Hazardous Drinking Interventions Delivered During Medical-Surgical Care: Patient and Provider Views.

Timko C, Lewis M, Lor MC, Aldaco-Revilla L, Blonigen D, Ilgen M. Hazardous Drinking Interventions Delivered During Medical-Surgical Care: Patient and Provider Views. Journal of Clinical Psychology in Medical Settings. 2023 Mar 23; 1-12.

Related HSR&D Project(s)

• RCS 19-333 – Research Career Scientist Award
• RCS 00-001 – Quality and Care of Substance Abuse and Psychiatric Treatment
• IIR 15-298 – Improving Outcomes among Medical/Surgical Inpatients with Alcohol Use Disorders

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Abstract:

Addressing hazardous drinking during medical-surgical care improves patients'' health. This formative evaluation examined patients'' consideration of options to change drinking and engage in treatment. It explored whether interventions such as "DO-MoST" overcome treatment barriers. We interviewed 20 medical-surgical patients with hazardous drinking in a trial of DO-MoST, and 16 providers. Analyses used a directed content approach. Patients were receptive to and comfortable discussing drinking during medical-surgical care. Interventions like DO-MoST (patient-centered, motivational approach to shared decision making) addressed some treatment barriers. Patients and providers viewed such interventions as helpful by building a relationship with a psychologist who facilitated self-awareness of drinking behaviors, and discussing connections between alcohol- and physical health-related problems and potential strategies to address drinking. However, both groups expressed concerns about individual and system-level barriers to long-term change. Interventions like DO-MoST bridge the gap between the patient''s medical treatment episode and transition to other health care settings. TRIAL REGISTRATION: The study is registered on ClinicalTrials.gov (ID: NCT03258632).