A Case Study of SBIRT on A College Campus: Challenges, Adaptations, and Improved Outcomes
A Case Study of SBIRT on A College Campus: Challenges, Adaptations, and Improved Outcomes
复制标题
DOI：
10.1080/1533256x.2019.1590703
复制
发表时间：
2019-01-01
影响因子：
0.8
通讯作者：
Borys, Suzannesss
中科院分区：
文献类型：
--
作者：
Farmer, Antoinette Y.;Powell, Kristen Gilmore;Borys, Suzannesss
筛查、简短干预和转诊治疗（SBIRT）是一种循证干预措施，已被证明可以减少酒精使用。现有文献表明，SBIRT可以有效地整合和实施在初级保健环境。相对较少的研究集中在实施SBIRT在大学生健康中心。本研究的目的是确定在大学生健康中心实施SBIRT的挑战和促进因素。采用了探索性病例研究设计，并使用了2016 - 2017年从母公司评价研究中收集的数据。该研究包括从25名SBIRT工作人员和利益相关者收集的焦点小组和访谈数据，来自2，944名学生的患者数据以及项目文件。调查结果揭示了在大学医疗保健环境中实施SBIRT和打击大学校园中常见的饮酒社区规范的挑战。调整包括重要的工作流程调整。改进的成果包括为该模式提供更多的工作人员支持，以及更多的学生接受全面筛查和服务。与研究设置的建议和影响进行了讨论。
Screening, Brief Intervention, and Referral to Treatment (SBIRT) is an evidence-based intervention that has been shown to reduce alcohol use. Extant literature has demonstrated that SBIRT can be effectively integrated and implemented in primary care settings. Relatively little research has focused on the implementation of SBIRT in college student health centers. The aim of this study was to identify challenges and facilitators of implementing SBIRT in a college student health center. An exploratory, case study design was used with data collected in 2016 - 2017 from a parent evaluation study. The study included focus group and interview data collected from 25 SBIRT staff and stakeholders, patient data from 2,944 students, and project documents. Findings revealed challenges related to implementing SBIRT within an college health care setting and combating the community norms around drinking common on college campuses. Adaptations included important workflow adjustments. Improved outcomes included more staff support for the model and increased numbers of students fully screened and receiving services. Recommendations and implications related to the study setting are discussed.