Translation of alcohol screening and brief intervention guidelines to pediatric trauma centers.
Translation of alcohol screening and brief intervention guidelines to pediatric trauma centers.
复制标题
向儿科创伤中心翻译酒精筛查和简要干预指南。
DOI：
10.1097/ta.0b013e318292423a
复制
发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Linakis,JamesG
中科院分区：
文献类型：
--
作者：
Mello,MichaelJ;Bromberg,Julie;Baird,Janette;Nirenberg,Ted;Chun,Thomas;Lee,Christina;Linakis,JamesG
BACKGROUNDAs part of the American College of Surgeons verification to be a Level 1 trauma center, centers are required to have the capacity to identify trauma patients with risky alcohol use and provide an intervention. Despite supporting scientific evidence and national policy statements encouraging alcohol Screening, Brief Intervention and Referral to Treatment (SBIRT), barriers still exist, which prevent the integration of SBIRT into clinical care. Study objectives of this multisite translational research study were to identify best practices for integrating SBIRT services into routine care for pediatric trauma patients, to measure changes in practice with adoption and implementation of a SBIRT policy, and to define barriers and opportunities for adoption and implementation of SBIRT services at pediatric trauma centers.METHODSThis translational research study was conducted at seven US pediatric trauma centers during a 3-year period. Changes in SBIRT practice were measured through self-report and medical record review at three different study phases, namely, adoption, implementation, and maintenance phases.RESULTSAccording to medical record review, at baseline, 11% of eligible patients were screened and received a brief intervention (if necessary) across all sites. After completion of the SBIRT technical assistance activities, all seven participating trauma centers had effectively developed, adopted, and implemented SBIRT policies for injured adolescent inpatients. Furthermore, across all sites, 73% of eligible patients received SBIRT services after both the implementation and maintenance phases. Opportunities and barriers for successful integration were identified.CONCLUSIONThis model may serve as method for translating SBIRT services into practice within pediatric trauma centers.
