A mobile app to promote alcohol and drug SBIRT skill translation among multi-disciplinary health care trainees: Results of a randomized controlled trial.

IF 2.8 3区医学 Q2 SUBSTANCE ABUSE

Substance abuse Pub Date : 2022-01-01 DOI:10.1080/08897077.2019.1686723

Alexa C Curtis, Derek D Satre, Varada Sarovar, Maria Wamsley, Khanh Ly, Jason Satterfield

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引用次数: 2

Abstract

Background: Adherence to clinical practice guidelines for alcohol and drug screening, brief intervention, and referral to treatment (SBIRT) is often inadequate. Mobile apps developed as clinical translation tools could improve the delivery of high fidelity SBIRT.

Methods: This study tested the effectiveness of an SBIRT mobile app conceptually aligned with the Theory of Planned Behavior (TPB) to support SBIRT delivery by health care trainees (nursing, social work, internal medicine, psychiatry, and psychology) working in clinical settings (N = 101). Bivariate analyses examined the rate of SBIRT delivery between trainees assigned to the experimental (app) and control (no app) study conditions; as well as the relationship between TPB-based constructs, intention to deliver SBIRT, and screening rates.

Results: No significant differences were identified between the study conditions in SBIRT delivery. Significant correlations were found between intent to screen and TPB variables including attitudes/behavioral beliefs concerning substance use treatment (r = .49, p = .01); confidence in clinical skills (r = .36, p = .01); subjective norms (r = .54, p = .01) and perceived behavioral control over appointment time constraints (r = .42, p = .01). Also significant were correlations between percent of patients screened and confidence (r = .24, p = .05); subjective norms (r = .22, p = .05) and perceived behavioral control (r = .28, p = .01).

Conclusions: The negative results of the study condition comparisons indicate the need for further investigation of strategies to optimize mobile app utilization, engagement, and effectiveness as a clinical translation tool. Findings of significant correlations between substance use screening rates and both norms and confidence support the potential value of the TPB model in explaining behavior of health care learners in SBIRT delivery.

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一款促进多学科卫生保健受训人员酒精和药物SBIRT技能翻译的移动应用程序:一项随机对照试验的结果

背景:遵守酒精和药物筛查、短暂干预和转诊治疗(SBIRT)的临床实践指南往往是不够的。作为临床翻译工具开发的移动应用程序可以改善高保真SBIRT的交付。方法:本研究测试了一款与计划行为理论(TPB)概念一致的SBIRT移动应用程序的有效性，以支持在临床环境中工作的卫生保健受训人员(护理、社会工作、内科、精神病学和心理学)实施SBIRT。双变量分析检查了分配到实验(应用程序)和控制(无应用程序)研究条件的受训者之间的SBIRT传递率;以及基于tbb的结构、提供SBIRT的意图和筛查率之间的关系。结果:在不同的研究条件下，SBIRT的递送没有显著差异。筛选意图与TPB变量之间存在显著相关性，包括对药物使用治疗的态度/行为信念(r =。49, p = .01);对临床技能的信心(r =。36, p = .01);主观规范(r =。54, p = .01)和感知行为控制对预约时间约束的影响(r =。42, p = 0.01)。同样重要的是筛选的患者百分比和置信度之间的相关性(r =。24, p = 0.05);主观规范(r =。22, p = 0.05)和感知行为控制(r = 0.05)。28, p = .01)。结论:研究条件比较的负面结果表明，需要进一步研究优化移动应用程序使用率、参与度和作为临床翻译工具的有效性的策略。物质使用筛查率与规范和信心之间的显著相关性支持TPB模型在解释医疗保健学习者在SBIRT交付中的行为方面的潜在价值。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Substance abuse SUBSTANCE ABUSE-

CiteScore

5.90

自引率

2.90%

发文量

审稿时长

>12 weeks

期刊介绍： Now in its 4th decade of publication, Substance Abuse journal is a peer-reviewed journal that serves as the official publication of Association for Medical Education and Research in Substance Abuse (AMERSA) in association with The International Society of Addiction Medicine (ISAM) and the International Coalition for Addiction Studies in Education (INCASE). Substance Abuse journal offers wide-ranging coverage for healthcare professionals, addiction specialists and others engaged in research, education, clinical care, and service delivery and evaluation. It features articles on a variety of topics, including: Interdisciplinary addiction research, education, and treatment Clinical trial, epidemiology, health services, and translation addiction research Implementation science related to addiction Innovations and subsequent outcomes in addiction education Addiction policy and opinion International addiction topics Clinical care regarding addictions.