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1. Full Text An early evaluation of implementation of brief intervention for unhealthy alcohol use in the US Veterans Health Administration
: Early evaluation of VA's brief intervention
by Williams, Emily C and Rubinsky, Anna D and Chavez, Laura J and Lapham, Gwen T and Rittmueller, Stacey E and Achtmeyer, Carol E and Bradley, Katharine A
Addiction, ISSN 0965-2140, 09/2014, Volume 109, Issue 9, pp. 1472 - 1481
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2. Full Text Increased Documented Brief Alcohol Interventions With a Performance Measure and Electronic Decision Support
by Gwen T. Lapham and Carol E. Achtmeyer and Emily C. Williams and Eric J. Hawkins and Daniel R. Kivlahan and Katharine A. Bradley
Medical Care, ISSN 0025-7079, 2/2012, Volume 50, Issue 2, pp. 179 - 187
Background: Alcohol screening and brief interventions (BIs) are ranked the third highest US prevention priority, but effective methods of implementing BI into... 
Medical referrals | Addiction | Primary health care | Physicians | Alcoholism | Medical records | Alcoholic beverages | Performance metrics | Alcohol drinking | Alcohols | veterans | alcoholism and addictive behaviors | preventive care | implementation research | performance measurement | BRIEF PHYSICIAN ADVICE | MANAGEMENT | IMPLEMENTATION | PREVENTIVE-SERVICES | STRATEGIES | PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH | GENERAL-PRACTITIONERS | HEALTH CARE SCIENCES & SERVICES | HEALTH POLICY & SERVICES | PATIENT | PRIMARY-HEALTH-CARE | CONSUMPTION | Outcome Assessment (Health Care) | United States | Humans | Middle Aged | Quality Indicators, Health Care | Decision Support Systems, Clinical | Male | Alcoholism - prevention & control | Referral and Consultation - statistics & numerical data | Alcoholism - diagnosis | Reminder Systems | Counseling | Female | United States Department of Veterans Affairs | Aged | Alcoholism - therapy
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3. Full Text An early evaluation of implementation of brief intervention for unhealthy alcohol use in the US Veterans Health Administration
by Williams, Emily C and Rubinsky, Anna D and Chavez, Laura J and Lapham, Gwen T and Rittmueller, Stacey E and Achtmeyer, Carol E and Bradley, Katharine A
Addiction, ISSN 0965-2140, 09/2014, Volume 109, Issue 9, pp. 1472 - 1481
Aims The US Veterans Health Administration [Veterans Affairs (VA)] used performance measures and electronic clinical reminders to implement brief intervention... 
brief intervention | unhealthy alcohol use | Alcohol | veterans | implementation | Unhealthy alcohol use | Brief intervention | Veterans | Implementation | QUALITY IMPROVEMENT | PSYCHIATRY | FOLLOW-UP | PREVENTIVE-SERVICES | SUBSTANCE ABUSE | RANDOMIZED CONTROLLED-TRIAL | ELECTRONIC CLINICAL REMINDER | AUDIT-C | PRIMARY-CARE | COUNSELING INTERVENTIONS | USE DISORDERS | BRIEF PHYSICIAN | Follow-Up Studies | United States | Humans | Middle Aged | Male | Treatment Outcome | Adult | Female | Surveys and Questionnaires | United States Department of Veterans Affairs | Aged | Retrospective Studies | Veterans - statistics & numerical data | Psychotherapy, Brief - methods | Alcoholism - therapy | Cohort Studies | Drinking of alcoholic beverages | Substance abuse treatment | Alcohol use
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4. Full Text Factors Underlying Quality Problems with Alcohol Screening Prompted by a Clinical Reminder in Primary Care: A Multi-site Qualitative Study
by Williams, Emily C and Achtmeyer, Carol E and Thomas, Rachel M and Grossbard, Joel R and Lapham, Gwen T and Chavez, Laura J and Ludman, Evette J and Berger, Douglas and Bradley, Katharine A
Journal of General Internal Medicine, ISSN 0884-8734, 8/2015, Volume 30, Issue 8, pp. 1125 - 1132
Population-based alcohol screening is recommended in primary care, and increasingly incentivized by policies, yet is challenging to implement. The U.S.... 
