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筛查、简短干预和转介治疗加(SBIRT-Plus):康复科学专业学生的新型跨专业培训。

Screening, Brief Intervention, and Referral to Treatment Plus (SBIRT-Plus): A Novel Interprofessional Training for Rehabilitation Science Professional Students.

机构信息

Alyson D. Stover, JD, MOT, is Associate Professor, Department of Occupational Therapy, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA.

Kelly B. Beck, PhD, is Assistant Professor, Department of Psychiatry, School of Medicine, University of Pittsburgh, Pittsburgh, PA.

出版信息

Am J Occup Ther. 2024 May 1;78(3). doi: 10.5014/ajot.2024.050520.

DOI:10.5014/ajot.2024.050520
PMID:38748627
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11117463/
Abstract

IMPORTANCE

With the increasing amount of substance use-related health conditions in the United States, it is important for rehabilitation science professionals to receive screening and prevention training.

OBJECTIVE

To describe and examine the preliminary effectiveness of a novel educational program, Screening, Brief Intervention, and Referral to Treatment Plus (SBIRT-Plus), that combines traditional SBIRT training with new modules for cannabis, stimulant, and opioid use.

DESIGN

Prospective, cohort design.

SETTING

Academic institution.

PARTICIPANTS

One hundred eighty-one rehabilitation science graduate students.

INTERVENTION

SBIRT-Plus curriculum.

OUTCOMES AND MEASURES

Outcomes included satisfaction with training, perception of interprofessional training, attitudes, knowledge, and stigma, as assessed with the Readiness for Interprofessional Learning Scale, Alcohol and Alcohol Problems Perception Questionnaire, Drug and Drug Problems Perception Questionnaire, Knowledge Screening Scale, and two stigma instruments.

RESULTS

Most students (>80%) expressed satisfaction with their training, would recommend the training to a colleague, and believed that the training would influence and change the way they practiced with patients at risk for substance use disorders. Students' attitudes and knowledge increased from pre- to post-training, and stigma perceptions were significantly reduced.

CONCLUSIONS AND RELEVANCE

SBIRT-Plus is an evidence-based interprofessional training that is feasible to implement in graduate-level education programs. Integrating SBIRT-Plus into professional graduate programs may be an optimal and low-cost model for training rehabilitation health care professionals. Plain-Language Summary: Screening, Brief Intervention, and Referral to Treatment Plus (SBIRT-Plus) is an evidence-based interprofessional training that can be easily adopted in curricula to train professional students about the importance of screening for substance use disorders.

摘要

重要性

随着美国与物质使用相关的健康问题的日益增多,康复科学专业人员接受筛查和预防培训非常重要。

目的

描述并检验一种新型教育项目的初步效果,该项目将传统的 SBIRT 培训与新的大麻、兴奋剂和阿片类药物使用模块相结合,称为 Screening, Brief Intervention, and Referral to Treatment Plus (SBIRT-Plus)。

设计

前瞻性队列设计。

地点

学术机构。

参与者

181 名康复科学研究生。

干预措施

SBIRT-Plus 课程。

结果和措施

结果包括培训满意度、对跨专业培训的感知、态度、知识和污名,使用跨专业学习准备量表、酒精和酒精问题感知问卷、药物和药物问题感知问卷、知识筛查量表和两个污名量表进行评估。

结果

大多数学生(>80%)对他们的培训表示满意,会向同事推荐培训,并认为培训将影响并改变他们与有物质使用障碍风险的患者的实践方式。学生的态度和知识从培训前到培训后都有所提高,污名感知显著降低。

结论和相关性

SBIRT-Plus 是一种基于证据的跨专业培训,在研究生教育计划中实施是可行的。将 SBIRT-Plus 纳入专业研究生课程可能是培训康复保健专业人员的最佳和低成本模式。

通俗译文

SBIRT-Plus(筛选、简短干预和转介治疗加)是一种基于证据的跨专业培训,可以很容易地纳入课程,培训专业学生了解筛查物质使用障碍的重要性。

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本文引用的文献

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Drug Overdose Deaths in Adults Aged 65 and Over: United States, 2000-2020.65 岁及以上成年人药物过量死亡:美国,2000-2020 年。
NCHS Data Brief. 2022 Nov(455):1-8.
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SBIRT training: how do social work students compare to medical learners?筛查、简短干预和转介治疗(SBIRT)培训:社会工作专业学生与医学专业学生相比情况如何?
Soc Work Health Care. 2021;60(10):631-641. doi: 10.1080/00981389.2021.2001711. Epub 2021 Dec 14.
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The effects of screening brief intervention referral to treatment (SBIRT) training on health professional trainees' regard, attitudes, and beliefs toward patients who use substances.筛查、简短干预及转介治疗(SBIRT)培训对卫生专业学员对使用物质患者的尊重、态度和信念的影响。
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Substance Use Disorders in Global Mental Health Delivery: Epidemiology, Treatment Gap, and Implementation of Evidence-Based Treatments.全球精神卫生服务中的物质使用障碍:流行病学、治疗差距和基于证据的治疗方法的实施。
Harv Rev Psychiatry. 2020 Sep/Oct;28(5):316-327. doi: 10.1097/HRP.0000000000000271.
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Stigma: how it affects the substance use disorder patient.污名化:它如何影响物质使用障碍患者。
Subst Abuse Treat Prev Policy. 2020 Jul 27;15(1):50. doi: 10.1186/s13011-020-00288-0.
6
Applying the Readiness for Interprofessional Learning Scale (RIPLS) to medical, veterinary and dual degree Master of Public Health (MPH) students at a private medical institution.在一所私立医疗机构中,应用准备跨专业学习量表(RIPLS)对医学、兽医学和双学位公共卫生硕士(MPH)学生进行评估。
PLoS One. 2020 Jun 11;15(6):e0234462. doi: 10.1371/journal.pone.0234462. eCollection 2020.
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Screening for Unhealthy Drug Use: US Preventive Services Task Force Recommendation Statement.筛查不健康的药物使用:美国预防服务工作组建议声明。
JAMA. 2020 Jun 9;323(22):2301-2309. doi: 10.1001/jama.2020.8020.
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Developing a Screening, Brief Intervention, and Referral to Treatment (SBIRT) program with multiple health professions programs.与多个健康专业项目合作开发一个筛查、简短干预及转介治疗(SBIRT)项目。
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2018 Accreditation Council for Occupational Therapy Education (ACOTE) Standards and Interpretive Guide (effective July 31, 2020).2018年职业治疗教育认证委员会(ACOTE)标准及解释指南(2020年7月31日生效)。
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