Screening, Brief Intervention, and Referral to Treatment (SBIRT) Curriculum Integration and Sustainability: Social Work and Nursing Faculty Perspectives

Belfiore, Maria; Blinka, Marcela; BrintzenhofeSzoc, Karlynn; Shields, Joseph J.

doi:10.1080/08897077.2017.1377672

Cited by 11 publications

(9 citation statements)

References 10 publications

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“…In this study, ongoing support from faculty, positive feedback among students, and administration financial support contributed to its sustainability. This finding is similar to results reported by Belfiore, Blinka, Brintzenhofeszsoc, and Shields (), where “buy in” from faculty was key to the success of incorporating SBIRT into a graduate social work and nursing programs.…”

Section: Discussion and Lessons Learnedsupporting

confidence: 89%

“…Substance use and treatment are often covered in this course and SBIRT training would complement the learning objectives. Belfiore et al () discussed using a scaffolding approach where SBIRT is threaded throughout the curriculum, specifically in the generalist or core courses. This approach would build on skills previously learned and offer the learner repetition and reinforcement throughout their nursing education.…”

Section: Discussion and Lessons Learnedmentioning

confidence: 99%

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Implementation and evaluation of SBIRT training in a Community Health nursing course

Bremner

Maguire

Keen

et al. 2019

Public Health Nursing

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Objective The purpose of this paper is to report on the implementation and evaluation of a Screening, Brief Intervention and Referral to Treatment (SBIRT) educational program into an undergraduate nursing curriculum and to recommend modifications for future trainings. Design and Sample A one‐group pre‐test/post‐test design was used. The sample consisted of senior level undergraduate nursing students. Measures Core knowledge, perceived competency, and program satisfaction were measured. Process evaluation activities were performed to gather feedback on the training and solicit ideas and recommendations for improvement. Results Of the 354 nursing students enrolled in the training, 249 (70%) participated in the research portion, with 240 (96%) completed the pre‐ and post‐training evaluations. All four core knowledge components and 13 perceived competency indicators were statistically significant (p ≤ .001) when comparing pre‐ and post‐t test values. Process evaluation data collected through 25 telephone interviews found that the training improved the students’ confidence and ability to screen for substance misuse with patients. Conclusion Findings support the implementation of SBIRT training into an undergraduate nursing curriculum. Modifications for future training and research are proposed.

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Section: Discussion and Lessons Learnedsupporting

confidence: 89%

Section: Discussion and Lessons Learnedmentioning

confidence: 99%

Implementation and evaluation of SBIRT training in a Community Health nursing course

Bremner

Maguire

Keen

et al. 2019

Public Health Nursing

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“…The experience can inform referral pathways/mechanisms for specific social problems which are agreed on and endorsed by relevant subnational authorities and social service providers. This should be accompanied with training of primary health care providers, provision of social inquiry tools, and dissemination of information about different services and referral pathways (Belfiore et al 2018;O'Brien et al 2019). The multisectoral coordination mechanisms at provincial and district levels are helpful for sharing information and ensuring social problems are brought up to the competent authorities.…”

Section: Discussionmentioning

confidence: 99%

Challenges and opportunities in addressing social determinants of child health in Cambodia: perspectives and experience of frontline providers in two health districts

Khim

Andermann

2021

Can J Public Health

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Objectives Other forces related to socio-economic and cultural factors, besides biomedical and behavioural fields, also influence health but receive little attention in health research. This study aims to illuminate social determinants of health and to identify challenges and opportunities in addressing social determinants of child health (SDCH) in rural Cambodia. Methods This is a qualitative study based on interviews of frontline primary health care providers, health officials, local authorities and community volunteers in two health districts in Cambodia. The data were supplemented by secondary data on different aspects of the districts and Cambodia. Results Poverty, lack of basic commodities and adverse social conditions remained problems for population health. While access to health services was considered adequate, households and communities had several major risk exposures. Challenges in addressing SDCH were the high prevalence of social and household adverse conditions, and the lack of training of providers, of information about social services, of effective coordination and of trust in public services. Opportunities were present, including social services being existent albeit poor functioning, the traditional practice of social inquiry, existing frontline providers being open to further information and training, existing subnational coordination bodies at district and provincial levels, and use of evidence in planning and resource allocation. Conclusion Addressing SDCH requires broad and coordinated efforts of stakeholders from multiple sectors. Among the prerequisites are to leverage the existing structures and mechanisms, training primary health care providers and providing them with adequate information about local resources and available supports. Improving social care services and infrastructures requires strong coordination, planning and adequate resource allocation. RésuméObjectifs D'autres forces liées aux facteurs socio-économiques et culturels, en plus des domaines biomédicaux et comportementaux, influencent également la santé mais reçoivent peu d'attention dans la recherche en santé. Cette étude vise à éclairer les déterminants sociaux de la santé et à identifier les défis et les opportunités pour aborder les déterminants sociaux de la santé infantile (SDCH) dans les régions rurales du Cambodge.

