College of Health Solutions, Arizona State University.
Joe R. and Teresa Lozano Long School of Medicine, UT Health San Antonio.
Fam Syst Health. 2022 Dec;40(4):559-565. doi: 10.1037/fsh0000755.
Substance misuse persists and is undertreated across the United States (Substance Abuse and Mental Health Services Administration, 2021). Further enhancing the skill sets and capacity of interprofessional members of primary care teams to include proficiency in the Screening, Brief Intervention, and Referral to Treatment (SBIRT) model could help to alleviate the "treatment gap" (those requiring treatment, but not receiving it) by enhancing interprofessional teams at the pregraduate level (e.g., health educators, health coaches) to expand capacity and meet the volume of patients with substance use-related needs.
In this study, SBIRT knowledge, training satisfaction, and efficacy were evaluated among undergraduate and graduate health and behavioral health students before and after exposure to a series of online training modules.
On completion of the training, there were positive percent increases in overall mean knowledge and self-efficacy when compared with pretraining. At posttraining, graduate level students, regardless of discipline, reported greater knowledge than undergraduate students; there were no differences in efficacy or satisfaction among the groups. Additional analysis at the graduate level evaluated differences between behavioral health and medical trainees. No differences were found in knowledge or efficacy between groups at posttest, despite medical trainees reporting significantly lower efficacy at pretest.
The findings of this study reinforce the need and potential to incorporate SBIRT training into higher education curricula for interprofessional health care professions to begin expanding the integrated care team's knowledge and efficacy in the provision of SBIRT to address the treatment gap. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
在美国，药物滥用问题普遍存在且治疗不足（Substance Abuse and Mental Health Services Administration，2021）。进一步提高初级保健团队中多专业成员的技能和能力，使其熟练掌握筛查、简短干预和转介治疗（SBIRT）模式，通过在本科阶段（如健康教育者、健康教练）增强多专业团队的能力，扩大服务量，满足有药物使用相关需求的患者数量，有助于缓解“治疗缺口”（即需要治疗但未接受治疗的人群）。
本研究在一组在线培训模块前后，评估了本科和研究生健康与行为健康学生的 SBIRT 知识、培训满意度和效果。
与培训前相比，完成培训后，总体知识和自我效能的正百分比均有所增加。在培训后，无论学科如何，研究生水平的学生报告的知识都高于本科生；但各组之间的效果或满意度没有差异。在研究生层面的进一步分析评估了行为健康和医学培训生之间的差异。尽管医学培训生在预测试中报告的效果明显较低，但在测试后，两组在知识或效果方面没有差异。
本研究的结果强调了将 SBIRT 培训纳入高等教育多专业医疗保健职业课程的必要性和潜力，以开始扩大综合护理团队在提供 SBIRT 方面的知识和效果，以解决治疗缺口问题。（PsycInfo Database Record (c) 2022 APA，保留所有权利）。
