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https://www.readbyqxmd.com/read/29326094/a-shared-decision-making-tool-to-prevent-substance-abuse-protocol-for-a-randomized-controlled-trial
#1
Ju Long, Juntao Michael Yuan, Ron Kim Johnson
BACKGROUND: Substance use disorder (SUD) affects over 20 million adults and costs over $700 billion annually in the United States. It is one the greatest health care challenges we face. OBJECTIVE: This research project seeks to enhance the standard practice of Screening, Brief Intervention, and Referral to Treatment (SBIRT) through a mobile solution easily incorporated into primary care that will promote shared decision making and increase referral and adherence to specialty care through continued follow-up care...
January 11, 2018: JMIR Research Protocols
https://www.readbyqxmd.com/read/29313418/changing-bsn-students-stigma-toward-patients-who-use-alcohol-and-opioids-through-screening-brief-intervention-and-referral-to-treatment-sbirt-education-and-training-a-pilot-study
#2
Khadejah F Mahmoud, Dawn Lindsay, Britney B Scolieri, Holly Hagle, Kathryn R Puskar, Ann M Mitchell
BACKGROUND: Stigma associated with substance use is considered a barrier to implementing Screening, Brief Intervention, and Referral to Treatment (SBIRT) and assisting patients to receive appropriate treatment. OBJECTIVES: To test the efficacy of SBIRT education and training in changing undergraduate nursing students' attitudes about working with patients who have problems with alcohol and opioid use. DESIGN: A sample of 49 undergraduate nursing students were surveyed, using five subscales, at three time points...
January 1, 2018: Journal of the American Psychiatric Nurses Association
https://www.readbyqxmd.com/read/29295811/stage-based-mobile-intervention-for-substance-use-disorders-in-primary-care-development-and-test-of-acceptability
#3
Deborah Levesque, Cindy Umanzor, Emma de Aguiar
BACKGROUND: In 2016, 21 million Americans aged 12 years and older needed treatment for a substance use disorder (SUD). However, only 10% to 11% of individuals requiring SUD treatment received it. Given their access to patients, primary care providers are in a unique position to perform universal Screening, Brief Intervention, and Referral to Treatment (SBIRT) to identify individuals at risk, fill gaps in services, and make referrals to specialty treatment when indicated. Major barriers to SBIRT include limited time among providers and low motivation to change among many patients...
January 2, 2018: JMIR Medical Informatics
https://www.readbyqxmd.com/read/29277167/physicians-experiences-of-sbirt-training-and-implementation-for-sud-management-in-primary-care-in-the-uae-a-qualitative-study
#4
Christiane Pflanz-Sinclair, Catriona Matheson, Christine M Bond, Amna Almarzouqi, Amanda J Lee, Anwar Batieha, Hamad Al Ghaferi, Ahmed El Kashef
Aim The objective of this paper is to present a qualitative study of introducing substance misuse screening using the Screening Brief Intervention and Referral to Treatment (SBIRT) model, in primary care in Abu Dhabi. BACKGROUND: Substance misuse in the UAE is an increasing problem. However religious beliefs and fear of legal consequences have prevented this topic from being openly discussed, risk levels identified through screening and treatment options offered. METHODS: A controlled trial was undertaken which included a qualitative process study which is reported here...
December 26, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29229000/changes-in-specific-substance-involvement-scores-among-sbirt-recipients-in-an-hiv-primary-care-setting
#5
Carol Dawson-Rose, Jessica E Draughon, Yvette Cuca, Roland Zepf, Emily Huang, Bruce A Cooper, Paula J Lum
BACKGROUND: Substance use is common among people living with HIV (PLHIV) and is associated with worse outcomes along the HIV care continuum. One potentially effective clinic-based approach to addressing unhealthy substance use is screening, brief intervention, and referral to treatment (SBIRT). METHODS: We conducted a two-arm randomized trial to examine the effects of a self-administered, computerized SBIRT intervention compared to a clinician-administered SBIRT intervention in an HIV primary clinic...
