@article{ref1,
title="Use of the 5 As for teen alcohol use",
journal="Clinical pediatrics",
year="2016",
author="Friedman, Jessica L. and Lyna, Pauline and Sendak, Mya D. and Viera, Anthony J. and Silberberg, Mina and Pollak, Kathryn I.",
volume="56",
number="5",
pages="419-426",
abstract="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 &quot;Ask.&quot; 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 &quot;Ask&quot; about alcohol use to increase disclosure of drinking and to be more comprehensive in their counseling.<br><br>© The Author(s) 2016.<p /> <p>Language: en</p>",
language="en",
issn="0009-9228",
doi="10.1177/0009922816655884",
url="http://dx.doi.org/10.1177/0009922816655884"
}