Daniel Kivlahan - Academia.edu (original) (raw)
Uploads
Papers by Daniel Kivlahan
The Annals of Family …, 2006
PURPOSE Readiness to change drinking may infl uence the content or effectiveness of brief alcohol... more PURPOSE Readiness to change drinking may infl uence the content or effectiveness of brief alcohol counseling. This study was designed to assess readiness to change and its relationship to alcohol misuse severity among primary care patients whose screening questionnaire was positive for alcohol misuse. METHODS This study was a cross-sectional analysis of data collected from 2 consecutive mailed questionnaires. Male outpatients at 7 Veterans Affairs (VA) general medicine clinics were eligible if they returned both questionnaires, screened positive for alcohol misuse (augmented CAGE Questionnaire ≥1 point), responded to 3 readiness-to-change questions, and completed the Alcohol Use Disorders Identifi cation Test (AUDIT). A validated algorithm based on 3 standardized questions categorized participants into 3 readiness groups (precontemplation, contemplation, action). Measures of alcohol misuse severity included AUDIT, CAGE, and the 3 consumption questions from the AUDIT (AUDIT-C). Analyses were descriptive; linear-by-linear associations between alcohol misuse severity and readiness were tested with 2 statistics. RESULTS Response rates to the fi rst and second surveys were 59% and 55%, respectively. Of the 6,419 eligible outpatients who screened positive for alcohol misuse, 4,797 (75%) reported any readiness to change (contemplation 24%, action 51%). Among patients with AUDIT scores >8, more than 90% indicated that they drank more than they should and/or had contemplated drinking less. Greater readiness was signifi cantly associated with greater alcohol misuse severity (P <.001 for all measures). CONCLUSIONS Most primary care patients who screen positive for alcohol misuse indicate some readiness to change. Contrary to stereotypes of denial, those with greater alcohol misuse severity are more likely to report readiness to change.
Military …, 2009
Military Medicine; ISSN: 0026-4075; Volume 174, Issue 1, pages 029-034; Reprint & Copyright © by ... more Military Medicine; ISSN: 0026-4075; Volume 174, Issue 1, pages 029-034; Reprint & Copyright © by Association of Military Surgeons of US. Evidence-Based National Initiatives to Address Tobacco Use as a Public Health Priority in the Veterans Health Administration. ...
Journal of Substance Abuse Treatment, 2014
This article appeared in a journal published by Elsevier. The attached copy is furnished to the a... more This article appeared in a journal published by Elsevier. The attached copy is furnished to the author for internal non-commercial research and education use, including for instruction at the authors institution and sharing with colleagues.
The Annals of Family …, 2006
PURPOSE Readiness to change drinking may infl uence the content or effectiveness of brief alcohol... more PURPOSE Readiness to change drinking may infl uence the content or effectiveness of brief alcohol counseling. This study was designed to assess readiness to change and its relationship to alcohol misuse severity among primary care patients whose screening questionnaire was positive for alcohol misuse. METHODS This study was a cross-sectional analysis of data collected from 2 consecutive mailed questionnaires. Male outpatients at 7 Veterans Affairs (VA) general medicine clinics were eligible if they returned both questionnaires, screened positive for alcohol misuse (augmented CAGE Questionnaire ≥1 point), responded to 3 readiness-to-change questions, and completed the Alcohol Use Disorders Identifi cation Test (AUDIT). A validated algorithm based on 3 standardized questions categorized participants into 3 readiness groups (precontemplation, contemplation, action). Measures of alcohol misuse severity included AUDIT, CAGE, and the 3 consumption questions from the AUDIT (AUDIT-C). Analyses were descriptive; linear-by-linear associations between alcohol misuse severity and readiness were tested with 2 statistics. RESULTS Response rates to the fi rst and second surveys were 59% and 55%, respectively. Of the 6,419 eligible outpatients who screened positive for alcohol misuse, 4,797 (75%) reported any readiness to change (contemplation 24%, action 51%). Among patients with AUDIT scores >8, more than 90% indicated that they drank more than they should and/or had contemplated drinking less. Greater readiness was signifi cantly associated with greater alcohol misuse severity (P <.001 for all measures). CONCLUSIONS Most primary care patients who screen positive for alcohol misuse indicate some readiness to change. Contrary to stereotypes of denial, those with greater alcohol misuse severity are more likely to report readiness to change.
Military …, 2009
Military Medicine; ISSN: 0026-4075; Volume 174, Issue 1, pages 029-034; Reprint & Copyright © by ... more Military Medicine; ISSN: 0026-4075; Volume 174, Issue 1, pages 029-034; Reprint & Copyright © by Association of Military Surgeons of US. Evidence-Based National Initiatives to Address Tobacco Use as a Public Health Priority in the Veterans Health Administration. ...
Journal of Substance Abuse Treatment, 2014
This article appeared in a journal published by Elsevier. The attached copy is furnished to the a... more This article appeared in a journal published by Elsevier. The attached copy is furnished to the author for internal non-commercial research and education use, including for instruction at the authors institution and sharing with colleagues.