Zerden Lisa D S, Guan Ting, Burgess-Flowers Jamie L
The University of North Carolina at Chapel Hill School of Social Work, Chapel Hill, North Carolina, USA.
Syracuse Univeristy, Falk College of Sport and Human Dynamics, Department of Social Work, New York, Syracuse, USA.
Community Dent Oral Epidemiol. 2024 Apr;52(2):150-160. doi: 10.1111/cdoe.12908. Epub 2023 Sep 12.
Screening, Brief Intervention, and Referral to Treatment (SBIRT) is an effective evidence-based model to provide early intervention and treatment to people with substance use disorders across diverse health settings. Yet, how SBIRT has been implemented within oral health settings and its associated outcomes has not been explored. This scoping review assessed how SBIRT has been implemented in oral health settings in the U.S. and discusses the implications for SBIRT integration in dentistry and oral health research, education and practice.
Five scholarly databases were searched using a scoping review methodology for relevant literature, yielding seven articles that met inclusion criteria.
Findings from seven U.S. studies show that SBIRT has been implemented into oral health settings in three distinct ways: through education/training, as an intervention and in one national survey. Findings of this scoping review support the inclusion of SBIRT education for oral health professionals in both practice and clinical environments and offer examples of existing models for future implementation and study.
The scant literature on SBIRT intervention effects in dental settings-both within and outside of the U.S.-underscores the need for more empirical work to better understand how SBIRT impacts dental providers' knowledge, practices, referrals and ultimately, patient outcomes.
筛查、简短干预及转介治疗（SBIRT）是一种基于证据的有效模式，可在不同的健康环境中为物质使用障碍患者提供早期干预和治疗。然而，SBIRT在口腔健康环境中的实施方式及其相关结果尚未得到探讨。本范围综述评估了SBIRT在美国口腔健康环境中的实施方式，并讨论了其在牙科以及口腔健康研究、教育和实践中整合的意义。
采用范围综述方法在五个学术数据库中检索相关文献，共筛选出七篇符合纳入标准的文章。
七项美国研究的结果表明，SBIRT已通过三种不同方式在口腔健康环境中实施：通过教育/培训、作为一种干预措施以及在一项全国性调查中实施。本范围综述的结果支持在实践和临床环境中为口腔健康专业人员提供SBIRT教育，并提供了现有模式的示例以供未来实施和研究。
关于SBIRT在美国国内外牙科环境中干预效果的文献较少，这凸显了开展更多实证研究的必要性，以便更好地了解SBIRT如何影响牙科服务提供者的知识、实践、转介情况，并最终影响患者的治疗结果。
