“…This has been a focus in recent years, resulting in the dissemination of various effective screening tools for use in primary care settings (Brown, Leonard, Saunders, & Papasouliotis, 2001;Fiellin, Reid, & O'Connor, 2000;Fornili & Haack, 2005). However, the use of these tools by primary care providers remains limited (Armstrong & Holmes, 2005) and practitioners identify challenges to incorporating screening protocols in practice (Lock, 2004;Vandermause, 2007;Vinson, Elder, Werner, Vorel, & Nutting, 2000). One way to examine this problem is to address the questioning process itself.…”