Screening, brief intervention, and referral to treatment (SBIRT) for alcohol and other drug use among adolescents: evaluation of a pediatric residency curriculum.
Screening, brief intervention, and referral to treatment (SBIRT) for alcohol and other drug use among adolescents: evaluation of a pediatric residency curriculum.
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青少年酒精和其他药物使用的筛查、简短干预和转诊治疗 (SBIRT)：儿科住院医师课程的评估。
DOI：
10.1080/08897077.2011.640182
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发表时间：
2012
期刊：
影响因子：
--
通讯作者：
D'Onofrio,Gail
中科院分区：
文献类型：
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作者：
Ryan,SherylA;Martel,Shara;Pantalon,Michael;Martino,Steve;Tetrault,Jeanette;Thung,StephenF;Bernstein,StevenL;Auinger,Peggy;Green,MichaelL;Fiellin,DavidA;O'Connor,PatrickG;D'Onofrio,Gail
本研究的目的是评估整合的筛选，简短的干预，并转介到治疗（SBIRT）课程的酒精和其他药物的使用到儿科住院医师计划。位于城市教学医院的青少年医学轮换中的儿科和医学/儿科居民参加了这项研究。主要结果指标为培训前和培训后的知识得分、简短谈判访谈（BNI）的表现、培训满意度以及BNI在临床实践中的应用。34名住院医师接受了培训。通过BNI依从性量表（P<0.001）测量，在培训前和培训后的知识得分（P <0.001）和绩效方面均观察到显著改善。住院医师在培训后即刻和30天的1-5 Likert量表上报告了高满意度：平均1.41至1.59（1 =非常满意）（P= 0.23）。在9个月的时间内，53%的居民记录了至少1次BNI，其中2/3的人在随后的临床环境中报告了≥2次BNI。结果表明，将SBIRT课程整合到儿科住院医师计划中可以增加住院医师的知识和技能。
The objective of this study was to evaluate the integration of a screening, brief intervention, and referral to treatment (SBIRT) curriculum for alcohol and other drug use into a pediatric residency program. Pediatric and medicine/pediatric residents in an adolescent medicine rotation located in an urban teaching hospital participated in the study. Main outcome measures were pre- and post-training knowledge scores, performance of the Brief Negotiation Interview (BNI), training satisfaction, and adoption of the BNI into clinical practice. Thirty-four residents were trained. Significant pre- to post-training improvements were seen in knowledge scores (P< .001) and performance as measured by the BNI Adherence Scale (P< .001). Residents reported high satisfaction immediately post-training and at 30 days on a 1–5 Likert scale: mean 1.41 to 1.59 (1 = very satisfied) (P= 0.23). Over a 9-month period, 53% of residents documented performing at least 1 BNI, of which 2/3 reported ≥2 BNIs in a subsequent clinical setting. The results show that integrating a SBIRT curriculum into a pediatric residency program increases residents’ knowledge and skills.