Screening, brief intervention, and referral to treatment (SBIRT) for alcohol and other drug use among adolescents: evaluation of a pediatric residency curriculum.
The objective of this study was to evaluate the integration of a screening, brief intervention, and referral to treatment (SBIRT) curriculum for alcohol and other drug use into a pediatric residency program. Pediatric and medicine/pediatric residents in an adolescent medicine rotation located in an urban teaching hospital participated in the study. Main outcome measures were pre- and post-training knowledge scores, performance of the Brief Negotiation Interview (BNI), training satisfaction, and adoption of the BNI into clinical practice. Thirty-four residents were trained. Significant pre- to post-training improvements were seen in knowledge scores (P < .001) and performance as measured by the BNI Adherence Scale (P < .001). Residents reported high satisfaction immediately post-training and at 30 days on a 1-5 Likert scale: mean 1.41 to 1.59 (1 = very satisfied) (P = 0.23). Over a 9-month period, 53% of residents documented performing at least 1 BNI, of which 2/3 reported ≥2 BNIs in a subsequent clinical setting. The results show that integrating a SBIRT curriculum into a pediatric residency program increases residents' knowledge and skills.
Department of Pediatrics, Yale University School of Medicine, New Haven, Connecticut, USA. sheryl.ryan@yale.edu
Sheryl A
SA
Ryan
Shara
S
Martel
Michael
M
Pantalon
Steve
S
Martino
Jeanette
J
Tetrault
Stephen F
SF
Thung
Steven L
SL
Bernstein
Peggy
P
Auinger
Michael L
ML
Green
David A
DA
Fiellin
Patrick G
PG
O'Connor
Gail
G
D'Onofrio
D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D000328:Adult; D002983:Clinical Competence; D003479:Curriculum / Q000592:standards*; D005260:Female; D006801:Humans; D007396:Internship and Residency / Q000379:methods* / Q000592:standards; D008297:Male; D010372:Pediatrics / Q000193:education*; D016730:Program Development; D011614:Psychotherapy, Brief / Q000193:education*; D012017:Referral and Consultation; D015813:Substance Abuse Detection