Emily C Williams

Summary

Country: USA

Publications

  1. doi request reprint Prevalence of clinically recognized alcohol and other substance use disorders among VA outpatients with unhealthy alcohol use identified by routine alcohol screening
    Emily C Williams
    Denver Seattle Center of Innovation for Veteran Centered and Value Driven Care, Health Services Research and Development, Veteran Affairs VA Puget Sound Health Care System, Seattle, WA, United States Department of Health Services, University of Washington, Seattle, WA, United States Electronic address
    Drug Alcohol Depend 135:95-103. 2014
  2. pmc Association between alcohol screening scores and mortality in black, Hispanic, and white male veterans
    Emily C Williams
    Northwest Center of Excellence for Health Services Research and Development HSR and D, Veterans Affairs VA Puget Sound Health Care System, Seattle, Washington 98101, USA
    Alcohol Clin Exp Res 36:2132-40. 2012
  3. ncbi request reprint Variation in documented care for unhealthy alcohol consumption across race/ethnicity in the Department of Veterans Affairs Healthcare System
    Emily C Williams
    Health Services Research and Development, Seattle, Washington 98101, USA
    Alcohol Clin Exp Res 36:1614-22. 2012
  4. doi request reprint Alcohol consumption among urban, suburban, and rural Veterans Affairs outpatients
    Emily C Williams
    Health Services Research and Development HSR and D, Veterans Affairs VA Puget Sound Health Care System, Seattle, Washington 98101, USA
    J Rural Health 28:202-10. 2012
  5. doi request reprint Association between alcohol screening results and hospitalizations for trauma in Veterans Affairs outpatients
    Emily C Williams
    Health Services Research and Development Northwest Center of Excellence, Veterans Affairs Puget Sound Health Care System, Seattle, WA 98101, USA
    Am J Drug Alcohol Abuse 38:73-80. 2012
  6. doi request reprint Strategies to implement alcohol screening and brief intervention in primary care settings: a structured literature review
    Emily C Williams
    Health Services Research and Development, Department of Veterans Affairs, VA Puget Sound Health Care System, 1100 Olive Way, Suite1400, Seattle, WA 98101, USA
    Psychol Addict Behav 25:206-14. 2011
  7. pmc Evaluation of an electronic clinical reminder to facilitate brief alcohol-counseling interventions in primary care
    Emily C Williams
    Health Services Research and Development and Center of Excellence in Substance Abuse Treatment and Education, Veterans Affairs Puget Sound Health Care System, 1100 Olive Way, Suite 1400, Seattle, Washington 98101, USA
    J Stud Alcohol Drugs 71:720-5. 2010
  8. pmc Physical health and drinking among medical inpatients with unhealthy alcohol use: a prospective study
    Emily C Williams
    VA Health Services Research and Development, Seattle, WA, USA
    Alcohol Clin Exp Res 34:1257-65. 2010
  9. pmc Use of an electronic clinical reminder for brief alcohol counseling is associated with resolution of unhealthy alcohol use at follow-up screening
    Emily C Williams
    Northwest Center of Excellence for Health Services Research and Development, Veterans Affairs Puget Sound Health Care System, Seattle, WA, USA
    J Gen Intern Med 25:11-7. 2010
  10. doi request reprint Annual rescreening for alcohol misuse: diminishing returns for some patient subgroups
    Gwen T Lapham
    Health Services Research and Development HSR and D Northwest Center of Excellence Department of Health Services, University of Washington Group Health Research Institute Department of Biostatistics, University of Washington Center of Excellence in Substance Abuse Treatment and Education CESATE Departments of Psychiatry and Behavioral Sciences Medicine, University of Washington, Seattle, WA
    Med Care 51:914-21. 2013

Detail Information

Publications34

  1. doi request reprint Prevalence of clinically recognized alcohol and other substance use disorders among VA outpatients with unhealthy alcohol use identified by routine alcohol screening
    Emily C Williams
    Denver Seattle Center of Innovation for Veteran Centered and Value Driven Care, Health Services Research and Development, Veteran Affairs VA Puget Sound Health Care System, Seattle, WA, United States Department of Health Services, University of Washington, Seattle, WA, United States Electronic address
    Drug Alcohol Depend 135:95-103. 2014
    ..This study sought to determine the prevalence of clinically documented AUD/SUD among VA outpatients with unhealthy alcohol use identified by routine screening...
