Digital transformation in the screening of tobacco and alcohol consumption in Primary Care, by means of an asynchronous telematic consultation.

Abstract

Objective: To assess a digital tool for screening and recording tobacco and alcohol consumption.
Methodology: Cross-sectional study in a primary care setting. The sample included individuals aged 15 to 80 without records of preventive activities related to alcohol and tobacco consumption (n=1,779). These participants responded to a self-administered survey for screening alcohol and tobacco consumption through a web link. Evaluations were conducted for daily cigarette consumption and the risk of alcohol consumption (reduced AUDIT-C). Additionally, the satisfaction and acceptance of the tool used were examined.
Results: 64% of participants were women, with a mean age of 36 years (12.3). 72% reported alcohol consumption (60.2% men). Among those aged 26 to 50, 61.9% consumed alcohol, and 15% were smokers, with higher alcohol consumption among men (p<0.05). 67.9% were low-risk drinkers, and 4.5% were at risk. Satisfaction with the screening tool was rated at 3.95 (1-5) points. Conclusions: Screening for alcohol consumption through eConsultation showed differences based on gender and age. Although the tool received a positive evaluation, its implementation requires addressing digital barriers. The analysis emphasizes the importance of Primary Care in managing health-harming behaviors, providing valuable insights into effective approaches and clinical practices.

Keywords: E-mail, Mass screening, Digital health, Smoking, Alcoholism, Primary Health Care