Internal Medicine | clinical reminders | Medicine & Public Health | qualitative | alcohol screening | quality | IMPLEMENTATION STRATEGIES | MISUSE | PERFORMANCE | SETTINGS | DECISION-SUPPORT-SYSTEM | BRIEF INTERVENTION | HEALTH-SERVICES RESEARCH | MEDICINE, GENERAL & INTERNAL | PREVENTIVE SERVICES | HEALTH CARE SCIENCES & SERVICES | IDENTIFICATION TEST AUDIT | USE DISORDERS | Allied Health Personnel | Substance Abuse Detection - methods | Reminder Systems | Health Plan Implementation | Mass Screening | Humans | Nurses | Veterans Health - standards | Veterans - psychology | Qualitative Research | Alcoholism - diagnosis | Quality of Health Care | Drinking of alcoholic beverages | Qualitative research | Medical screening | Alcoholism | Quality of care | Original Research
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5. Full Text Quality Concerns with Routine Alcohol Screening in VA Clinical Settings
by Bradley, Katharine A and Bradley, Katharine A and Lapham, Gwen T and Lapham, Gwen T and Hawkins, Eric J and Hawkins, Eric J and Achtmeyer, Carol E and Achtmeyer, Carol E and Williams, Emily C and Williams, Emily C and Thomas, Rachel M and Thomas, Rachel M and Kivlahan, Daniel R and Kivlahan, Daniel R
Journal of General Internal Medicine, ISSN 0884-8734, 3/2011, Volume 26, Issue 3, pp. 299 - 306
Alcohol screening questionnaires have typically been validated when self- or researcher-administered. Little is known about the performance of alcohol... 
Internal Medicine | Medicine & Public Health | brief alcohol counseling | validation | alcohol screening | RANDOMIZED-CONTROLLED-TRIAL | HAZARDOUS DRINKING | AT-RISK DRINKING | MEDICINE, GENERAL & INTERNAL | GENERAL-PRACTICE POPULATION | SCORES | PRIMARY-CARE PATIENTS | IDENTIFICATION TEST AUDIT | HEALTH | USE DISORDERS | CONSUMPTION QUESTIONS | United States - epidemiology | United States Department of Veterans Affairs - standards | Cross-Sectional Studies | Veterans | Humans | Middle Aged | Mass Screening - standards | Ambulatory Care - standards | Male | Alcohol Drinking - therapy | Alcoholism - diagnosis | Alcoholism - epidemiology | Mass Screening - methods | Alcohol Drinking - epidemiology | Female | Aged | Quality of Health Care - standards | Alcoholism - therapy | Surveys and Questionnaires - standards | Medical screening | Drinking of alcoholic beverages | Alcoholism | Quality | Questionnaires | Counseling | Original Research
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6. Full Text Local Implementation of Alcohol Screening and Brief Intervention at Five Veterans Health Administration Primary Care Clinics: Perspectives of Clinical and Administrative Staff
by Williams, Emily C., Ph.D., M.P.H and Achtmeyer, Carol E., M.N., A.R.N.P and Young, Jessica P., M.S.W., M.P.H and Rittmueller, Stacey E., M.P.H and Ludman, Evette J., Ph.D and Lapham, Gwen T., Ph.D., M.S.W., M.P.H and Lee, Amy K., M.P.H and Chavez, Laura J., M.P.H and Berger, Douglas, M.D., M.Litt and Bradley, Katharine A., M.D., M.P.H
Journal of Substance Abuse Treatment, ISSN 0740-5472, 2015, Volume 60, pp. 27 - 35
Abstract Background and Objective Population-based alcohol screening, followed by brief intervention for patients who screen positive for unhealthy alcohol... 
Psychiatry | Screening | Alcohol | Qualitative | Brief intervention | Implementation | TRANSFORMATION | COST-EFFECTIVENESS | PERFORMANCE | SUBSTANCE ABUSE | RANDOMIZED CONTROLLED-TRIAL | PSYCHOLOGY, CLINICAL | STRATEGIES | GENERAL-PRACTITIONERS | STIGMA | MENTAL-ILLNESS | USE DISORDERS | CONSUMPTION | Alcohol-Related Disorders - diagnosis | Attitude of Health Personnel | Alcohol-Related Disorders - therapy | United States | Alcohol-Related Disorders - prevention & control | Humans | United States Department of Veterans Affairs | Primary Health Care | Program Evaluation | Qualitative Research | Veterans | Hospitals, Veterans | Drinking of alcoholic beverages | Intensive treatment | Intervention | Medical personnel | In care | Clinics | Unmet needs | Brief interventions | Primary health care | Alcoholism | Innovations | Perceptions | Medical screening | Informants | Optimism | Alcohol consumption | Reminders | Military hospitals | Dissemination | Structured interviews | Infrastructure | Sampling | Snowball sampling
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7. Full Text Survey of Primary Care and Mental Health Prescribers’ Perspectives on Reducing Opioid and Benzodiazepine Co-Prescribing Among Veterans
by Hawkins, Eric J and Malte, Carol A and Hagedorn, Hildi J and Berger, Douglas and Frank, Anissa and Lott, Aline and Achtmeyer, Carol E and Mariano, Anthony J and Saxon, Andrew J
Pain Medicine, ISSN 1526-2375, 03/2017, Volume 18, Issue 3, pp. 454 - 467
Abstract Background. Due to the involvement of opioids and benzodiazepines in rising pharmaceutical overdoses, a reduction in coprescribing of these... 