December 12, 2017: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/29206262/sbirt-education-for-nurse-practitioner-students-integration-into-an-msn-program
#6
Jeanne Moore, Petra Goodman, Janet Selway, Elizabeth Hawkins-Walsh, Janet Merritt, Jill Dombrowski
BACKGROUND: Substance use disorders are a major public health problem. As primary care providers, nurse practitioners (NPs) must be proficient at screening, identifying, and intervening for at-risk patients. Screening, brief intervention, and referral to treatment (SBIRT) is a well-established, evidence-based model for teaching behavioral health skills to health care providers. It is vital that Master of Science in Nursing (MSN)-NP programs incorporate SBIRT into their curricula. METHOD: SBIRT content was mapped to 10 courses across an MSN-NP program...
December 1, 2017: Journal of Nursing Education
https://www.readbyqxmd.com/read/29181779/linking-individuals-with-substance-use-disorders-suds-in-primary-care-to-sud-treatment-the-recovery-management-checkups-primary-care-rmc-pc-pilot-study
#7
Christy K Scott, Christine E Grella, Michael L Dennis, Lisa Nicholson
Linking individuals in primary care settings with substance use disorders (SUDs) to SUD treatment has proven to be challenging, despite the widespread use of Screening, Brief Intervention, and Referral to Treatment (SBIRT). This paper reports findings from a pilot study that examined the efficacy of the Recovery Management Checkups intervention adapted for primary care settings (RMC-PC), for assertively linking and engaging patients from Federally Qualified Health Centers into SUD treatment. Findings showed that patients in the RMC-PC (n=92) had significantly higher rates of SUD treatment entry and received more days of SUD treatment compared with those who receive the usual SBIRT referral (n=50)...
November 27, 2017: Journal of Behavioral Health Services & Research
https://www.readbyqxmd.com/read/29144194/an-integrative-behavioral-health-care-model-using-automated-sbirt-and-care-coordination-in-community-health-care
#8
Ronald Dwinnells, Lauren Misik
Efficient and effective integration of behavioral health programs in a community health care practice emphasizes patient-centered medical home principles to improve quality of care. A prospective, 3-period, interrupted time series study was used to explore which of 3 different integrative behavioral health care screening and management processes were the most efficient and effective in prompting behavioral health screening, identification, interventions, and referrals in a community health practice. A total of 99...
November 1, 2017: Journal of Primary Care & Community Health
https://www.readbyqxmd.com/read/29135087/screening-women-for-at-risk-alcohol-use-an-introduction-to-screening-brief-intervention-and-referral-to-treatment-sbirt-in-women-s-health
#9
Maridee D Shogren, Christine Harsell, Thomasine Heitkamp
A significant number of women engage in at-risk drinking behavior, or heavy alcohol use. Women are especially at risk for the negative impact of excessive alcohol consumption secondary to gender differences in body structure, chemistry, and alcohol absorption. In addition, women who drink alcohol during pregnancy risk fetotoxic effects. Screening for at-risk alcohol use is considered best practice during primary care and prenatal care visits and is an integral component of preventive care services for women...
November 14, 2017: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/29128648/a-hypertension-emergency-department-intervention-aimed-at-decreasing-disparities-design-of-a-randomized-clinical-trial
#10
Heather M Prendergast, Marina Del Rios, Renee Petzel-Gimbar, Daniel Garside, Sara Heinert, Sandra Escobar-Schulz, Pavitra Kotini-Shah, Michael Brown, Jinsong Chen, Joseph Colla, Marian Fitzgibbon, Ramon A Durazo-Arvizu, Martha Daviglus
Effective interventions to identify and treat uncontrolled hypertension (HTN), particularly in underrepresented populations that use the emergency department (ED) for primary care, are critically needed. Uncontrolled HTN contributes significantly to cardiovascular morbidity and mortality and is more frequently encountered among patients presenting to the ED as compared to the primary care setting. EDs serve as the point of entry into the health care system for high-risk patient populations, including minority and low-income patients...
