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Extended-release naltrexone for treatment of alcohol dependence in primary care
Lee, Joshua D; Grossman, Ellie; DiRocco, Danae; Truncali, Andrea; Hanley, Kathleen; Stevens, David; Rotrosen, John; Gourevitch, Marc N
The feasibility of using extended-release injectable naltrexone (XR-NTX) to treat alcohol dependence in routine primary care settings is unknown. An open-label, observational cohort study evaluated 3-month treatment retention, patient satisfaction, and alcohol use among alcohol-dependent patients in two urban public hospital medical clinics. Adults seeking treatment were offered monthly medical management (MM) and three XR-NTX injections (380 mg, intramuscular). Physician-delivered MM emphasized alcohol abstinence, medication effects, and accessing mutual help and counseling resources. Seventy-two alcohol-dependent patients were enrolled; 90% (65 of 72) of eligible subjects received the first XR-NTX injection; 75% (49 of 65) initiating treatment received the second XR-NTX injection; 62% (40 of 65), the third. Among the 56% (n = 40) receiving three injections, median drinks per day decreased from 4.1 (95% confidence interval = 2.9-6) at baseline to 0.5 (0-1.7) during Month 3. Extended-release naltrexone delivered in a primary care MM model appears a feasible and acceptable treatment for alcohol dependence
PMID: 20363090
ISSN: 1873-6483
CID: 111657
ASSESSING RESIDENTS COMPETENCE IN TWO CONTEXTS: STANDARDIZED PATIENT EXAMS AND UNANNOUNCED STANDARDIZED PATIENT VISITS [Meeting Abstract]
Zabar, S; Lipkin, M; Hanley, K; Burgess, A; Bruno, JH; Adams, J; Kalet, A; Gillespie, C
ISI:000277282300050
ISSN: 0884-8734
CID: 111907
BASELINE ASSESSMENT OF INCOMING MEDICAL STUDENTS COMMUNICATION SKILLS: THE NYU CURRICULUM FOR THE 21ST CENTURY BASELINE OSCE [Meeting Abstract]
Gillespie, C; Hanley, K; Adams, J; Zabar, S; Kalet, A
ISI:000277282300062
ISSN: 0884-8734
CID: 111908
PATIENT ACTIVATION: HOW ARE PATIENT ACTIVATING SKILLS RELATED TO OTHER CORE CLINICAL SKILLS? [Meeting Abstract]
Gillespie, C; Hanley, K; Kalet, A; Zabar, S; Porter, B
ISI:000277282300295
ISSN: 0884-8734
CID: 111914
PRIMARY CARE COMPETENCE IN PHYSICAL EXAMINATION OF THE KNEE: DOES MEDICINE RESIDENT PROFICIENCY WITH THE PHYSICAL EXAM RELATE TO COMMUNICATION PERFORMANCE AND PATIENT UNDERSTANDING [Meeting Abstract]
Greene, R; Gillespie, C; Zabar, S; Hanley, K; Adams, J; Shah, S; Porter, B
ISI:000277282300345
ISSN: 0884-8734
CID: 111915
STUDENTS WHO DEVELOP SELF-ASSESSMENT SKILLS IN A STRUCTURED VIDEOTAPE REVIEW IMPROVE THEIR INTERVIEWING SKILLS WITH STANDARDIZED PATIENTS [Meeting Abstract]
Hanley, K; Zabar, S; Disney, L; Kalet, A; Gillespie, C
ISI:000277282300415
ISSN: 0884-8734
CID: 111917
WHAT THEY BRING WITH THEM TO MEDICAL SCHO [Meeting Abstract]
Mercuri, J; Gillespie, C; Hanley, K; Zabar, S; Kalet, A
ISI:000277282300494
ISSN: 0884-8734
CID: 111920
UNANNOUNCED STANDARDIZED PATIENTS: A NOVEL METHOD OF ASSESSING THE CLINICAL CARE TEAM [Meeting Abstract]
Zabar, S; Murphy, J; Hanley, K; Stevens, D; Burgess, A; Bruno, JH; Kalet, A; Gillespie, C
ISI:000277282300590
ISSN: 0884-8734
CID: 111922
"I AM HERE FOR A PHYSICAL EXAM - I NEED A FULL TUNE UP" THE HARD CHOICES RESIDENTS MAKE [Meeting Abstract]
Adams, J. G.; Gillespie, C.; Lipkin, M.; Hanley, K.; Kalet, A. L.; Zabar, S.
ISI:000265382000251
ISSN: 0884-8734
CID: 4449542
IMPACT OF ADDING VIDEOTAPE REVIEW OF STANDARDIZED PATIENT ENCOUNTERS ON STUDENTS' ATTITUDES AND SKILLS [Meeting Abstract]
Hanley, K; Zabar, S; Disney, L; Gillespie, C
ISI:000265382000609
ISSN: 0884-8734
CID: 99172