Concurrent Opioid and Benzodiazepine Use | Beliefs | Attitudes | High-Risk Conditions | Mental Health | Primary Care | Chronic Pain | OLDER-ADULTS | IMPLEMENTATION | DISORDERS | MEDICINE, GENERAL & INTERNAL | PARIHS FRAMEWORK | GENERAL-PRACTITIONERS | ANESTHESIOLOGY | DOCTORS | COMMUNICATION | US VETERANS | Practice Patterns, Physicians' - statistics & numerical data | Drug Prescriptions - statistics & numerical data | Polypharmacy | Veterans | Humans | Analgesics, Opioid - therapeutic use | Surveys and Questionnaires | Primary Health Care | Health Knowledge, Attitudes, Practice | Benzodiazepines - therapeutic use | Risk groups | Mental disorders | Narcotics | Solid wastes | Mental health | Opioids | Primary care | Benzodiazepines | CpG islands
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8. Full Text Barriers to and Facilitators of Alcohol Use Disorder Pharmacotherapy in Primary Care: A Qualitative Study in Five VA Clinics
by Williams, Emily C and Williams, Emily C and Achtmeyer, Carol E and Achtmeyer, Carol E and Young, Jessica P and Young, Jessica P and Berger, Douglas and Berger, Douglas and Curran, Geoffrey and Curran, Geoffrey and Bradley, Katharine A and Bradley, Katharine A and Richards, Julie and Richards, Julie and Siegel, Michael B and Siegel, Michael B and Ludman, Evette J and Ludman, Evette J and Lapham, Gwen T and Lapham, Gwen T and Forehand, Mark and Forehand, Mark and Harris, Alex H. S and Harris, Alex H. S
Journal of General Internal Medicine, ISSN 0884-8734, 3/2018, Volume 33, Issue 3, pp. 258 - 267
Three medications are FDA-approved and recommended for treating alcohol use disorders (AUD) but they are not offered to most patients with AUD. Primary care... 
barriers | facilitators | Medicine & Public Health | pharmacotherapy | Internal Medicine | alcohol use disorders | medication-assisted treatment | social marketing | MANAGEMENT | VETERANS | CENTERED MEDICAL HOME | ADDICTION | DEPENDENCE | MEDICINE, GENERAL & INTERNAL | INTERVENTIONS | STIGMA | HEALTH CARE SCIENCES & SERVICES | HEALTH-CARE | OF-CARE | EPIDEMIOLOGY | Drinking of alcoholic beverages | Hospitals, Veterans | Drug approval | Analysis | Social media | Alcohols | Health care | Drug addiction | Social marketing | Substance abuse treatment | Social behavior | Addiction | Pharmacology | Primary care | Marketing | Alcohol use | Original Research
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9. Full Text Electronic Medical Record Alert Associated With Reduced Opioid and Benzodiazepine Coprescribing in High-risk Veteran Patients
by Malte, Carol A and Berger, Douglas and Saxon, Andrew J and Hagedorn, Hildi J and Achtmeyer, Carol E and Mariano, Anthony J and Hawkins, Eric J
Medical Care, ISSN 0025-7079, 02/2018, Volume 56, Issue 2, pp. 171 - 178
BACKGROUND:Over the past decade, overdoses involving opioids and benzodiazepines have risen at alarming rates, making reductions in coprescribing of these... 
