Pervanas Helen C, Landry Eric, Southard Douglas R, DiNapoli Pamela P, Smith Paula, Towle Jennifer, Barta Kate Semple, Fjeld-Sparks Kristina, Stalnaker-Shofner Devona
MCPHS University, Manchester, NH, USA.
CVS Health, West Lebanon, NH, USA.
SAGE Open Nurs. 2019 Apr 29;5:2377960819834132. doi: 10.1177/2377960819834132. eCollection 2019 Jan-Dec.
Substance abuse and addiction are responsible for an assortment of health and financial concerns in the United States. Tools to identify and assist at-risk persons before they develop a substance use disorder are necessary. Screening, brief intervention, and referral to treatment (SBIRT) can be utilized by health-care professionals to identify those at risk to minimize health-related complications and the potential of developing a substance use disorder. The primary objective of this study was to provide educational training sessions on SBIRT to health-care students utilizing interprofessional education activities and assess perceptions of the training sessions and activities with regard to confidence to utilize SBIRT in at-risk patients and overall student satisfaction with SBIRT instruction. The research protocol enrolled students of pharmacy, nursing, medicine, behavioral health, and physician assistant studies who received interprofessional SBIRT training. Students completed an anonymous posttraining online survey, measuring student perceptions of knowledge gained and confidence to utilize training. A total of 303 students completed the SBIRT training. Approximately 70% of students were satisfied with the training materials, instruction, quality, and experience. After training, 78% were confident that they could perform screening for substance abuse, conduct a brief intervention (80%), and when to refer to treatment (71%). A total 73% of students reported that the asynchronous online-based activity was extremely effective in increasing knowledge of the roles and responsibilities of other disciplines and providing opportunities to interact with students from other health professions. Interprofessional education-trained students from multiple health-care disciplines feel comfortable performing SBIRT to identify persons at risk for substance misuse in practice.
药物滥用和成瘾在美国引发了一系列健康和财务问题。在有风险的人发展成物质使用障碍之前，识别并帮助他们的工具是必要的。医疗保健专业人员可以利用筛查、简短干预和转介治疗（SBIRT）来识别那些有风险的人，以尽量减少与健康相关的并发症以及发展成物质使用障碍的可能性。本研究的主要目的是利用跨专业教育活动为医疗保健专业学生提供关于SBIRT的教育培训课程，并评估他们对这些培训课程和活动的看法，包括在有风险的患者中使用SBIRT的信心以及学生对SBIRT教学的总体满意度。研究方案招募了药学、护理、医学、行为健康和医师助理专业的学生，他们接受了跨专业的SBIRT培训。学生们完成了一项匿名的培训后在线调查，测量学生对所学知识的看法以及使用培训的信心。共有303名学生完成了SBIRT培训。大约70%的学生对培训材料、教学、质量和体验感到满意。培训后，78%的学生有信心进行药物滥用筛查、进行简短干预（80%）以及知道何时转介治疗（71%）。73%的学生报告说，基于异步在线的活动在增加对其他学科角色和职责的了解以及提供与其他健康专业学生互动的机会方面非常有效。来自多个医疗保健学科的接受过跨专业教育培训的学生在实践中对进行SBIRT以识别有药物滥用风险的人感到得心应手。
