Publications by authors named "C Weisner"

Introduction: Hazardous drinking is a public health problem affecting approximately 20 % of the U.S. primary care population.

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Article Synopsis
  • * A study involving over 14,700 Kaiser Permanente patients evaluated the impact of receiving specialty alcohol treatment during the pandemic on various measures of alcohol use from early 2020 to mid-2022.
  • * Results showed that patients significantly reduced their alcohol consumption during this time, with those receiving treatment experiencing even greater decreases in heavy drinking days, weekly drinks, and drinking frequency compared to those who did not receive treatment.
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Aims: This study examined differential changes in alcohol use during the COVID-19 pandemic among adults with unhealthy alcohol use.

Methods: Among 62 924 adults identified with unhealthy alcohol use in primary care prepandemic (1 January 2019 to 29 February 2020), changes in alcohol use during the pandemic (1 March 2020 to 30 June 2022) were examined using electronic health record data from Kaiser Permanente Northern California. Outcomes were changes in heavy drinking days in the past three months (HDDs) and overall consumption (drinks/week), including continuous and categorical measures.

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While collaborative care is known to improve depressive and anxiety symptoms in primary care, comparative effectiveness studies of virtual collaborative care versus virtual specialty psychiatry treatment in real world settings are lacking. This study examined patient depressive and anxiety symptoms over 6 months in collaborative care versus specialty psychiatry. This was an observational study with target trial emulation in a large, community-based, integrated health care system.

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Background: Variation in specialty treatment utilization for alcohol use disorder (AUD) by patient subgroups is poorly understood. This study examined whether and how patient risk profiles predict receipt of specialty treatment and whether there are disparities by race and ethnicity.

Methods: This cohort study included 206,956 adults with heavy alcohol use (that which exceeded National Institute on Alcohol Abuse and Alcoholism guidelines) between June 1, 2013 and December 31, 2014, using electronic health record data from Kaiser Permanente Northern California.

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