TY  - JOUR
PY  - 2016//
TI  - Use of the 5 As for teen alcohol use
JO  - Clinical pediatrics
A1  - Friedman, Jessica L.
A1  - Lyna, Pauline
A1  - Sendak, Mya D.
A1  - Viera, Anthony J.
A1  - Silberberg, Mina
A1  - Pollak, Kathryn I.
SP  - 419
EP  - 426
VL  - 56
IS  - 5
N2  - 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 "Ask." 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 "Ask" 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>
LA  - en
SN  - 0009-9228
UR  - http://dx.doi.org/10.1177/0009922816655884
ID  - ref1
ER  -