  2. pmc Association between alcohol screening scores and mortality in black, Hispanic, and white male veterans
    Emily C Williams
    Northwest Center of Excellence for Health Services Research and Development HSR and D, Veterans Affairs VA Puget Sound Health Care System, Seattle, Washington 98101, USA
    Alcohol Clin Exp Res 36:2132-40. 2012
    ..Scores on the Alcohol Use Disorders Identification Test Consumption (AUDIT-C) questionnaire are associated with mortality, but whether or how associations vary across race/ethnicity is unknown...
  3. ncbi request reprint Variation in documented care for unhealthy alcohol consumption across race/ethnicity in the Department of Veterans Affairs Healthcare System
    Emily C Williams
    Health Services Research and Development, Seattle, Washington 98101, USA
    Alcohol Clin Exp Res 36:1614-22. 2012
    ..We describe alcohol-related care for 3 racial/ethnic groups among VA outpatients with unhealthy alcohol use...
  4. doi request reprint Alcohol consumption among urban, suburban, and rural Veterans Affairs outpatients
    Emily C Williams
    Health Services Research and Development HSR and D, Veterans Affairs VA Puget Sound Health Care System, Seattle, Washington 98101, USA
    J Rural Health 28:202-10. 2012
    ..We sought to describe alcohol consumption among urban, suburban, and rural Veterans Affairs (VA) outpatients...
  5. doi request reprint Association between alcohol screening results and hospitalizations for trauma in Veterans Affairs outpatients
    Emily C Williams
    Health Services Research and Development Northwest Center of Excellence, Veterans Affairs Puget Sound Health Care System, Seattle, WA 98101, USA
    Am J Drug Alcohol Abuse 38:73-80. 2012
    ..Alcohol consumption is a risk factor for traumatic injury, but it is unknown whether responses to alcohol screening questionnaires administered routinely in primary care are associated with subsequent hospitalization for traumatic injury...
  6. doi request reprint Strategies to implement alcohol screening and brief intervention in primary care settings: a structured literature review
    Emily C Williams
    Health Services Research and Development, Department of Veterans Affairs, VA Puget Sound Health Care System, 1100 Olive Way, Suite1400, Seattle, WA 98101, USA
    Psychol Addict Behav 25:206-14. 2011
    ....
  7. pmc Evaluation of an electronic clinical reminder to facilitate brief alcohol-counseling interventions in primary care
    Emily C Williams
    Health Services Research and Development and Center of Excellence in Substance Abuse Treatment and Education, Veterans Affairs Puget Sound Health Care System, 1100 Olive Way, Suite 1400, Seattle, Washington 98101, USA
    J Stud Alcohol Drugs 71:720-5. 2010
    ..This study evaluated an electronic alcohol-counseling clinical reminder at a single Veterans Affairs general medicine clinic...
  8. pmc Physical health and drinking among medical inpatients with unhealthy alcohol use: a prospective study
    Emily C Williams
    VA Health Services Research and Development, Seattle, WA, USA
    Alcohol Clin Exp Res 34:1257-65. 2010
    ..We tested associations between poor physical health and drinking after hospitalization and whether associations varied by alcohol dependence status and readiness to change...
  9. pmc Use of an electronic clinical reminder for brief alcohol counseling is associated with resolution of unhealthy alcohol use at follow-up screening
    Emily C Williams
    Northwest Center of Excellence for Health Services Research and Development, Veterans Affairs Puget Sound Health Care System, Seattle, WA, USA
    J Gen Intern Med 25:11-7. 2010
    ..The specific aims were to (1) determine the prevalence of use of the reminder and (2) evaluate whether use of the reminder was associated with resolution of unhealthy alcohol use at follow-up screening...
