Post on 29-Nov-2014
description
Alcohol, Smoking and Abuse Screening Project
ByDonna Clarke-McMullen, PHN
Feb 19, 2007
Screening Project Outline
Developed 1 page screen & resource package for primary care providersPiloted screen & resource packageAcademic detailingPre-test questionnairePost-test visits & questionnaireEvaluation results
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
Pre-test Resource Package
Alcohol, smoking and abuse screensBackgrounders on T-ACE, Smoking Cessation & RUCSRelated resource pamphletsPostersResource order sheetPre-test
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
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.
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…
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…
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
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
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
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.
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
Academic Detailing
Our experience66% found academic detailing useful66% read the resource package
Lessons learned
Secondary Gains
Promoted primary care providers resource catalogueLarson prenatal screenCPNP program using screensIncreased resource requests
Q & A
www.healthunit.on.ca-”What’s New” sectiongo to “Upcoming Events”
Donna Clarke-McMullendclarkemcmullen@healthunit.on.caTel. 613-549-1232, ext. 529