I developed an interest in alcoholism prevention during my residency in Primary Care Internal Medicine at UCSF. Since then, I have focused my education and research on the development and evaluation of screening methods for at-risk drinking. My career goal is to perform trials evaluating the effectiveness of primary care interventions for at-risk drinking. Such trials will require measures of patient-provider communication, analyses over time that account for clustering of patients by providers and/or clinics, and economic analyses. I would use a K23 award to study and obtain experience in three disparate disciplines: patient-provider communication, advanced epidemiology, and health economics. If awarded a K23, I would have two Sponsors: Stephan Fihn, MD, MPH, Division Head, General Internal Medicine at University of Washington (UW), and Susan Curry, PhD, Professor of Health Services at UW. Five UW faculty and an outside consultant, as well as UW's outstanding School of Public Health, would also support my work. The main objective of my research would be to determine the effectiveness of a population-based alcohol-screening program. Initially, I would use ethnographic analysis of audiotapes of at-risk drinkers' primary care appointments and interviews with providers, to explore barriers to primary care alcohol counseling. Then, using data from a prospective, multi-center, randomized trial of over 20,000 primary care patients, I would evaluate the effect of a mailed, population-based, alcohol screening program on primary care alcohol- related discussions, rates of at-risk drinking and alcohol-related health outcomes at one and two years follow-up. Finally, I intend to estimate and analyze costs, and the cost- effectiveness, of a mailed, alcohol screening program.
| Williams, Emily C; Achtmeyer, Carol E; Kivlahan, Daniel R et al. (2010) Evaluation of an electronic clinical reminder to facilitate brief alcohol-counseling interventions in primary care. J Stud Alcohol Drugs 71:720-5 |
| Binswanger, Ingrid A; Takahashi, Traci A; Bradley, Katharine et al. (2008) Drug users seeking emergency care for soft tissue infection at high risk for subsequent hospitalization and death. J Stud Alcohol Drugs 69:924-32 |
| Micek, Mark A; Bradley, Katharine A; Braddock 3rd, Clarence H et al. (2007) Complementary and alternative medicine use among Veterans Affairs outpatients. J Altern Complement Med 13:190-3 |
| Au, David H; Kivlahan, Daniel R; Bryson, Chris L et al. (2007) Alcohol screening scores and risk of hospitalizations for GI conditions in men. Alcohol Clin Exp Res 31:443-51 |
| Takahashi, Traci A; Baernstein, Amy; Binswanger, Ingrid et al. (2007) Predictors of hospitalization for injection drug users seeking care for soft tissue infections. J Gen Intern Med 22:382-8 |
| Williams, Emily C; Kivlahan, Daniel R; Saitz, Richard et al. (2006) Readiness to change in primary care patients who screened positive for alcohol misuse. Ann Fam Med 4:213-20 |
| Johnson, Kay M; Bradley, Katharine A; Bush, Kristen et al. (2006) Frequency of mastalgia among women veterans. Association with psychiatric conditions and unexplained pain syndromes. J Gen Intern Med 21 Suppl 3:S70-5 |
| McCormick, Kinsey A; Cochran, Nancy E; Back, Anthony L et al. (2006) How primary care providers talk to patients about alcohol: a qualitative study. J Gen Intern Med 21:966-72 |
| Johnson, Kay M; Nelson, Karin M; Bradley, Katharine A (2006) Television viewing practices and obesity among women veterans. J Gen Intern Med 21 Suppl 3:S76-81 |
| Bradley, Katharine A; Williams, Emily C; Achtmeyer, Carol E et al. (2006) Implementation of evidence-based alcohol screening in the Veterans Health Administration. Am J Manag Care 12:597-606 |
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