Perm J. 2021 May;25. doi: 10.7812/TPP/20.143.
Automated Alcohol Misuse Interventions (ATTAIN) is an automated, computer-based tool that screens people for unhealthy alcohol use and offers web-based counseling with minimal involvement of health-care personnel. We describe the outcomes of the initial quality improvement pilot tests done to examine the screening component of ATTAIN.
This is a data-only study that reports the results from the ATTAIN-quality improvement database. A detailed description of the quality improvement methods is presented in a related article. The primary outcome was the ATTAIN questionnaire response rate. Secondary outcomes included the percentage of individuals who screened positive for unhealthy drinking behaviors and for alcohol use disorders, respondents' comfort level with ATTAIN, and the cost of ATTAIN.
A total of 301 members were included in the pilot tests. The ATTAIN response rate was 46%. The prevalence of unhealthy drinking behaviors and alcohol use disorders was 16% and 5%, respectively. These rates were noninferior to the Healthcare Effectiveness Data and Information Set 2019 rates submitted from the same organization for the Unhealthy Alcohol Use Screening and Follow-up measure. In the post-ATTAIN paper surveys, 100% agreed to the statement: "I felt comfortable answering [ATTAIN] questions . . . ." The cost of ATTAIN screening was estimated to be one-tenth the cost of office-based screening.
ATTAIN was well accepted by eligible adults, appeared noninferior to office-based screening, and added several potential advantages in terms of screening for alcohol use disorders and readiness to change.
自动化酒精滥用干预（ATTAIN）是一种自动化的计算机工具，可对人们的不健康饮酒行为进行筛查，并提供基于网络的咨询服务，只需很少的医疗保健人员参与。我们描述了用于检验 ATTAIN 筛查部分的初始质量改进试点测试的结果。
这是一项仅数据的研究，报告了来自 ATTAIN 质量改进数据库的结果。相关文章中详细介绍了质量改进方法。主要结果是 ATTAIN 问卷的回复率。次要结果包括筛查出不健康饮酒行为和酒精使用障碍的个体百分比、受访者对 ATTAIN 的舒适度以及 ATTAIN 的成本。
共有 301 名成员参加了试点测试。ATTAIN 的回复率为 46%。不健康饮酒行为和酒精使用障碍的患病率分别为 16%和 5%。这些比率与同一家机构提交的医疗保健效果数据和信息集 2019 年关于不健康饮酒筛查和随访措施的比率相当。在 ATTAIN 纸质问卷调查的后续调查中，有 100%的人同意以下说法：“我觉得回答[ATTAIN]问题很舒服……”ATTAIN 筛查的成本估计为基于办公室的筛查成本的十分之一。
ATTAIN 受到合格成年人的欢迎，其表现与基于办公室的筛查相当，并且在筛查酒精使用障碍和改变意愿方面具有几个潜在优势。