  10. doi request reprint Annual rescreening for alcohol misuse: diminishing returns for some patient subgroups
    Gwen T Lapham
    Health Services Research and Development HSR and D Northwest Center of Excellence Department of Health Services, University of Washington Group Health Research Institute Department of Biostatistics, University of Washington Center of Excellence in Substance Abuse Treatment and Education CESATE Departments of Psychiatry and Behavioral Sciences Medicine, University of Washington, Seattle, WA
    Med Care 51:914-21. 2013
    ..Although up to 18% of patients will screen positive for alcohol misuse, the value of annual rescreening for patients who repeatedly screen negative is unknown...
  11. pmc Effectiveness of the AUDIT-C as a screening test for alcohol misuse in three race/ethnic groups
    Danielle Frank
    VA Puget Sound Health Services Research and Development, Seattle, WA 98101, USA
    J Gen Intern Med 23:781-7. 2008
    ..However, the AUDIT-C was validated in predominantly White populations, and its performance in different racial/ethnic groups is unclear...
  12. pmc Quality concerns with routine alcohol screening in VA clinical settings
    Katharine A Bradley
    Health Services Research and Development HSR and D, Veterans Affairs VA Puget Sound Health Care System, 1100 Olive Way, Suite 1400, Seattle, WA 98101, USA
    J Gen Intern Med 26:299-306. 2011
    ..Alcohol screening questionnaires have typically been validated when self- or researcher-administered. Little is known about the performance of alcohol screening questionnaires administered in clinical settings...
  13. ncbi request reprint Follow-up care for alcohol misuse among OEF/OIF veterans with and without alcohol use disorders and posttraumatic stress disorder
    Joel R Grossbard
    Health Services Research and Development HSR and D, Veterans Affairs VA Puget Sound Health Care System, Seattle, WA 98101, USA Health Services, University of Washington, Seattle, WA, USA Electronic address
    J Subst Abuse Treat 45:409-15. 2013
    ..1%) and neither AUD nor PTSD (52.3%). Among OEF/OIF VA outpatients with alcohol misuse, those with AUD had higher rates of follow-up for alcohol misuse than those without, but PTSD was not associated with differential follow-up...
  14. ncbi request reprint Association between alcohol screening scores and alcohol-related risks among female veterans affairs patients
    Laura J Chavez
    Health Services Research and Development, Veterans Affairs Puget Sound Health Care System, Seattle, WA 98101, USA
    J Stud Alcohol Drugs 73:391-400. 2012
    ..This study evaluated associations between scores on the three-item Alcohol Use Disorders Identification Test-consumption (AUDIT-C) questionnaire and self-reported alcohol-related risks and consequences among veteran women...
  15. pmc Feedback from recently returned veterans on an anonymous web-based brief alcohol intervention
    Gwen T Lapham
    Health Services Research and Development HSR and D, Northwest Center of Excellence, Veterans Affairs VA Puget Sound Health Care System, 1100 Olive Way, Suite 1400, Seattle, WA 98101, USA
    Addict Sci Clin Pract 7:17. 2012
    ..This study adapted an electronic SBI (e-SBI) website shown to be efficacious in college students for OEF/OIF veterans and reported findings from interviews with OEF/OIF veterans about their impressions of the e-SBI...
  16. ncbi request reprint Measuring performance of brief alcohol counseling in medical settings:a review of the options and lessons from the Veterans Affairs (VA) health care system
    Katharine A Bradley
    Health Services Research and Development, VA Puget Sound Health Care System, 1100 Olive Way, Seattle, WA 98101, USA
    Subst Abus 28:133-49. 2007
    ..Further research is needed in this important area of quality improvement...
  17. ncbi request reprint Increased documented brief alcohol interventions with a performance measure and electronic decision support
    Gwen T Lapham
    Health Services Research and Development, VA Puget Sound Health Care System, Seattle, WA 98101, USA
    Med Care 50:179-87. 2012
    ..Alcohol screening and brief interventions (BIs) are ranked the third highest US prevention priority, but effective methods of implementing BI into routine care have not been described...
