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The Motivation for Alcohol Reward: Predictors of Progressive-Ratio Intravenous Alcohol Self-Administration in Humans

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Unhealthy Drinking Behavior and the ATTAIN Solution: Web-based Automated Alcohol Misuse Interventions.

Jennifer Chevinsky, Emma Fredua, Ebonie M Vazquez

The Permanente Journal

|May 10, 2021

Summary

Automated Alcohol Misuse Interventions (ATTAIN) is a new web-based tool to screen and manage unhealthy drinking behavior. This technology aims to improve patient care and reduce healthcare costs associated with alcohol misuse.

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Area of Science:

Digital Health
Public Health
Behavioral Science

Background:

Up to 30% of US adults exhibit unhealthy drinking patterns, yet only 17% are screened.
Technological interventions show promise for improving screening rates for unhealthy alcohol use.
There is a documented need for evidence supporting technology-based approaches to alcohol misuse screening.

Purpose of the Study:

To describe the development of the Automated Alcohol Misuse Interventions (ATTAIN) system.
To create an automated, web-based process for screening and managing unhealthy drinking behavior.
To minimize healthcare personnel involvement in the initial stages of alcohol misuse management.

Main Methods:

ATTAIN was developed using an integrated care model, electronic medical records, and a patient portal.
An automated, branching questionnaire screens for unhealthy drinking and alcohol use disorders.
Patient responses trigger automated feedback, counseling videos, and provider alerts.

Main Results:

The ATTAIN system integrates patient screening data into electronic medical records.
Automated feedback and resources are provided to patients based on their responses.
The system is designed for refinement through quality improvement pilots.

Conclusions:

ATTAIN offers a scalable solution to improve patient care for unhealthy drinking.
The system is projected to reduce healthcare costs for managing alcohol misuse.
The ATTAIN framework may be adaptable for other health conditions and behaviors.