The STUN (STop UNhealthy) Alcohol Use Now trial: study protocol for an adaptive randomized trial on dissemination and implementation of screening and management of unhealthy alcohol use in primary care

Table 3 Implementation effectiveness measures

Measure	Description
# and % of patients screened	Number and percentage of adult patients with documentation of screening for unhealthy alcohol use with the screening questions recommended by NIAAA^a
# and % of patients with a positive screen	Number and percentage of adult patients with a positive initial screen
# and % of patients completing the AUDIT	Number and percentage of those with a positive initial screen^a who go on to complete the 10-question AUDIT (the next step in assessment after an initial positive screen)
# and % of patients who receive brief counseling	Number and percentage of adult patients with documentation of brief counseling for risky drinking, when indicated/appropriate
# and % of patients who have AUD	Number and percentage of adult patients with documented ICD diagnoses of AUD
# and % of patients who receive pharmacotherapy for AUD	Number and percentage of adult patients with AUD who receive evidence-based pharmacotherapy with naltrexone, acamprosate, disulfiram, or topiramate^b
# and % of patients referred to specialty care for AUD	Number and percentage of adult patients with AUD referred to specialty care (e.g., psychiatry, CBT, motivational enhancement therapy, 12-step programs)

AUD alcohol use disorder, AUDIT alcohol use disorders identification test, CBT cognitive behavioral therapy, ICD International Classification of Diseases, NIAAA National Institute on Alcohol Abuse and Alcoholism
^aDo you sometimes drink beer, wine, or other alcoholic beverages? (If yes) How many times in the past year have you had 5 or more (for men 64 and younger)/4 or more (for women of any age, and men 65 and older) drinks in a day? [6] Response of 1 or more is a positive initial screen
^bTopiramate is not FDA-approved for AUD, but it has been shown to be beneficial (e.g., for reducing heavy drinking days) [14]

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