title: Using Interactive Web-Based Screening, Brief Intervention and Referral to Treatment in an Urban, Safety-Net HIV Clinic.
abstract: Substance use among people living with HIV is high, and screening, brief intervention, and referral to treatment (SBIRT) is an evidence-based approach to addressing the issue. We examined whether patients would participate in a technology-based SBIRT program in an urban HIV clinic. An SBIRT intervention was programmed into the clinic's web-based patient portal linked to their personal health record. We examined: demographic, health, HIV, and substance use characteristics of participants who completed the web-based intervention compared to those who did not. Fewer than half of the 96 participants assigned to the web-based SBIRT completed it (n = 39; 41 %). Participants who completed the web-based intervention had significantly higher amphetamine SSIS scores than those who did not complete the intervention. Participants whose substance use is more harmful may be more motivated to seek help from a variety of sources. In addition, it is important that technology-based approaches to behavioral interventions in clinics take into consideration feasibility, client knowledge, and comfort using technology.
authors.affiliation: School of Nursing, University of California, San Francisco, USA, carol.dawson-rose@ucsf.edu.
authors.forename: Carol
authors.initials: C
authors.lastname: Dawson Rose
authors.forename: Yvette P
authors.initials: YP
authors.lastname: Cuca
authors.forename: Emiko
authors.initials: E
authors.lastname: Kamitani
authors.forename: Shannon
authors.initials: S
authors.lastname: Eng
authors.forename: Roland
authors.initials: R
authors.lastname: Zepf
authors.forename: Jessica
authors.initials: J
authors.lastname: Draughon
authors.forename: Paula
authors.initials: P
authors.lastname: Lum
mesh_terms: D019973:Alcohol-Related Disorders / Q000175:diagnosis / Q000628:therapy; D003376:Counseling / Q000379:methods*; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration; D057286:Electronic Health Records; D015658:HIV Infections / Q000628:therapy; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods*; D012017:Referral and Consultation; D064876:Safety-net Providers; D019966:Substance-Related Disorders / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy*; D016896:Treatment Outcome; D014505:Urban Population