I think the adjustment screw is only on LW/MW radios, VHF should have the aerial matched to the frequency. The problem with a lot of modern cars is the short aerial they have, its matched to the radio by a winding around it but its not as good as the old 1/4 wave whips which were about 18" long.
Many are mounted at the rear of the car which causes loss in the long cable, an aerial amplifier really needs to be mounted as near the aerial as possible to amplify the signal at its strongest, the loss doesn't matter so much then.
First check that your aerial base doesn't have water in it, this is the favourite cause of poor signal.
Peter