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SBIRT Implementation for Adolescents in Urban Federally Qualified Health Centers.
- Source :
-
Journal of Substance Abuse Treatment . Jan2016, Vol. 60, p81-90. 10p. - Publication Year :
- 2016
-
Abstract
- <bold>Background: </bold>Alcohol, tobacco, and other drug use remains highly prevalent among US adolescents and is a threat to their well-being and to the public health. Evidence from clinical trials and meta-analyses supports the effectiveness of Screening, Brief Intervention and Referral to Treatment (SBIRT) for adolescents with substance misuse but primary care providers have been slow to adopt this evidence-based approach. The purpose of this paper is to describe the theoretically informed methodology of an on-going implementation study.<bold>Methods: </bold>This study protocol is a multi-site, cluster randomized trial (N=7) guided by Proctor's conceptual model of implementation research and comparing two principal approaches to SBIRT delivery within adolescent medicine: Generalist vs. Specialist. In the Generalist Approach, the primary care provider delivers brief intervention (BI) for substance misuse. In the Specialist Approach, BIs are delivered by behavioral health counselors. The study will also examine the effectiveness of integrating HIV risk screening within an SBIRT model. Implementation Strategies employed include: integrated team development of the service delivery model, modifications to the electronic medical record, regular performance feedback and supervision. Implementation outcomes, include: Acceptability, Appropriateness, Adoption, Feasibility, Fidelity, Costs/Cost-Effectiveness, Penetration, and Sustainability.<bold>Discussion: </bold>The study will fill a major gap in scientific knowledge regarding the best SBIRT implementation strategy at a time when SBIRT is poised to be brought to scale under health care reform. It will also provide novel data to inform the expansion of the SBIRT model to address HIV risk behaviors among adolescents. Finally, the study will generate important cost data that offer guidance to policymakers and clinic directors about the adoption of SBIRT in adolescent health care. [ABSTRACT FROM AUTHOR]
- Subjects :
- *MEDICAL centers
*URBAN health
*DRUG utilization
*MEDICAL screening
*SUBSTANCE abuse treatment
*SUBSTANCE abuse diagnosis
*COMPARATIVE studies
*RESEARCH methodology
*MEDICAL care
*MEDICAL care research
*MEDICAL cooperation
*HEALTH outcome assessment
*PRIMARY health care
*RESEARCH
*RESEARCH funding
*STATISTICAL sampling
*CITY dwellers
*EVALUATION research
*RANDOMIZED controlled trials
DISEASES in adults
Subjects
Details
- Language :
- English
- ISSN :
- 07405472
- Volume :
- 60
- Database :
- Academic Search Index
- Journal :
- Journal of Substance Abuse Treatment
- Publication Type :
- Academic Journal
- Accession number :
- 111410302
- Full Text :
- https://doi.org/10.1016/j.jsat.2015.06.011