A web-based Alcohol Clinical Training (ACT) curriculum: Is in-person faculty development necessary to affect teaching?

Alford, Daniel P.; Richardson, Jessica; Chapman, Sheila; Dubé, Catherine; Schadt, Robert W; Saitz, Richard

doi:10.1186/1472-6920-8-11

Cited by 15 publications

(14 citation statements)

References 49 publications

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“…The composition of the survey was largely based on prior research by Harris and Sun (2012), the Physician’s Competence in Substance Abuse Test (PCSAT) and Alford and colleagues (2008); items were added to specifically assess alcohol pharmacotherapy, a primary focus of our study. The survey addressed four areas of alcohol intervention: screening, brief advice, counseling and pharmacotherapy.…”

Section: Methodsmentioning

confidence: 99%

HIV primary care providers—Screening, knowledge, attitudes and behaviors related to alcohol interventions

Chander

Monroe

Crane

et al. 2016

Drug and Alcohol Dependence

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Background Alcohol has particularly harmful health effects in HIV-infected patients; therefore, HIV clinics are an important setting for integration of brief alcohol intervention and alcohol pharmacotherapy to improve patient outcomes. Current practices of alcohol screening, counseling, and prescription of pharmacotherapy by HIV providers are unknown. Methods We conducted a cross-sectional survey of HIV providers from 8 HIV clinical sites across the United States. Surveys queried knowledge and use of alcohol screening, brief advice, counseling and pharmacotherapy, confidence and willingness to prescribe pharmacotherapy and barriers to their use of alcohol pharmacotherapy. We used multivariable logistic regression to examine provider factors associated with confidence and willingness to prescribe pharmacotherapy. Results Providers (N=158) were predominantly female (58%) and Caucasian (73%); almost half were infectious disease physicians and 31% had been in practice 10–20 years. Most providers (95%) reported always or usually screening for alcohol use, although only 10% reported using a formal screening tool. Over two-thirds never or rarely treated alcohol-dependent patients with pharmacotherapy themselves. Most (71%) referred alcohol-dependent patients for treatment. Knowledge regarding alcohol pharmacotherapy was low. The major barrier to prescribing pharmacotherapy was insufficient training on use of pharmacotherapy. Provider confidence ratings were positively correlated with their practice patterns. Conclusions HIV providers reported high rates of screening for alcohol use, though few used a formal screening tool. Most providers referred alcohol dependent patients to outside resources for treatment. Few reported prescribing alcohol pharmacotherapy. Increased training alcohol pharmacotherapy may increase confidence in prescribing and use of these medications in HIV care settings.

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Section: Methodsmentioning

confidence: 99%

HIV primary care providers—Screening, knowledge, attitudes and behaviors related to alcohol interventions

Chander

Monroe

Crane

et al. 2016

Drug and Alcohol Dependence

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show abstract

“…16 Medical educators are starting to address this need for physician training in SU screening, assessment, and management. [17][18][19][20][21][22] Formal curricula on these subjects have been developed 23,24 and evaluated, 25,26 and recommendations for the medical care of addicted patients have been published. 6,27,28 Nevertheless, dissemination of up-to-date addiction research into generalist practice and into residency curricula remains a significant challenge.…”

Section: Introductionmentioning

confidence: 99%

Promoting Substance Use Education Among Generalist Physicians: An Evaluation of the Chief Resident Immersion Training (CRIT) Program

et al. 2008

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This intensive training for chief residents (CRs) improved knowledge, confidence, and preparedness to diagnose, manage, and teach about substance use (SU), affecting both the CRs' SU clinical and teaching practices. The CRIT program was an effective model for dissemination of SU knowledge and skills to educators in a key position to share this training with a broader audience of medical trainees. This model holds potential to address other high priority medical, yet under-addressed, content areas as well.

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“…Most existing initiatives, curricula, and research on SBIRT training have focused on the training of physicians in primary care and emergency care settings (Alford et al, 2008;Broyles & Gordon, 2010;SAMHSA, 2010;Seale, Shellenberger, & Clark, 2010). Few authors have described alcohol-related curriculum development, components, and implementation of training for interdisciplinary groups of professionals (Stanton, Atherton, Toriello, & Hodgson, 2012;Tanner, Wilhelm, Rossie, & Metcalf, 2012) or for nurses specifically (Gerace, Hughes, & Spunt, 1995;Marcus et al, 1999;Rassool, 2004).…”

mentioning

confidence: 96%

A Tailored Curriculum of Alcohol Screening, Brief Intervention, and Referral to Treatment (SBIRT) for Nurses in Inpatient Settings

Broyles

Kraemer

Kengor

et al. 2013

Journal of Addictions Nursing

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A package of clinical strategies known as alcohol screening, brief intervention, and referral to treatment (SBIRT) is increasingly recommended for reducing unhealthy alcohol use, the spectrum of alcohol consumption from at-risk drinking (defined as consumption above recommended guidelines) to alcohol abuse and alcohol dependence. The United States' Joint Commission issued new SBIRT-related hospital accreditation measures for alcohol. Ongoing initiatives aim to promote, support, and sustain SBIRT implementation in hospital settings. In hospital settings, nurse-delivered SBIRT may be a particularly viable and efficient model for SBIRT implementation. However, like physicians, most nurses have not been trained in how to perform SBIRT, and few authors have described alcohol-related curricula specifically for nurses. In addition, historical differences in nurse and physician professional scopes of practice, role perceptions, and patterns of care delivery suggest the need for effective SBIRT initial and continuing education and training that are tailored to the nursing profession and inpatient environments. In this article, we provide an in-depth description of the registered nurse SBIRT curriculum and describe its development and contents as well as various nurse- and setting-specific adaptations. In addition, we describe how we engaged nursing stakeholders in the development and implementation of the curriculum and discuss potential implications for future SBIRT training and delivery by nurses. SBIRT continuing education and training for nurses represents one of the first steps in expanded SBIRT implementation. Comprehensive workforce and organizational development of inpatient and nurse-delivered SBIRT may provide the means to address the entire spectrum of unhealthy alcohol use across healthcare settings.

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A web-based Alcohol Clinical Training (ACT) curriculum: Is in-person faculty development necessary to affect teaching?

Cited by 15 publications

References 49 publications

HIV primary care providers—Screening, knowledge, attitudes and behaviors related to alcohol interventions

HIV primary care providers—Screening, knowledge, attitudes and behaviors related to alcohol interventions

Promoting Substance Use Education Among Generalist Physicians: An Evaluation of the Chief Resident Immersion Training (CRIT) Program

A Tailored Curriculum of Alcohol Screening, Brief Intervention, and Referral to Treatment (SBIRT) for Nurses in Inpatient Settings

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