Translation of Alcohol Screening and Brief Intervention Guidelines to Pediatric T

描述(由申请人提供)： 项目摘要美国外科医师学会最近对创伤中心进行了认证，要求1级创伤中心有能力识别有风险的酒精使用并为创伤患者提供干预。围绕急性护理的这一组成部分，缺乏循证做法的一致整合。SBIRT是一种基于证据的模式，用于筛查有风险的酒精使用，并为筛查呈阳性的人提供简短的干预。本申请的目的是：1)提高知识、自我效能和准备将SBIRT纳入参与的儿科一级创伤中心；2)审查创伤中心政策和协议的制定情况，以便在参与的儿科一级创伤中心采用青少年SBIRT；3)检查创伤中心政策和协议在参与的儿科一级创伤中心内针对青少年SBIRT的执行情况；4)审查参与的儿科一级创伤中心内SBIRT服务的维持情况；5)就在儿科一级创伤中心内实施SBIRT提出建议。这项翻译研究研究将采用以下方法：审查成功的传播模式和方法，实施和评估护理急性伤员的指南，制定有效传播战略，找出有效翻译和随后使用信息的障碍，并制定有效解决这些障碍的办法。研究小组将向7个儿科创伤中心提供技术援助，并为其受伤的青少年人口衡量SBIRT的适应、采用、实施、保真度和维护。SBIRT实施技术援助(在线、面对面讲习班和每月电话会议)将纳入为保健提供者提供的既定资源，将在22个月内提供。研究小组还将在30个月内监测和收集有关采用、实施和维护的数据。采用、实施和维护站点之间的变化将通过创伤中心领导人的自我报告和回顾盲目病历审查来衡量。 公共卫生相关性： 相关性：这项拟议的转化性研究的目标是在儿科一级创伤中心治疗的受伤青少年中增加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内传播和采用酒精筛查和短暂干预的最佳做法。

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.