Use of the 5 As for Teen Alcohol Use.
Journal Article (Journal Article)
Clinical guidelines recommend addressing adolescent alcohol use in primary care; the 5 As (Ask, Advise, Assess, Assist, Arrange) may be a useful model for intervention. We audio-recorded 540 visits with 49 physicians and adolescents, compared alcohol disclosure rates in the encounter with those in a survey, and analyzed conversations for use of the 5 As and their relation to adolescent reports of drinking 3 months after the encounter. When physicians asked clear, nonleading questions, drinkers were more likely to disclose alcohol use ( P = .004). In 64% of visits in which alcohol was discussed, physicians used one or more of the 5 As, most frequently "Ask." No physician used all 5 As. Among drinkers, there was no association between physicians' partial use of the 5 As and adolescent alcohol consumption at 3 months. Physicians can learn more effective ways to "Ask" about alcohol use to increase disclosure of drinking and to be more comprehensive in their counseling.
Full Text
Duke Authors
Cited Authors
- Friedman, JL; Lyna, P; Sendak, MD; Viera, AJ; Silberberg, M; Pollak, KI
Published Date
- May 2017
Published In
Volume / Issue
- 56 / 5
Start / End Page
- 419 - 426
PubMed ID
- 27330014
Electronic International Standard Serial Number (EISSN)
- 1938-2707
Digital Object Identifier (DOI)
- 10.1177/0009922816655884
Language
- eng
Conference Location
- United States