Agley Jon, Carlson Joan M, McNelis Angela M, Gassman Ruth A, Schwindt Rhonda, Crabb David, Vannerson Julie
a Indiana Prevention Resource Center, Department of Applied Health Science, School of Public Health , Indiana University , Bloomington , Indiana , USA.
e Institute for Research on Addictive Behavior , School of Public Health, Indiana University , Bloomington , Indiana , USA.
Subst Use Misuse. 2018 Sep 19;53(11):1834-1839. doi: 10.1080/10826084.2018.1438806. Epub 2018 Feb 15.
Screening, brief intervention, and referral to treatment (SBIRT) is a promising public health approach for problematic substance use. A core component of SBIRT is the use of formal screening tools to categorize a patient's likely level of risk in order to provide an appropriately-matched service. Training in formal screening is included in many SBIRT training programs, but infrequently is emphasized.
To assess pre-training levels of SBIRT-related clinical behaviors, including screening, this study examined a secondary dataset collected from internal medicine residents and graduate nurse practitioner students.
Learners (n = 117) completed 13 self-report items assessing use of SBIRT-related behaviors. Researchers used exploratory factor analysis to identify underlying concepts in the questionnaire, then used mixed ANOVA to compare mean frequency of utilization of each factor (asking, screening, and intervening) by academic program.
Learners reported asking about substance use frequently, intervening some of the time, and infrequently using formal screening tools. Interaction and between-academic-program effects were significant but small.
Prior to SBIRT training, most clinical practitioners reported asking patients about substance use, but few reported regularly using formal substance use screening tools. This may have implications for the importance of SBIRT training as part of curricular work, and for the internal content foci of SBIRT curricula.
筛查、简短干预及转介治疗（SBIRT）是一种针对物质使用问题颇具前景的公共卫生方法。SBIRT的一个核心组成部分是使用正式的筛查工具对患者可能的风险水平进行分类，以便提供匹配度适宜的服务。许多SBIRT培训项目都包含正式筛查方面的培训，但对此的强调并不常见。
为评估SBIRT相关临床行为（包括筛查）的培训前水平，本研究检查了从内科住院医师和研究生护士执业学生收集的一个二级数据集。
学习者（n = 117）完成了13项自我报告项目，评估SBIRT相关行为的使用情况。研究人员使用探索性因素分析来确定问卷中的潜在概念，然后使用混合方差分析比较各学术项目对每个因素（询问、筛查和干预）的平均使用频率。
学习者报告经常询问物质使用情况，有时进行干预，但很少使用正式的筛查工具。交互作用和学术项目间效应显著但较小。
在进行SBIRT培训之前，大多数临床从业者报告会询问患者物质使用情况，但很少有人报告经常使用正式的物质使用筛查工具。这可能对SBIRT培训作为课程作业一部分的重要性以及SBIRT课程的内部内容重点具有启示意义。