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“…As benefits of Web-based learning for health care students have become more apparent, researchers have begun to explore the feasibility of incorporating these approaches to advance training and utilization of SBIRT in practice settings [14]. Mixed results have also been reported on the effectiveness of these approaches in terms of presenting the training material, engaging participants, and ensuring that trainees utilize this knowledge in clinical practice settings [6,15]. Further research is required to understand what aspects of Web-based trainings resonate with participants and are more likely to be helpful in continued practice.…”

Section: Introductionmentioning

confidence: 99%

A Web-Based Alcohol Screening and Brief Intervention Training Module Within Physician Assistant Programs in the Midwest to Increase Knowledge, Attitudes, and Confidence: Evaluation Study

Lepper¹,

Cleveland²,

DelRosario³

et al. 2019

JMIR Ment Health

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BackgroundPreventing and reducing risky alcohol use and its side effects remains a public health priority. Discussing alcohol use with patients can be difficult; dedicated training for health care providers is needed to facilitate these conversations. A Web-based alcohol screening and brief intervention (SBI), comprising didactic and skills application training, was designed for physician assistant students.ObjectiveThis paper details experiences and outcomes in developing an alcohol SBI training curriculum and coordinating virtual encounters with standardized patients. We also explain challenges faced with developing an alcohol SBI training and a Web-based learning management site to fit the needs of 5 different physician assistant programs.MethodsTraining development comprised 3 phases—precourse, development, and implementation. The precourse phase included developing the initial training curriculum, building a website, and testing with a pilot group. The development phase refined the training curriculum based on user feedback and moved into a three-component module: didactic training module, guided interactive encounter with a simulated patient, and live encounter with a standardized patient. A learning management system website was also created. In the implementation phase, 5 physician assistant schools incorporated the Web-based training into curricula. Each school modified the implementation method to suit their organizational environment. Evaluation methods included pre- and postchange over time on trainee attitudes, knowledge, and skills (confidence) on talking to patients about alcohol use, trainee self-reported proficiency on the standardized patient encounter, standardized patient evaluation of the trainee proficiency during the alcohol use conversation, user evaluation of the type of technology mode for the standardized patient conversation, and overall trainee satisfaction with the Web-based training on alcohol SBI.ResultsFinal evaluation outcomes indicated a significant (P<.01) change over time in trainee knowledge and skills (confidence) in the conduct of the alcohol SBI with a standardized patient, regardless of the program implementation method. Trainees were generally satisfied with the Web-based training experience and rated the use of the videoconference medium as most useful when conducting the alcohol SBI conversation with the standardized patient. Training that included a primer on the importance of screening, individual participation in the Web-based didactic alcohol SBI modules, and virtual encounters with standardized patients through a university-based simulation center was the most widely accepted. Successful implementation included program investment and curriculum planning. Implementation barriers involved technical challenges with standardized patient encounters and simulation center logistics, and varying physician assistant school characteristics.ConclusionsDevelopment and implementation of Web-based educational modules to educate health care professionals on alcohol SBI is effecti...

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Screening, Brief Intervention, and Referral to Treatment (SBIRT) Curriculum Integration and Sustainability: Social Work and Nursing Faculty Perspectives

Cited by 11 publications

References 10 publications

Implementation and evaluation of SBIRT training in a Community Health nursing course

Implementation and evaluation of SBIRT training in a Community Health nursing course

Challenges and opportunities in addressing social determinants of child health in Cambodia: perspectives and experience of frontline providers in two health districts

A Web-Based Alcohol Screening and Brief Intervention Training Module Within Physician Assistant Programs in the Midwest to Increase Knowledge, Attitudes, and Confidence: Evaluation Study

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