‘Asking’ but Not ‘Screening’: Assessing Physicians’ and Nurses’ Substance-Related Clinical Behaviors

Agley, Jon; Carlson, Joan M.; McNelis, Angela M.; Gassman, Ruth A.; Schwindt, Rhonda; Crabb, David W.; Vannerson, Julie

doi:10.1080/10826084.2018.1438806

Cited by 18 publications

(15 citation statements)

References 1 publication

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“…These items were generated by the Indiana Teen Vaping ECHO expert panel and were informed by a similar set of items used in prior research to assess substance-related clinical behaviors. 30 Finally, objective knowledge about EVALI was measured using 2 multiple-choice items. Responses were coded to 0: Incorrect and 1: Correct.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Examining the Efficacy of Project ECHO to Improve Clinicians’ Knowledge and Preparedness to Treat Adolescent Vaping

Oliver

Bell

Agley

et al. 2022

Clin Pediatr (Phila)

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As adolescent vaping reaches epidemic rates in the United States, it is imperative that pediatric clinicians have access to medical knowledge on best practices for screening, assessing, and treating vaping-related substance use. The Teen Vaping ECHO (Extension for Community Healthcare Outcomes) program was developed to offer practical learning sessions focused on clinical management of adolescent vaping. This study describes the development, implementation, and evaluation of the program’s impact on participants’ knowledge, attitudes, and practices regarding treatment of adolescent vaping from registration to the end of the series. Participants were generally knowledgeable about vaping at registration and reported significant increases in comfort talking with patients about vaping, counseling patients on nicotine replacement products, and frequency of implementing best-practice screening strategies at the end of the series. This study suggests ECHO programs focused on improving clinical management of adolescent vaping may increase accessibility of evidence-based care and reduce harms associated with vaping in youth.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Examining the Efficacy of Project ECHO to Improve Clinicians’ Knowledge and Preparedness to Treat Adolescent Vaping

Oliver

Bell

Agley

et al. 2022

Clin Pediatr (Phila)

View full text Add to dashboard Cite

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“…Evidence-based clinical interventions in healthcare are associated with increased quality of care, improved patient outcomes, and reduced healthcare costs [1]. Despite these positive outcomes, healthcare providers report evidencebased interventions are ineffectively implemented in realworld settings [2][3][4][5][6]. Healthcare providers have favorable attitudes about evidence-based practice; however, their intention to adopt an intervention does not consistently translate to the actual implementation of the intervention [7,8].…”

Section: Introductionmentioning

confidence: 99%

Development and use of a toolkit to facilitate implementation of an evidence-based intervention: a descriptive case study

Thoele

Ferren

Moffat

et al. 2020

Implement Sci Commun

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Background Implementation of evidence-based clinical interventions in real-world settings becomes a futile effort when effective strategies to foster adoption are not used. A toolkit, or a collection of adaptable documents to inform and facilitate implementation, can increase the use of evidence-based interventions. Most available toolkits provide resources about the intervention but lack guidance for adaptation to different contexts or strategies to support implementation. This paper describes the development and use of a toolkit to guide the implementation of an evidence-based intervention to identify and intervene for people with risky substance use. Methods A descriptive case study describes the development and use of a toolkit throughout a two-year study. Investigators and site coordinators from 14 acute care hospitals developed tools and engaged external stakeholders as they prepared for implementation, integrated the clinical intervention into practice, and reflected on implementation. Results The final toolkit included 54 different tools selected or created to define the intervention, engage and communicate with stakeholders, assess for readiness and plan for implementation, train clinical nurses and other stakeholders, evaluate training and implementation effectiveness, create policies and procedures for different contexts, and identify opportunities for reimbursement. Each tool corresponds to one or more implementation strategies. Conclusion The approach used to develop this implementation toolkit may be used to create resources for the implementation of other evidence-based interventions.

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“…Although SBIRT has resulted in positive health and social outcomes,(8-10) SBIRT implementation remains low. (11,12) Advances in implementation science have resulted in a robust understanding of how and why interventions are adopted and sustained. Despite these advances, the concepts and descriptions of implementation strategies have historically been inconsistent in the literature.…”

Section: Introductionmentioning

confidence: 99%

Descriptive Evaluation of SBIRT Adoption, Implementation, and Delivery across a Health System

Keen

Thoele

Oruche

et al. 2020

Preprint

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Background: Screening, Brief Intervention, and Referral to Treatment (SBIRT) is an evidence-based intervention used to enhance reductions in alcohol and illicit drug use. SBIRT use has resulted in positive health and social outcomes. However, SBIRT implementation remains low. Research on implementation of evidence-based interventions, such as SBIRT, lacks information about challenges and successes related to implementation. The Expert Recommendations for Implementing Change (ERIC) provides a framework that improves the comprehension, clarity, and relevance of strategies available for implementation research. This framework was applied to structure findings from analyses of qualitative interview data gathered from local champions leading SBIRT implementation. The purpose of this study was to understand site coordinators’ (SCs) perceptions of SBIRT implementation and employed strategies. Study aims included (1) describe SCs’ perceptions of barriers, facilitators, and outcomes related to SBIRT implementation, and (2) describe strategies perceived as most effective to implement SBIRT. Methods: This was a descriptive study conducted with 14 SCs, representing 14 medical surgical units within a large healthcare system. A semi-structured interview guide was developed by the study team to capture barriers, facilitators, and outcomes related to SBIRT implementation. A follow-up survey, based on 14 commonly identified ERIC strategies during SC interviews, was administered to determine the SC’s perceptions of the most helpful (i.e. effective) implementation strategies on a scale of 1 (least helpful) to 5 (most helpful).Results: All site coordinators participated in the SBIRT implementation interview, and 11 of 14 (79%) responded to the follow-up survey. Within the categories of barriers, facilitators, and outcomes, 25 subthemes emerged. The most highly rated effective ERIC implementation strategies were purposely reexamining the implementation (M=4.38; n=8), providing ongoing consultation (M=4.13; n=8), auditing and providing feedback (M=4.1; n=10), developing education materials (M=4.1; n=10), identifying and preparing champions (M=4; n=7), and tailoring strategies (M=4; n=7). Conclusion: This study applied a common framework (ERIC) to implementation lessons within a large health system that can be replicated in other implementation studies and quality improvement efforts. Adapting and sustaining change are challenging in healthcare settings. However, understanding and using the most helpful implementations strategies may support healthcare teams to adopt and sustain interventions such as SBIRT.

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‘Asking’ but Not ‘Screening’: Assessing Physicians’ and Nurses’ Substance-Related Clinical Behaviors

Cited by 18 publications

References 1 publication

Examining the Efficacy of Project ECHO to Improve Clinicians’ Knowledge and Preparedness to Treat Adolescent Vaping

Examining the Efficacy of Project ECHO to Improve Clinicians’ Knowledge and Preparedness to Treat Adolescent Vaping

Development and use of a toolkit to facilitate implementation of an evidence-based intervention: a descriptive case study

Descriptive Evaluation of SBIRT Adoption, Implementation, and Delivery across a Health System

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