November 8, 2017: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/29064941/substance-abuse-screening-in-adolescents
#11
Genevieve DelRosario, Laura Kahle, Kimberly Lewis, Leigh Tenkku Lepper
Substance abuse among adolescents is a significant public health challenge. This article reviews changes to the American Academy of Pediatrics' policy statement recommending the use of SBIRT (screening, brief intervention, and referral for treatment) to screen adolescents for substance abuse.
November 2017: JAAPA: Official Journal of the American Academy of Physician Assistants
https://www.readbyqxmd.com/read/29021115/specialty-addiction-and-psychiatry-treatment-initiation-and-engagement-results-from-an-sbirt-randomized-trial-in-pediatrics
#12
Stacy Sterling, Andrea H Kline-Simon, Ashley Jones, Derek D Satre, Sujaya Parthasarathy, Constance Weisner
OBJECTIVE: Many adolescents needing specialty addiction or psychiatry treatment never access care. We examined initiation and engagement with addiction and/or psychiatry treatment among adolescents referred to treatment from a trial comparing two different modalities of delivering Screening, Brief Intervention and Referral to Treatment (SBIRT) to Usual Care in pediatric primary care. We hypothesized that both intervention arms would have higher initiation and engagement rates than usual care...
November 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28988545/a-controlled-trial-of-screening-brief-intervention-and-referral-for-treatment-sbirt-implementation-in-primary-care-in-the-united-arab-emirates
#13
Catriona Matheson, Christiane Pflanz-Sinclair, Amna Almarzouqi, Christine M Bond, Amanda J Lee, Anwar Batieha, H Al Ghaferi, A El Kashef
Aim This project evaluated the effectiveness of screening brief intervention and referral for treatment (SBIRT) in primary care in Abu Dhabi to manage patients with problematic substance use. This study aimed to determine whether: (i) training primary care physicians on the SBIRT model increased the identification of patients using substances at a harmful, hazardous or dependent level; (ii) training improved physicians' knowledge, attitudes and beliefs in self-efficacy in managing substance use. BACKGROUND: Substance use is increasing in the United Arab Emirates yet there has been no formal primary care intervention...
October 9, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28895809/screening-brief-intervention-and-referral-to-treatment-sbirt-curriculum-integration-and-sustainability-social-work-and-nursing-faculty-perspectives
#14
M Nicole Belfiore, Marcela D Blinka, Karlynn BrintzenhofeSzoc, Joseph Shields
BACKGROUND: The Substance Abuse and Mental Health Services Administration (SAMHSA) has funded grants to universities to provide training and conduct research on the dissemination of screening, brief intervention, and referral to treatment (SBIRT) to health care professionals. However, when it comes to integrating SBIRT content into an existing curriculum, difficulties can arise. When there is so much content already in the curriculum, adding more can be challenging. Additionally, some faculty believe that course curricula should be driven by the expertise and knowledge of faculty, not by opportunities afforded because of grant funding...
September 12, 2017: Substance Abuse
https://www.readbyqxmd.com/read/28833270/tailoring-an-alcohol-intervention-for-american-indian-alaska-native-women-of-childbearing-age-listening-to-the-community
#15
Annika C Montag, Marlené L Dusek, Marina L Ortega, Alexandrea Camp-Mazzetti, Dan J Calac, Christina D Chambers
BACKGROUND: Reduction of risky drinking in women of childbearing age is 1 strategy that may be employed to prevent fetal alcohol spectrum disorder, a sequela of prenatal alcohol exposure. Communities differ in risk and protective factors, necessitating culturally informed interventions for maximal efficacy. This article describes the modification of an existing web-based screening, brief intervention, and referral to treatment intervention to reduce risky drinking among American Indian Alaska Native (AIAN) women of childbearing age in Southern California into a peer-to-peer-based intervention using motivational interviewing (MI)...
