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. 2020 Jun;151(6):609–612. doi: 10.4103/ijmr.IJMR_1851_18

Table.

Self-reported change in compliance to evaluation and management principles in alcohol use disorders before and after online training (n=16)

Questions to trainees (1=never, 2=less than half the time, 3=about half the time, 4=usually, 5=always) Median (IQR) P

Before NIMHANS ECHO virtual telementoring After NIMHANS ECHO virtual telementoring
I ask my patients whether they use alcohol 4.0 (1.5) 5.0 (1.0) 0.009
I ask about the amount, duration of use, frequency and reason for using alcohol 4.0 (2.0) 5.0 (0.5) 0.002
I ask about the knowledge of alcohol related harm 4.0 (1.0) 5.0 (0.0) 0.001
I assess the user’s willingness to quit 3.0 (2.0) 5.0 (1.0) 0.001
I order liver function tests in cases of heavy alcohol use# 4.0 (2.0) 5.0 (0.0) 0.001
I discuss the risks of alcohol use 4.0 (2.0) 5.0 (1.0) 0.01
I discuss about why quitting is personally relevant 2.0 (3.0) 5.0 (0.5) <0.001
I advise to quit 4.0 (1.5) 5.0 (0.5) 0.013
I highlight the benefit of quitting 4.0 (2.0) 5.0 (0.0) 0.004
I counsel about the harmful effect of continuing alcohol 4.0 (2.0) 5.0 (1.0) 0.001
I assist by identifying and helping to handle trigger or situation that trigger alcohol use 1.0 (1.0) 5.0 (1.0) <0.001
I assist by prescribing detoxification# 1.0 (2.0) 5.0 (1.0) 0.001
I assist by prescribing anti-craving drugs# 1.0 (1.5) 4.0 (2.0) 0.001
During follow up visits, I ask about alcohol use 2.0 (3.0) 5.0 (0.0) <0.001
Total score 41.0 (12.0) 65.0 (5.0) <0.001

#Answered by doctors. ECHO, Extension for Community Healthcare Outcomes; IQR, interquartile range. Wilcoxon signed-rank test used for paired ordinal data.