title: Receptivity to alcohol-related care among U.S. women Veterans with alcohol misuse.
abstract: Previous research indicates women Veterans have a potentially large, unmet need for alcohol-related care but are under-represented in treatment settings. The purpose of this study was to identify factors associated with women Veterans' receptivity to a recommendation for alcohol-related care when they present to Veterans Affairs (VA) primary care with alcohol misuse. Semi-structured interviews were conducted from 2012-2013 with 30 women Veterans at two VA facilities who screened positive for alcohol misuse during a primary care visit and discussed their alcohol use with their primary-care provider. Qualitative analyses identified 9 themes women used to describe what affected their receptivity to a recommendation for alcohol-related care (i.e., VA specialty substance use disorder services). The most common themes positively associated with women's receptivity included self-appraisal of their drinking behavior as more severe, the provider's presentation of treatment options, availability of gender-specific services, and worse physical and mental health. The themes identified here may have important implications for the clinical strategies providers can use to present alcohol-related care options to women Veterans to facilitate their use of care. These strategies include educating women about the health effects of alcohol misuse and increasing providers' knowledge about available care options (within the care organization or the community), including the availability of gender-specific services.
authors.affiliation: a Center for Innovation to Implementation, VA Palo Alto Health Care System , Menlo Park , California , USA.
authors.forename: Eleanor T
authors.initials: ET
authors.lastname: Lewis
authors.affiliation: b National Center for Post-Traumatic Stress Disorder (NC-PTSD), VA Palo Alto Health Care System , Menlo Park , California , USA.
authors.forename: Andrea L
authors.initials: AL
authors.lastname: Jamison
authors.affiliation: a Center for Innovation to Implementation, VA Palo Alto Health Care System , Menlo Park , California , USA.
authors.forename: Sharfun
authors.initials: S
authors.lastname: Ghaus
authors.affiliation: a Center for Innovation to Implementation, VA Palo Alto Health Care System , Menlo Park , California , USA.
authors.forename: Eva M
authors.initials: EM
authors.lastname: Durazo
authors.affiliation: a Center for Innovation to Implementation, VA Palo Alto Health Care System , Menlo Park , California , USA.|c Women's Health Section, VA Palo Alto Health Care System , Palo Alto , California , USA.|d Stanford University School of Medicine, Division of General Medical Disciplines , Stanford , California , USA.
authors.forename: Susan M
authors.initials: SM
authors.lastname: Frayne
authors.affiliation: e VA Greater Los Angeles Health Services Research and Development (HSR&D) Center for the Study of Healthcare Innovation, Implementation & Policy , Sepulveda , California , USA.|f Department of Epidemiology , UCLA Fielding School of Public Health , Los Angeles , California , USA.
authors.forename: Katherine J
authors.initials: KJ
authors.lastname: Hoggatt
authors.affiliation: g Department of Medicine , David Geffen School of Medicine, University of California Los Angeles , Los Angeles , California , USA.
authors.forename: Bevanne
authors.initials: B
authors.lastname: Bean-Mayberry
authors.affiliation: a Center for Innovation to Implementation, VA Palo Alto Health Care System , Menlo Park , California , USA.|h Department of Psychiatry and Behavioral Sciences , Stanford University School of Medicine , Stanford , California , USA.
authors.forename: Christine
authors.initials: C
authors.lastname: Timko
authors.affiliation: i Center for Mental Healthcare and Outcomes Research, Central Arkansas Veterans Affairs Healthcare System , North Little Rock , Arkansas , USA.|j VA South Central (VISN 16) Mental Illness Research, Education, and Clinical Center, Central Arkansas Veterans Healthcare System , North Little Rock , Arkansas , USA.|k Department of Psychiatry , University of Arkansas for Medical Sciences , Little Rock , Arkansas , USA.
authors.forename: Michael A
authors.initials: MA
authors.lastname: Cucciare
mesh_terms: D000328:Adult; D000437:Alcoholism / Q000523:psychology / Q000628:therapy*; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D036301:Qualitative Research; D014481:United States; D014728:Veterans / Q000523:psychology / Q000706:statistics & numerical data*
keywords: Women Veterans; alcohol misuse; patient perspectives; primary care; qualitative research; treatment receptivity