College of Dental Medicine, Columbia University, New York, New York, USA.
Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York, New York, USA.
J Dent Educ. 2020 May;84(5):578-585. doi: 10.1002/jdd.12048. Epub 2020 Feb 5.
Screening, Brief Intervention, and Referral to Treatment (SBIRT) is an evidence-based model for managing patients with substance use disorders (SUD). Historically, SUD were seen as a criminal issue and access to treatment was limited, but that paradigm is shifting and substance abuse is now being recognized as a disease state and the management of patients with SUD is increasingly within the healthcare system starting with primary healthcare settings including dental facilities. In a new training initiative, first-year dental students (DDS1) attended a 90-minute SBIRT training. An Attitudes and Opinion Survey (AOS) consisting of 8 questions that separately assesses DDS1 attitudes toward alcohol and drug use disorders was utilized to evaluate the training. Assenting DDS1 anonymously completed the AOS before and following the training. Over 3 years, we analyzed changes in the AOS of 230 DDS1 using Chi-squared test for bivariate comparison. We then applied a Bonferroni correction to the P-values. Response rate was 95.5%. The SBIRT training improved DDS1 attitudes and opinions toward patients with SUD with respect to all AOS questions. There was a statistically significant improvement (P < 0.003) in DDS1 attitudes and opinions with respect to whether other patients care suffers because of time and resources spent on patients with SUD and whether the SBIRT training provided adequate education to prepare DDS1 to manage patients with SUD. SBIRT training is relevant to dental education. It fills an important educational gap and is a suitable model for other dental schools.
筛查、简短干预和转介治疗 (SBIRT) 是一种管理物质使用障碍 (SUD) 患者的循证模式。 历史上，SUD 被视为犯罪问题，治疗机会有限，但这种模式正在发生转变，现在人们认识到物质滥用是一种疾病状态，管理 SUD 患者的工作越来越多地在医疗保健系统内进行，从初级保健机构开始，包括牙科设施。 在一项新的培训计划中，一年级牙科学生 (DDS1) 参加了 90 分钟的 SBIRT 培训。使用了一项由 8 个问题组成的态度和意见调查 (AOS)，分别评估 DDS1 对酒精和药物使用障碍的态度，以评估培训效果。同意的 DDS1 在培训前后匿名完成了 AOS。 在 3 年的时间里，我们使用卡方检验对 230 名 DDS1 的 AOS 进行了二元比较分析。然后，我们对 P 值进行了 Bonferroni 校正。回复率为 95.5%。SBIRT 培训改善了 DDS1 对 SUD 患者的态度和意见，在所有 AOS 问题上都是如此。DDS1 对由于时间和资源用于 SUD 患者而使其他患者遭受痛苦的看法以及 SBIRT 培训是否为 DDS1 管理 SUD 患者提供了充分的教育有了统计学上的显著改善 (P < 0.003)。SBIRT 培训与牙科教育相关。它填补了重要的教育空白，是其他牙科学校的合适模式。
