Abstract

Rates of drinking, binge drinking, and driving under the influence of alcohol are higher among U.S. Veterans than non-Veterans, and approximately 20% to 30% of all U.S. Veterans screen positive for alcohol misuse ranging from risky drinking to alcohol dependence. To address these serious concerns, the U.S. Department of Veterans Affairs (VA) policies and clinical practice guidelines standardize expectations for alcohol SBI and provide clinical decision-making guidance. However, there are key provider-level barriers to BI uptake and implementation including (1) lack of alcohol BI knowledge and skills and (2) competing clinical priorities for limited available time. Rates of BI delivery by busy primary care clinicians are low, even when prompted by electronic reminders based in the VA’s electronic medical record. Currently, BI training and practical role supports are not systematically offered.

Highlights

  • Rates of drinking, binge drinking, and driving under the influence of alcohol are higher among U.S Veterans than non-Veterans, and approximately 20% to 30% of all U.S Veterans screen positive for alcohol misuse ranging from risky drinking to alcohol dependence

  • E-coach prototype development is described in the contexts of primary care work flow, processes of alcohol-related care, and clinician preferences regarding the utility, feasibility, and acceptability of the BI-E-Coach

  • Full list of author information is available at the end of the article

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Summary

Introduction

Binge drinking, and driving under the influence of alcohol are higher among U.S Veterans than non-Veterans, and approximately 20% to 30% of all U.S Veterans screen positive for alcohol misuse ranging from risky drinking to alcohol dependence. To address these serious concerns, the U.S Department of Veterans Affairs (VA) policies and clinical practice guidelines standardize expectations for alcohol SBI and provide clinical decisionmaking guidance. Rates of BI delivery by busy primary care clinicians are low, even when prompted by electronic reminders based in the VA’s electronic medical record. BI training and practical role supports are not systematically offered

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