Is there really no evidence of the efficacy of brief alcohol interventions for increasing subsequent utilization of alcohol‐related services? Commentary on the paper by Glass <i>et al</i>. (2015)

Simioni, Nicolas; Rolland, Benjamin; Cottencin, Olivier

doi:10.1111/add.13145

Cited by 2 publications

(3 citation statements)

References 7 publications

(21 reference statements)

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“…We appreciate the response to our meta-analysis [1] by Simioni and colleagues [2]. They published two systematic reviews this year in other peer-reviewed addiction journals on this topic [3,4].…”

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confidence: 97%

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Revisiting our review of Screening, Brief Intervention and Referral to Treatment (SBIRT): meta‐analytical results still point to no efficacy in increasing the use of substance use disorder services

et al. 2015

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confidence: 97%

“…These are known issues in systematic reviews and metaanalyses [8][9][10]. None of the studies Simioni and colleagues mentioned [2] were identified in our database search, expert query or hand search. Two of the studies were pertinent.…”

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confidence: 99%

Revisiting our review of Screening, Brief Intervention and Referral to Treatment (SBIRT): meta‐analytical results still point to no efficacy in increasing the use of substance use disorder services

et al. 2015

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“…However, alcohol BI does not appear to be efficacious for very heavy or dependent users [22]. Further, a recent meta-analysis found no evidence that BI, naturally results in engagement with alcohol-related care [23], though other researchers have disputed this claim [24]. Few SBIRT studies focus specifically on outcomes from referral to treatment (RT) for alcohol [25], sometimes due to difficulty disentangling the type of service provided [26], though the cross-site evaluation from SAMHSA’s SBIRT initiative reported a moderate/large effect for RT [15].…”

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confidence: 99%

Study protocol testing toolkit versus usual care for implementation of screening, brief intervention, referral to treatment in hospitals: a phased cluster randomized approach

Newhouse

Janney

Gilbert

et al. 2018

Addict Sci Clin Pract

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BackgroundAlarming rates of unhealthy alcohol, non-prescription drug, and tobacco use highlight the preventable health risks of substance abuse and the urgent need to activate clinicians to recognize and treat risky use. Screening, brief intervention, and referral to treatment (SBIRT) is an efficacious and effective processes to identify, reduce and prevent risky use of substances. This paper describes a study protocol testing implementation of a toolkit to enhance use of SBIRT in acute care settings to recognize and address patient risky alcohol, drug, and tobacco use.MethodsThis study uses a phased cluster randomized mixed method design to test nurse-led implementation of an SBIRT toolkit on one medical-surgical unit at 14 acute care hospitals (critical access, community and academic health centers). Medical surgical units will be randomly assigned to implement the SBIRT toolkit (engagement and communication, assessment, planning, training, and evaluation tools) or a wait-list usual care control group that begins implementation 6 months later. Primary endpoints are documentation of SBIRT delivery in randomly selected electronic medical records at baseline, 6 months and 12 months after group 1 implementation (61 records per unit per time period, N = 2562). Two surveys will be administered to unit nurses: smoking cessation activities will be assessed at baseline and SBIRT use will be assessed on randomly-selected days after implementation. In addition, site coordinators will complete a baseline capacity assessment, an implementation fidelity survey post-implementation, and a structured interview at the end of the study. Multilevel mixed-effects effects logistic and linear models will be used to analyze use of SBIRT and cost outcomes.DiscussionThis study will guide subsequent SBIRT implementation, dissemination, and spread across rural, community and urban healthcare systems throughout the state and beyond. The long-term objective is to activate clinicians to recognize, intervene and refer people with risky substance use to improve health and decrease substance use disorders.Trial registration ClinicalTrials.gov NCT03560076

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Is there really no evidence of the efficacy of brief alcohol interventions for increasing subsequent utilization of alcohol‐related services? Commentary on the paper by Glass et al. (2015)

Cited by 2 publications

References 7 publications

Revisiting our review of Screening, Brief Intervention and Referral to Treatment (SBIRT): meta‐analytical results still point to no efficacy in increasing the use of substance use disorder services

Revisiting our review of Screening, Brief Intervention and Referral to Treatment (SBIRT): meta‐analytical results still point to no efficacy in increasing the use of substance use disorder services

Study protocol testing toolkit versus usual care for implementation of screening, brief intervention, referral to treatment in hospitals: a phased cluster randomized approach

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