Screening, Brief Intervention and Referral to Treatment (SBIRT) in a Polish Emergency Room: Challenges in Cultural Translation of SBIRT
Screening, Brief Intervention and Referral to Treatment (SBIRT) in a Polish Emergency Room: Challenges in Cultural Translation of SBIRT
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DOI：
10.1080/10884600903047618
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发表时间：
2009-01-01
影响因子：
1.5
通讯作者：
Swiatkiewicz, Grazyna
中科院分区：
文献类型：
--
作者：
Cherpitel, Cheryl J.;Bernstein, Edward;Swiatkiewicz, Grazyna
在波兰索斯诺维茨的急诊室（ER）进行了一项随机临床对照试验，采用护士干预，对高危和依赖饮酒者的饮酒及相关问题进行筛查、短暂干预和转诊治疗（SBIRT）。这项研究是美国以外的第一个测试在14个地点合作SBIRT研究中开发的协议。由于波兰既有大量饮酒的模式，又有高度可及的专业酒精治疗系统，它为SBIRT的文化翻译提供了一个关键的环境，以适应新的和新兴的医疗保健系统的国际背景。它还提供了机会，以测试SBIRT的有效性与风险和依赖饮酒者，并测试使用ER护理人员提供简短的干预，作为一个潜在的模式，为正在进行的实施SBIRT在ER设置的可行性。研究结果表明，美国为基础的SBIRT协议可以成功地翻译到其他文化，护士可以成功地培训，以提供简短的干预问题饮酒在急诊室设置。
A randomized clinical controlled trial of Screening, Brief Intervention and Referral to Treatment (SBIRT) for drinking and related problems among at-risk and dependent drinkers, using nurse interventionists, was undertaken in an emergency room (ER) in Sosnowiec, Poland, the first level-one trauma center in that country. This study was the first outside of the US to test protocols developed in a 14-site collaborative SBIRT study. Because Poland has both a pattern of heavy drinking and a highly accessible specialized alcohol treatment system, it offered a key setting for cultural translation of SBIRT to the international context of a new and emerging health care system. It also offered the opportunity to test the effectiveness of SBIRT with both at-risk and dependent drinkers, and to test the feasibility of using ER nursing staff to provide the brief intervention, serving as a potential model for ongoing implementation of SBIRT in ER settings. Findings suggest that the US-based SBIRT protocols can be successfully translated to other cultures, and that nurses can be successfully trained to provide brief intervention for problem drinking in the ER setting.