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Author ORCID Identifier


Open Access Dissertation

Document Type


Degree Name

Doctor of Philosophy (PhD)

Degree Program


Year Degree Awarded


Month Degree Awarded


First Advisor

Donna Zucker

Second Advisor

Jeungok Choi

Third Advisor

Jenna Marquard

Subject Categories

Health Information Technology | Nursing


Alcohol abuse is a significant concern in the United States. Today in the U.S., 15.1 million adults ages 18 and older, have been identified as having an alcohol use disorder. Alcohol abuse and binge drinking are highest amongst college students. More than 58.0 percent of college students admit to regular binge drinking or heavy alcohol use every month. Left unaddressed, this leads to negative health consequences later in life. The United States Preventive Services Task Force states that there is strong evidence that screening patients in primary care can reduce alcohol use disorder. Though screening, brief intervention, and referral to treatment (SBIRT) in primary care are critical steps towards preventing alcohol use disorder, it is not routinely done. Providers state that they are time-constrained and need processes that will help them carry out screenings. The use of technology integrated with the electronic health record is one way to address the issue. The purpose of this study was to provide an understanding of the health care provider's perceptions and experiences with technology adoption in alcohol use disorder and clinical SBIRT. The study used an exploratory, descriptive methods approach to gain a comprehensive understanding of what acts as a facilitator or barrier to technology adoption in SBIRT in primary care. The findings show that there is a gap in the understanding of how to integrate behavioral health screenings in the primary care workflow and EHR. Providers want to do SBIRT in clinical care, yet time-constrained visits remain an issue. Providers highlighted the importance of mapping the workflow in advance of practice change and using pilots before undertaking a broader practice change.