Name
F1 - Primary Care Patients with Cardiovascular Disease or Diabetes Who Continue to Smoke or Drink Above Recommended Limits After Receiving Brief Advice: An Innovation to Fill the Gap in Care
Speakers
Co-Authors
Julie Gass, Jacob Scharer, Paul King, Sherry Beaudreau
Date & Time
Thursday, May 7, 2026, 3:00 PM - 4:00 PM
Description
This presentation will share a clinical innovation designed to assist patients who have chronic medical diseases and continue to drink hazardously or smoke after receiving brief advice from their provider.
Abstract
Chronic diseases, such as cardiovascular disease and diabetes, are worsened by smoking and high-risk drinking leading to worse outcomes, such as greater severity of disease and earlier mortality. Despite efforts to proactively address smoking and high-risk drinking within primary care through screening and brief interventions, approximately 30% of patients do not change. This results in a gap in care for those patients not ready to make a change as the other existing services typically focus on those patients with interest in changing. Utilizing the embedded behavioral health provider within integrated primary care teams, we developed a self-directed, low-programmatic resource motivational/ educational intervention, Motivational Intervention Designed for Self-management and EducaTion (MINDSET) to fill this gap. This presentation will share how MINDSET consists of a mailing followed by a telephone call that includes content focused on how these behaviors impact chronic disease using the Theory of Planned Behavior+Risk Perception framework combined with a motivational, non-coercive style.
Session Type
Concurrent
Objective 1
Describe the gap in clinical services for patients with ambivalence towards changing their substance use
Objective 2
Explain the components of the clinical innovation called MINDSET
Objective 3
Understand how this approach can serve as clinical outreach while being low programmatic resource
Content Reference 1
Gass, J. C., Funderburk, J. S., Wiseblatt, A. F., Edelman, D., Nelson, G., Roelk, B., & Maisto, S. A. (2025). A Novel Approach for Patients with Risky Drinking or Tobacco Smoking and Comorbid Cardiovascular Concerns: Applying Interdisciplinary Conjoint Appointments in an Integrated Primary Care Setting. The Journal of Behavioral Health Services & Research, 1-10.
Content Reference 2
Gass, Julie C., et al. "Distinct groups of smokers in primary care based on mental health diagnosis." Journal of Public Health 30.3 (2022): 771-780.
Content Reference 3
Gass, J. C., Funderburk, J. S., & Maisto, S. A. (2021). Barriers and pathways to changing smoking and risky drinking in primary care patients with chronic conditions who failed to respond to brief advice. The Primary Care Companion for CNS Disorders, 23(4), 36142.