  18. ncbi request reprint Association between alcohol screening scores and diabetic self-care behaviors
    Rachel M Thomas
    Health Services Research and Development Northwest Center of Excellence, Veterans Affairs VA Puget Sound Health Care System, Seattle, WA 98101, USA
    Fam Med 44:555-63. 2012
    ..This study investigated whether scores on a validated brief alcohol misuse screen are associated with diabetes self-care...
  19. pmc Readiness to change in primary care patients who screened positive for alcohol misuse
    Emily C Williams
    Health Services Research and Development, VA Puget Sound Health Care System, Seattle, Wash 98101, USA
    Ann Fam Med 4:213-20. 2006
    ..This study was designed to assess readiness to change and its relationship to alcohol misuse severity among primary care patients whose screening questionnaire was positive for alcohol misuse...
  20. ncbi request reprint Alcohol screening scores and all-cause mortality in male Veterans Affairs patients
    Leslie S Kinder
    Northwest Center of Excellence for Health Services Research and Development, Department of Veterans Affairs, 1100 Olive Way, Suite 1400, Seattle, Washington 98101, USA
    J Stud Alcohol Drugs 70:253-60. 2009
    ..This study examined the association between scores (ranging from 0 to 12) on the three-item Alcohol Use Disorder Identification Test-Consumption Questionnaire (AUDIT-C) and mortality...
  21. ncbi request reprint Alcohol screening scores and medication nonadherence
    Chris L Bryson
    Health Services Research and Development Northwest Center of Excellence, Veterans Affairs Puget Sound Health Care System, and University of Washington, Seattle, Washington 98101, USA
    Ann Intern Med 149:795-804. 2008
    ..Medication nonadherence is common and is associated with adverse outcomes. Alcohol misuse may be a risk factor for nonadherence; however, evidence is limited...
  22. doi request reprint Probability and predictors of patients converting from negative to positive screens for alcohol misuse
    Gwen T Lapham
    Health Services Research and Development HSR and D Northwest Center of Excellence, Seattle, Washington Department of Health Services, University of Washington, Seattle, Washington Group Health Research Institute, Seattle, Washington
    Alcohol Clin Exp Res 38:564-71. 2014
    ..g., <0.1%), calling into question the value of annual alcohol screening for some patient subgroups...
  23. ncbi request reprint Implementation of evidence-based alcohol screening in the Veterans Health Administration
    Katharine A Bradley
    Health Services Research and Development 152, VA Puget Sound Health Care System, 1100 Olive Way, Ste 1400, Seattle, WA 98101, USA
    Am J Manag Care 12:597-606. 2006
    ..Despite evidence-based guidelines, brief alcohol screening and counseling have not been routinely integrated into most primary care practices in the United States...
  24. ncbi request reprint An early evaluation of implementation of brief intervention for unhealthy alcohol use in the US Veterans Health Administration
    Emily C Williams
    Health Services Research and Development HSR and D, Veterans Affairs VA Puget Sound Health Care System, Seattle, WA, USA Department of Health Services, University of Washington, Seattle, WA, USA
    Addiction 109:1472-81. 2014
    ..We evaluated whether documented brief intervention was associated with subsequent changes in drinking during early implementation...
  25. ncbi request reprint Decreasing sensitivity of clinical alcohol screening with the AUDIT-C after repeated negative screens in VA clinics
    Gwen T Lapham
    Veterans Health Administration VA, Denver Seattle Center of Innovation for Veteran Centered and Value Driven Care VA Puget Sound Health Services Research and Development 1100 Olive Way, Seattle, WA 98101, United States Group Health Research Institute, 1730 Minor Ave, Suite 1600, Seattle, WA 98101, United States Electronic address
    Drug Alcohol Depend 142:209-15. 2014
    ..This study aims to evaluate the performance of a clinical alcohol screen compared to a confidential comparison alcohol screen among patients with previous negative alcohol screens...
