A Community-Based Evaluation of Screening, Brief Intervention, and Referral to Treatment (SBIRT) for the Black Community

Green, Helena D

doi:10.1177/1049732317746962

Cited by 10 publications

(7 citation statements)

References 57 publications

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“…Patients recommended extending the reach of the SBIRT programme, which included suggestions for additional community intervention sites, including adolescents, marketing the programme and spreading information on problem substance use. Similar suggestions have been made by participants in studies exploring SBIRT acceptability before and during implementation, highlighting the need for engaging community leaders and the general public to discuss substance use problems and the need for interventions [ 51 ]. During SBIRT implementation in the USA funded by the Substance Abuse and Mental Health Services Administration Center for Substance Abuse Treatment across multiple states, ongoing evaluation and feedback was employed to improve services and implementation strategies from one cohort of grantees to the next.…”

Section: Discussionmentioning

confidence: 82%

Patient outcomes and experience of a task-shared screening and brief intervention service for problem substance use in South African emergency centres: a mixed methods study

Westhuizen

Malan

Naledi

et al. 2021

Addict Sci Clin Pract

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Background Screening, brief intervention and referral to treatment (SBIRT) programmes have resulted in generally positive outcomes in healthcare settings, particularly for problem alcohol use, yet implementation is hampered by barriers such as concerns regarding the burden on healthcare professionals. In low-resourced settings, task-sharing approaches can reduce this burden by using non-professional healthcare workers, yet data are scarce regarding the outcomes and acceptability to patients within a SBIRT service. This study aims to evaluate patient-reported outcomes, patient acceptability, perceived benefits and recommendations for improving a task-shared SBIRT service in South African emergency centres (ECs). Methods This mixed methods study incorporates quantitative substance use screening and patient satisfaction data collected routinely within the service at three hospitals, and qualitative semi-structured interviews with 18 EC patient beneficiaries of the programme exploring acceptability and perceived benefits of the programme, as well as recommendations to improve the service. Approximately three months after the acute EC visit, a sub-sample of patients were followed up telephonically to assess patient-reported satisfaction and substance use outcomes. Results Of the 4847 patients eligible for the brief intervention, 3707 patients (76%) used alcohol as their primary substance and 794 (16%) used cannabis. At follow-up (n = 273), significant reductions in substance use frequency and severity were noted and over 95% of patients were satisfied with the service. In the semi-structured interviews, participants identified the non-judgemental caring approach of the counsellors, and the screening and psychoeducation components of the intervention as being the most valuable, motivating them to decrease substance use and make other positive lifestyle changes. Study participants made recommendations to include group sessions, market the programme in communities and extend the programme’s reach to include a broader age group and a variety of settings. Conclusions This task-shared SBIRT service was found to be acceptable to patients, who reported several benefits of a single SBIRT contact session delivered during an acute EC visit. These findings add to the SBIRT literature by highlighting the role of non-professional healthcare workers in delivering a low-intensity SBIRT service feasible to implement in low-resourced settings.

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Section: Discussionmentioning

confidence: 82%

Patient outcomes and experience of a task-shared screening and brief intervention service for problem substance use in South African emergency centres: a mixed methods study

Westhuizen

Malan

Naledi

et al. 2021

Addict Sci Clin Pract

View full text Add to dashboard Cite

show abstract

“…This was a priori information the researchers had, which led to the development of the new construct "cultural suitability." A similar approach was taken in an evaluation by Green (2018) using the CFIR. The analysis focused on examining the cultural relevancy of SBIRT implementation for an African American community (Green, 2018).…”

Section: Discussionmentioning

confidence: 99%

“…A similar approach was taken in an evaluation by Green (2018) using the CFIR. The analysis focused on examining the cultural relevancy of SBIRT implementation for an African American community (Green, 2018). Across the stakeholder groups, Green identified two emergent themes, "trust" and "communication" as addressing conditions that cut across more than one of the CFIR domains.…”

Section: Discussionmentioning

confidence: 99%

Notes From the Field: Applying the Consolidated Framework for Implementation Research in a Qualitative Evaluation of Implementation of the Queensland Aboriginal and Torres Strait Islander Brief Intervention Training Program

et al. 2021

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This paper describes the applicability of the Consolidated Framework for Implementation Research (CFIR) to the qualitative evaluation of the implementation of the Queensland Aboriginal and Torres Strait Islander Brief Intervention Training Program, the B.strong Program. Interviews were conducted with 20 B.strong Program trainees and four health service managers from eight purposively sampled Indigenous primary health care services in Queensland to collect their perceptions of the B.strong Program implementation. The 26 constructs of the CFIR were used to guide data collection and analysis. Additional constructs were developed for two program implementation aspects, “quality improvement” and “cultural suitability.” Findings are presented from the application of the CFIR to the evaluation of the implementation of a brief intervention training program in the Australian Indigenous context. While demonstrating the applicability of the CFIR in this evaluation, this study also highlights that it may require modification, to ensure identification of the different contextual factors that influence program implementation.

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“…[2020] recent study demonstrate the benefit of CFIR in conjunction with RE-AIM's Adoption and Maintenance supporting the alignment of behavioral change. Both frameworks were adapted to a study examining the multilevel perspectives regarding outreach and engagement of three community stakeholders utilizing the Screening, Brief Intervention, and Referral to Treatment (SBIRT) tool for individuals at risk for substance abuse (63). Interestingly, the study investigator utilized CBPR and the CFIR domains and constructs to evaluate the implementation process.…”

Section: Upstream Versus Downstream Policies and Interventionsmentioning

confidence: 99%

“…Applying the RE-AIM and CFIR frameworks in the CBPR planning the evaluation process Maintenance: extent that intervention becomes part of an organization's routine practice AIM interview questions align with the CFIR domains and constructs(62,63).…”

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confidence: 99%

Value-based focused global population health management

Gibbs¹,

Newman²,

Stefanacci³

2021

J Gastrointest Oncol

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In 2018, approximately 18 million people worldwide were diagnosed with cancer and are predicted to double by 2040. The global quality chasm in improving health care worldwide requires "systems thinking" as the key to success. Aligning the goal around person-centered care captures the total needs of care of a population and not just disease categories. The integration of the Institute of Medicine's (IOM) six aims of quality termed "value-based focused" and population health management (PHM) provides all health care leaders grappling with improving the health care of the populations a framework for the communities they serve. In this context, the question becomes finding solutions to providing high quality, compassionate and patient-centered health care delivery. Over the last two decades, three paradigms have emerged; the six aims of quality, outcome-focused population health, and the "Quadruple Aim". We have termed the intersection of these concepts as Value-based focused Population Health Management (VBPHM). This review applies VBPHM across the geographic county and community levels in the United States. Specifically, we examine VBPHM at the county or county-equivalents and community levels within the United States. Lastly, the potential role of Community-based Participatory Research and it is applicability to our framework is discussed. VBPHM can comparably be applied globally to improve population health, especially in preventing and treating cancer better.

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A Community-Based Evaluation of Screening, Brief Intervention, and Referral to Treatment (SBIRT) for the Black Community

Cited by 10 publications

References 57 publications

Patient outcomes and experience of a task-shared screening and brief intervention service for problem substance use in South African emergency centres: a mixed methods study

Patient outcomes and experience of a task-shared screening and brief intervention service for problem substance use in South African emergency centres: a mixed methods study

Notes From the Field: Applying the Consolidated Framework for Implementation Research in a Qualitative Evaluation of Implementation of the Queensland Aboriginal and Torres Strait Islander Brief Intervention Training Program

Value-based focused global population health management

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