Year of Publication
Doctor of Nursing Practice
Dr. Julianne Ossege
Dr. Jo Singleton
Dr. Elizabeth Tovar
PURPOSE: The purpose of this research study was to evaluate the use of the CRAFFT tool within a pediatric primary care setting. The specific objective was to assess the frequency of documentation of substance use screening, counseling, and/or intervention before and after the implementation of the CRAFFT tool.
METHOD: The practice site chose to implement an evidence based adolescent substance use screening tool (CRAFFT Tool) to improve practice. This practice improvement project utilized a descriptive design with a review of electronic medical records before and after a substance use screening tool was implemented. Two hundred medical records were reviewed, 100 in the pre-phase of the study and 100 in the post-phase of the study. The electronic medical record was reviewed to assess frequency of adolescent substance use documentation before and after the tool was introduced.
RESULTS: Prior to implementation of the CRAFFT tool, substance use screening rates were 10% and documented as “no risk factors” in the narrative note. After the CRAFFT implementation, screening rates were 31%. Documentation included the use of the CRAFFT tool (10%, n=10) and as no “risk factors” for substance use and 20% (n=19). The mean CRAFFT score was 0. Chi square analysis revealed a statistically significant difference (p
CONCLUSION: Overall, screening improved after the clinic implemented the CRAFFT tool, but standardized documentation continues to be a problem. Additional research and suggested practice implications may aid in the continued improvement of adolescent substance use screening.
Coleman, Leanne, "Evaluation of the CRAFFT Substance Use Screening Tool in Primary Care" (2018). DNP Projects. 242.