Screening, Brief Intervention, and Referral to Treatment: Public Health Training for Primary Care

Abstract

Objectives The purpose of this study was to elucidate changes in attitudes, experiences, readiness, and confidence levels of medical residents to perform screening, brief intervention, and referral to treatment (SBIRT) and factors that moderate these changes. Methods A cohort of 121 medical residents received an educational intervention. Self-reported experience, readiness, attitude, and confidence toward SBIRT-related skills were measured at baseline and at follow-up. Analyses were conducted to evaluate the effects of medical specialization. Results The intervention significantly increased experience (P < .001), attitude (P < .05), readiness (P < .001), and confidence (P < .001). Residents were more likely to report that their involvement influenced patients’ substance use. However, experience applying SBIRT skills varied by country of birth, specialty, and baseline scores. Conclusions This study suggested that SBIRT training was an effective educational tool that increased residents’ sense of responsibility. However, application of skills might differ by specialization and other variables. Future studies are needed to explore and evaluate SBIRT knowledge obtained, within the context of cultural awareness and clinical skills.

A Multisite Initiative to Increase the Use of Alcohol Screening and Brief Intervention Through Resident Training and Clinic Systems Changes

“…11 Analysis of previous SBI residency training programs indicates that changing resident practice behavior is challenging. Whereas some studies report increased resident confidence, readiness, and perceived effectiveness, 12,13 only one of four single-site studies demonstrated increased rates of both screening and brief intervention among trained residents. 14-17 A larger multisite trial showed increases only in screening rates.…”

Screening for Substance Abuse in Women's Health: A Public Health Imperative

“…Despite the significance of substance abuse in women's lives, most health care providers receive little training regarding the issue. Wide variation in practice exists with regard to screening women for alcohol and drug use, probably because of a combination of lack of education about the nature of addiction, lack of training in intervention techniques, and negative attitudes about addiction . Lack of confidence regarding follow‐up on positive screens is cited as an important factor preventing primary care providers from screening for alcohol and drug use .…”

“…Wide variation in practice exists with regard to screening women for alcohol and drug use, probably because of a combination of lack of education about the nature of addiction, lack of training in intervention techniques, and negative attitudes about addiction . Lack of confidence regarding follow‐up on positive screens is cited as an important factor preventing primary care providers from screening for alcohol and drug use . A recent study by Marshall et al found that when training in screening and intervention techniques was incorporated into medical resident education, residents’ confidence in their ability to screen for substance abuse significantly increased …”

Formação de agentes comunitários de saúde para o desenvolvimento de práticas de atenção básica relativas ao consumo prejudicial de drogas

“…intervenção breve e encaminhar dependentes químicos ou abusadores de substtâncias para tratamentos específicos (Marshall et al, 2012;Muench et al, 2012;Pringle, 2012;Scott et al, 2012;Satterfield et al, 2012;Tanner et al, 2012;Stein et al, 2011 A menor parte dos estudos (Büchele et al, 2009;Martini e Furegato, 2008;Soares e Jacobi, 2000;Soares et al, 1999) De acordo com esta revisão, é possível afirmar que a formação sobre drogas para trabalhadores da saúde e educadores ocorre a partir de diferentes visões de mundo e experiências.…”