November 2017: Alcoholism, Clinical and Experimental Research
https://www.readbyqxmd.com/read/28829630/associated-factors-of-readiness-to-change-in-young-adult-risky-drinkers
#16
Ebon S Alley, Mary M Velasquez, Kirk Von Sternberg
BACKGROUND: Readiness to change alcohol use has been associated with a number of predictors including emotional distress, drinking severity, and consequence severity, as well as with static demographic factors such as gender and race/ethnicity. OBJECTIVE: To examine the relationships among these variables and readiness to change alcohol use in young adults. METHODS: Structural equation modeling was used to test pathways of readiness to change in 1,256 young adult patients (78% male/22% female) ages 18-29 who were provided screening, brief intervention and referral to treatment (SBIRT) as part of a Substance Abuse and Mental Health Services Administration (SAMHSA) Treatment Capacity Expansion Project...
August 22, 2017: American Journal of Drug and Alcohol Abuse
https://www.readbyqxmd.com/read/28810975/adaptation-of-screening-brief-intervention-referral-to-treatment-to-active-duty-military-personnel-in-an-emergency-department-findings-from-a-formative-research-study
#17
Megan Holt, Mark Reed, Susan I Woodruff, Gerard DeMers, Michael Matteucci, Suzanne L Hurtado
BACKGROUND: The transient nature of military life coupled with environmental and psychosocial stressors increase the risk for alcohol misuse and abuse among active duty (AD) military service members and recent epidemiological studies demonstrate high rates of heavy drinking among AD personnel. Over the past decade, Department of Defense health care systems have observed increases in the utilization of substance use services among military personnel demobilizing from Operation Enduring Freedom and Operation Iraqi Freedom...
July 2017: Military Medicine
https://www.readbyqxmd.com/read/28808614/insights-in-public-health-screening-brief-intervention-and-referral-to-treatment-sbirt-one-of-the-way-s-the-hawai-i-department-of-health-is-working-to-make-health-hawai-i-s-shared-value
#18
Edward Mersereau, Betty Wood, Leolinda Parlin, Quinne Custino
No abstract text is available yet for this article.
August 2017: Hawai'i Journal of Medicine & Public Health: a Journal of Asia Pacific Medicine & Public Health
https://www.readbyqxmd.com/read/28762888/ten-years-of-implementing-screening-brief-intervention-and-referral-to-treatment-sbirt-lessons-learned
#19
Ana P Nunes, Melissa K Richmond, Kelly Marzano, Carolyn J Swenson, Jodi Lockhart
The US Surgeon General recently issued a comprehensive report indicating that substance use is a major public health concern that must be addressed using a number of strategies. Screening, brief intervention, and referral to treatment (SBIRT) is one such strategy. SBIRT Colorado, funded by the Substance Abuse and Mental Health Services Administration (SAMHSA), has implemented a statewide initiative for the past 10 years that has provided ample opportunities to identify key components for successful implementation...
August 1, 2017: Substance Abuse
https://www.readbyqxmd.com/read/28759512/implementing-interprofessional-alcohol-screening-brief-intervention-and-referral-to-treatment-in-the-emergency-department-an-evidence-based-quality-improvement-initiative
#20
Vicki Bacidore, MariJo Letizia, Ann M Mitchel
Alcohol misuse is one of the leading causes of illness, disease, injury, and death in the Unites States. For many patients, the emergency department (ED) visit may provide the only therapeutic opportunity to influence problematic drinking behavior. Screening, brief intervention, and referral to treatment (SBIRT) is an evidence-based approach that may reduce alcohol-related morbidity and mortality and improve health outcomes and quality of life. Developing and implementing an alcohol SBIRT educational module for ED nurses and social workers is an efficient and effective mechanism to provide education about alcohol SBIRT, and revising the electronic health record to include an alcohol SBIRT protocol provides a standard mechanism for documentation by the interprofessional team of ED nurses and social workers...
July 2017: Advanced Emergency Nursing Journal
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