Translation of Alcohol Screening and Brief Intervention Guidelines to Pediatric T

描述（由申请人提供）： 美国外科医师学会最近对创伤中心认证的一项补充是，要求1级创伤中心有能力识别危险的酒精使用并为创伤患者提供干预。一直缺乏一致的整合循证实践围绕这一组成部分的急性护理。SBIRT是一种以证据为基础的模型，用于筛查危险的酒精使用，并为那些筛查阳性的人提供简短的干预。本申请的目的是：1）提高将SBIRT整合到参与的儿科1级创伤中心的知识、自我效能和准备; 2）检查创伤中心政策和方案的发展，以在参与的儿科1级创伤中心内采用青少年SBIRT; 3）检查在参与的儿科1级创伤中心内青少年SBIRT的创伤中心政策和协议的实施情况; 4）在参与的儿科1级创伤中心内检查SBIRT服务的维护情况; 5）制定在儿科1级创伤中心内实施SBIRT的建议。这项翻译研究将包括以下方法：检查传播，实施和评估急性受伤护理指南的成功模式和方法，制定有效传播的战略，并确定有效翻译和随后使用信息的障碍，并制定有效的解决方案来解决这些障碍。该研究小组将为7个儿科创伤中心提供技术援助，并测量SBIRT对其受伤青少年人群的适应、采用、实施、保真度和维护。SBIRT实施技术援助（在线，面对面研讨会和每月电话会议）将纳入医疗保健提供者的现有资源，并将在22个月内提供。研究团队还将在30个月内监测和收集有关采用、实施和维护的数据。将通过创伤中心负责人的自我报告和回顾性盲态病历审查来衡量研究中心之间采用、实施和维护的变化。 公共卫生相关性： 相关性拟议的转化研究的目标是增加在儿科一级创伤中心接受治疗的受伤青少年中SBIRT的使用。这项研究将使研究人员更好地了解在儿科创伤中心传播和采用酒精筛查和简短干预的最佳实践。

DESCRIPTION (provided by applicant): PROJECT SUMMARY A recent addition to trauma center certification by the American College of Surgeons is the requirement for level 1 trauma centers to have the capacity to identify risky alcohol use and provide interventions to trauma patients. There has been a lack of consistent integration of evidence-based practices around this component of acute care. SBIRT is an evidence-based model to screen for risky alcohol use and provide a brief intervention to those screening positive. The aims of the present application are: 1) to improve knowledge, self-efficacy and readiness to integrate SBIRT into participating pediatric level 1 trauma centers; 2) to examine the development of a trauma center policy and protocol for adoption of adolescent SBIRT within participating pediatric level 1 trauma centers; 3) to examine the implementation of a trauma center policy and protocol for adolescent SBIRT within participating pediatric level 1 trauma centers; 4) to examine maintenance of SBIRT services within participating pediatric level 1 trauma centers and 5) to develop recommendations on implementing SBIRT within a pediatric level 1 trauma center. This translational research study will incorporate the following approaches: examination of successful models and methods for dissemination, implementation, and evaluation of a guideline for care of the acutely injured, development of strategies for effective dissemination, and identification of barriers to effective translation and subsequent use of information and development of effective solutions to address these barriers. The research team will provide technical assistance to 7 pediatric trauma centers and measure adaptation, adoption, implementation, fidelity and maintenance of SBIRT for their injured adolescent population. SBIRT implementation technical assistance (online, in person workshops and monthly conference calls) will incorporate established resources for health care providers and will be delivered over 22 months. The research team will also monitor and collect data on adoption, implementation and maintenance over 30 months. Change in adoption, implementation and maintenance among sites will be measured by trauma center leaders' self report and retrospective blinded medical chart review. PUBLIC HEALTH RELEVANCE: RELEVANCE The goal of the proposed translational research study is to increase the use of SBIRT among injured adolescents treated at pediatric level 1 trauma centers. This study will allow researchers to better understand best practices for the dissemination and adoption of alcohol screening and brief intervention within pediatric trauma centers.