  26. doi request reprint Smoking cessation and the risk of hospitalization for pneumonia
    Laura M Cecere
    Health Services Research and Development HSR and D Northwest Center of Excellence, Department of Veterans Affairs Puget Sound Health Care System, Seattle, WA 98101, USA
    Respir Med 106:1055-62. 2012
    ..We sought to determine if smoking cessation and the duration of abstinence from tobacco reduce the risk of pneumonia hospitalization...
  27. ncbi request reprint AUDIT-C as a brief screen for alcohol misuse in primary care
    Katharine A Bradley
    Health Services Research and Development, VA Puget Sound Health Care System, Seattle, WA 98101, USA
    Alcohol Clin Exp Res 31:1208-17. 2007
    ..However, the AUDIT-C's validity and optimal screening threshold(s) in other clinical populations are unknown...
  28. ncbi request reprint Do brief measures of readiness to change predict alcohol consumption and consequences in primary care patients with unhealthy alcohol use?
    Emily C Williams
    Health Services Research and Development, VA Puget Sound Health Care System, Seattle, Washington 98101, USA
    Alcohol Clin Exp Res 31:428-35. 2007
    ..Assessing readiness to change is recommended as part of brief interventions for patients with unhealthy alcohol use. However, the utility and predictive validity of readiness measures have not been well established...
  29. pmc Sexual behaviors and sexually transmitted infections in a nationally representative sample of women veterans and nonveterans
    Keren Lehavot
    1 Mental Illness Research, Education, and Clinical Center MIRECC, VA Puget Sound Health Care System, Seattle, Washington
    J Womens Health (Larchmt) 23:246-52. 2014
    ..Few studies have examined their sexual behaviors and rates of sexually transmitted infections (STIs), and none have compared women veterans to nonveterans to identify potential sexual health disparities...
  30. doi request reprint Alcohol questionnaires and HDL: screening scores as scaled markers of alcohol consumption
    Douglas Berger
    General Medicine Service, Department of Veterans Affairs VA Puget Sound Health Care System, Seattle, WA, USA
    Alcohol 47:439-45. 2013
    ..This study using HDL as a biomarker of average alcohol consumption adds to evidence that some alcohol screening scores may also serve as scaled markers of average alcohol consumption. ..
  31. doi request reprint AUDIT-C scores as a scaled marker of mean daily drinking, alcohol use disorder severity, and probability of alcohol dependence in a U.S. general population sample of drinkers
    Anna D Rubinsky
    Health Services Research and Development, Veterans Affairs Puget Sound Health Care System, Seattle, WA 98108, USA
    Alcohol Clin Exp Res 37:1380-90. 2013
    ..Information provided by a patient's alcohol screening score might provide a practical tool for assessing the level of consumption and severity of misuse...
  32. ncbi request reprint Examining quality issues in alcohol misuse screening
    Eric J Hawkins
    Health Services Research and Development, Center of Excellence in Substasnce Abuse Treatment and Education, 1160 S Colombian Way, Seattle, WA 98108, USA
    Subst Abus 28:53-65. 2007
    ..Lower rates of alcohol use and misuse documented in medical records compared to mailed surveys suggest further investigation and standardization of clinical screening are necessary...
  33. pmc Prescriber and staff perceptions of an electronic prescribing system in primary care: a qualitative assessment
    Emily Beth Devine
    Pharmaceutical Outcomes Research and Policy Program, University of Washington, Seattle, WA 98195 7630, USA
    BMC Med Inform Decis Mak 10:72. 2010
    ..We describe prescriber and staff perceptions of implementation of a CPOE system for medications (electronic- or e-prescribing system) in the ambulatory setting...
  34. pmc How primary care providers talk to patients about alcohol: a qualitative study
    Kinsey A McCormick
    Northwest Health Services Research and Development Center of Excellence, VA Puget Sound Health Care System, Seattle, WA, USA
    J Gen Intern Med 21:966-72. 2006
    ..Alcohol misuse is a common and well-documented source of morbidity and mortality. Brief primary care alcohol counseling has been shown to benefit patients with alcohol misuse...