Package
 Pre-test results
 Brief Interventions Work
 Women Abuse is a Health Issue
 Article on intimate...
Post-test Response

 57% response rate from pre-test
 group
 Harder to visit the second time

 28% of hcp visited responde...
Screening Practices
    Percentage of health care providers
    who reported screening 90+ % of
    patients.
            ...
Tool Use
   Percentage of health care providers
   who used the tool or used the same
   questions.
           62     61

...
Health Professionals Comments
 Just over half intend to use T-ACE
 (56%) and RUCS (54%)
 Increase in community program
 re...
Academic Detailing

 Our experience
   66% found academic detailing useful
   66% read the resource package


 Lessons lea...
Secondary Gains

 Promoted primary care providers
 resource catalogue
 Larson prenatal screen
 CPNP program using screens
...
Q&A

 www.healthunit.on.ca
 -”What’s New” section
 go to “Upcoming Events”

  Donna Clarke-McMullen
dclarkemcmullen@health...
Tobacco,%20alcohol%20and%20abuse%20screening%20tool
Tobacco,%20alcohol%20and%20abuse%20screening%20tool
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Tobacco,%20alcohol%20and%20abuse%20screening%20tool

  1. 1. Alcohol, Smoking and Abuse Screening Project By Donna Clarke-McMullen, PHN Feb 19, 2007
  2. 2. Screening Project Outline Developed 1 page screen & resource package for primary care providers Piloted screen & resource package Academic detailing Pre-test questionnaire Post-test visits & questionnaire Evaluation results
  3. 3. Screening Project Objectives Identify “at-risk” women Primary care providers incorporate these tools into their practice Standardize Ask-Advise-Assist Evaluate clinical use of tool by primary care providers Assess detailing approach
  4. 4. Pre-test Resource Package Alcohol, smoking and abuse screens Backgrounders on T-ACE, Smoking Cessation & RUCS Related resource pamphlets Posters Resource order sheet Pre-test
  5. 5. Target Audience Total Visits Pre-test Post-test Family 178 137 56 32 physicians Nurse 7 6 6 1 practitioners Midwives 5 5 5 5 Total hcp 190 148 67 38
  6. 6. Pre-test Results It is appropriate to screen all my female patients. 100% 8% 16% 80% Percentage 33% of health Agree 60% care providers 91% Strongly Agree 40% 79% 51% 20% 0% Tobacco Abuse
  7. 7. Pre-test Results I am comfortable asking my female patients about… 100% 8% 21% Percentage 80% of health Agree care 60% 36% providers 93% Strongly Agree 40% 73% 20% 36% 0% Tobacco Abuse
  8. 8. Pre-test Screening Behaviour Screen 90+ % of female patients… 100 87 80 66 Percentage 60 of health care 40 providers 20 14 0 Tobacco Alcohol Abuse
  9. 9. Post-test Resource Package Pre-test results Brief Interventions Work Women Abuse is a Health Issue Article on intimate partner violence Article on brief intervention for alcohol problems Stages of change for smoking card Clinical Tobacco Intervention Bulletin
  10. 10. Post-test Response 57% response rate from pre-test group Harder to visit the second time 28% of hcp visited responded to the pre and post test
  11. 11. Screening Practices Percentage of health care providers who reported screening 90+ % of patients. 100 87 90 80 70 66 69 60 Percentage Pre-test 50 40 Post-test 27 30 20 14 10 0 Tobacco Alcohol Abuse
  12. 12. Tool Use Percentage of health care providers who used the tool or used the same questions. 62 61 60 58 58 Percentage 56 54 54 52 50 Tobacco Alcohol Abuse
  13. 13. Health Professionals Comments Just over half intend to use T-ACE (56%) and RUCS (54%) Increase in community program referrals Some really liked the tool Most didn’t want an extra piece of paper Anecdotally, some “at risk” identification stories shared
  14. 14. Academic Detailing Our experience 66% found academic detailing useful 66% read the resource package Lessons learned
  15. 15. Secondary Gains Promoted primary care providers resource catalogue Larson prenatal screen CPNP program using screens Increased resource requests
  16. 16. Q&A www.healthunit.on.ca -”What’s New” section go to “Upcoming Events” Donna Clarke-McMullen dclarkemcmullen@healthunit.on.ca Tel. 613-549-1232, ext. 529

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