Putting Prevention into Practice

An Evidence-Based Approach

Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse



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Am Fam Physician. 2014 Jun 15;89(12):971-972.

  Related U.S. Preventive Services Task Force Recommendation Statement: Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse: Recommendation Statement.

This clinical content conforms to AAFP criteria for continuing medical education (CME). See CME Quiz Questions.

Case Study

A 22-year-old man presents for a routine physical examination. While you are taking his history, he states that he “goes out drinking” every weekend with his friends.

Case Study Questions

  1. According to the U.S. Preventive Services Task Force (USPSTF), which of the following tools are considered instruments of choice for screening for alcohol misuse in the primary care setting?

    • A. The Alcohol Use Disorders Identification Test (AUDIT).

    • B. The abbreviated AUDIT-Consumption (AUDIT-C).

    • C. Single-question screening.

    • D. The Cut-Down, Annoyed, Guilty, and Eye-Opener (CAGE) questionnaire.

  2. Based on recommendations from the USPSTF, which one of the following statements about screening for alcohol misuse is correct?

    • A. There is high certainty that screening for alcohol misuse has substantial net benefit.

    • B. Adolescents should be screened for alcohol misuse.

    • C. Adults should be screened for alcohol misuse and, if they engage in risky or hazardous drinking, they should receive brief behavioral counseling inte

Author disclosure: No relevant financial affiliations.

The views expressed in this work are those of the authors, and do not reflect the official policy or position of the Uniformed Services University of the Health Sciences, the Department of Defense, or the U.S. government.

SOURCES

U.S. Preventive Services Task Force. Screening and behavioral counseling interventions in primary care to reduce alcohol misuse: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2013;159(3):210–218.

Jonas DE, Garbutt JC, Amick HR, et al. Behavioral counseling after screening for alcohol misuse in primary care: a systematic review and meta-analysis for the U.S. Preventive Services Task Force. Ann Intern Med. 2012;157(9):645–654.

The case study and answers to the following questions are based on the recommendations of the U.S. Preventive Services Task Force (USPSTF), an independent panel of experts in primary care and prevention that systematically reviews the evidence of effectiveness and develops recommendations for clinical preventive services. More detailed information on this subject is available in the USPSTF Recommendation Statement and the evidence report on the USPSTF website (http://www.uspreventiveservicestaskforce.org). The practice recommendations in this activity are available at http://www.uspreventiveservicestaskforce.org/uspstf/uspsdrin.htm

A collection of Putting Prevention into Practice quizzes published in AFP is available at http://www.aafp.org/afp/ppip.


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