high-risk conditions | veterans | benzodiazepines | clinical decision support | mental health | prescribing practices | primary care | medication alerts | opioids | UNITED-STATES | ORDER ENTRY | CHRONIC PAIN | OVERDOSE | PRESCRIBING PATTERNS | INTERRUPTED TIME-SERIES | ELDERLY PERSONS | PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH | PRESCRIPTION | HEALTH CARE SCIENCES & SERVICES | HEALTH POLICY & SERVICES | CLINICAL DECISION-SUPPORT | US VETERANS | Technology application | Usage | Veterans | Analysis | Opioids | Medical records | Medical care | Health aspects | Benzodiazepines
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10. Full Text Primary Care Providers' Interest in Using a Genetic Test to Guide Alcohol Use Disorder Treatment
by Williams, Emily C., Ph.D., M.P.H and Young, Jessica P., M.P.H., M.S.W and Achtmeyer, Carol E., A.R.N.P and Hendershot, Christian S., Ph.D
Journal of Substance Abuse Treatment, ISSN 0740-5472, 2016, Volume 70, pp. 14 - 20
Abstract Background Efforts to identify genetic moderators of pharmacotherapy response have generated interest in clinical applications of pharmacogenetic... 
Psychiatry | Pharmacogenetics | Qualitative | Alcohol use disorders | Alcohol use | EVIDENCE DILEMMA | IMPLEMENTATION | BARRIERS | CENTERED MEDICAL HOME | NALTREXONE RESPONSE | SUBSTANCE ABUSE | PSYCHOLOGY, CLINICAL | PHARMACOTHERAPY | DEPENDENCE | CLINICAL UTILITY | HEALTH-CARE | Attitude of Health Personnel | Nurse Practitioners | Physicians | United States | Humans | Middle Aged | Male | Alcohol-Related Disorders - drug therapy | Pharmacogenomic Testing | Alcohol-Related Disorders - genetics | Health Knowledge, Attitudes, Practice | Adult | Female | United States Department of Veterans Affairs | Aged | Primary Health Care | Qualitative Research | Genetic screening | Drinking of alcoholic beverages | Drugs | Uncertainty | Substance abuse treatment | Prognosis | Health professionals | Primary health care | Veterans | Moderators | Alcohol consumption | Accuracy | Military hospitals | Health costs | Motivation | Content analysis | Qualitative research | Clinics | Decision making | Alcohol related disorders | Alcoholism | Pharmacology | Primary care | Clinical decision making | Barriers | Structured interviews | Facilitators | Genetic testing
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11. Full Text Differences in Perceptions of and Practices Regarding Treatment of Alcohol Use Disorders Among VA Primary Care Providers in Urban and Rural Clinics
: Urban Rural Differences in Treatment of AUD
by Young, Jessica P and Achtmeyer, Carol E and Bensley, Kara M and Hawkins, Eric J and Williams, Emily C
The Journal of Rural Health, ISSN 0890-765X, 09/2018, Volume 34, Issue 4, pp. 359 - 368
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12. Full Text Increased Rates of Documented Alcohol Counseling in Primary Care: More Counseling or Just More Documentation?
by Berger, Douglas and Berger, Douglas and Lapham, Gwen T and Lapham, Gwen T and Shortreed, Susan M and Shortreed, Susan M and Hawkins, Eric J and Hawkins, Eric J and Rubinsky, Anna D and Rubinsky, Anna D and Williams, Emily C and Williams, Emily C and Achtmeyer, Carol E and Achtmeyer, Carol E and Kivlahan, Daniel R and Kivlahan, Daniel R and Bradley, Katharine A and Bradley, Katharine A
Journal of General Internal Medicine, ISSN 0884-8734, 3/2018, Volume 33, Issue 3, pp. 268 - 274
Clinical performance measures often require documentation of patient counseling by healthcare providers. Little is known about whether such measures encourage... 
alcohol | Medicine & Public Health | counseling | quality measures | documentation | Internal Medicine | performance measures | PHYSICIAN | QUALITY | PERFORMANCE | IMPLEMENTATION | BRIEF INTERVENTION | PATIENT RECALL | MEDICINE, GENERAL & INTERNAL | ACCOUNTABILITY | STANDARDIZED PATIENTS | HEALTH CARE SCIENCES & SERVICES | MEDICAL-RECORD | US VETERANS | Alcohol industry | Health care industry | Drinking of alcoholic beverages | Statistics | Resveratrol | Alcohols | Health care | Time series analysis | Documentation | Counseling | Trauma centers | Electronic medical records | Patients | Alcohol use | Original Research
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