Provider and Practice Characteristics and Perceived Barriers Associated With Different Levels of Adolescent SBIRT Implementation Among a National Sample of US Pediatricians
| Autor: | Sharon Levy, Hoover Adger, Andrea S. Young, Iman Parhami, Christopher J. Hammond, Pamela A. Matson, Michelle S. Horner, Rachel H. Alinsky |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Adolescent Demographics Substance-Related Disorders Psychological intervention 030508 substance abuse Sample (statistics) Time 03 medical and health sciences 0302 clinical medicine 030225 pediatrics medicine Humans Mass Screening Confidentiality Pediatricians Practice Patterns Physicians' Referral and Consultation Practice patterns business.industry Referral to treatment United States Crisis Intervention Adolescent Behavior Family medicine Pediatrics Perinatology and Child Health Substance use Brief intervention 0305 other medical science business |
| Zdroj: | Clinical Pediatrics. 60:418-426 |
| ISSN: | 1938-2707 0009-9228 |
| DOI: | 10.1177/00099228211034334 |
| Popis: | Pediatrician Screening, Brief Intervention, and Referral to Treatment (SBIRT) practices vary widely, though little is known about the correlates of SBIRT implementation. Using data from a national sample of US pediatricians who treat adolescents (n = 250), we characterized self-reported utilization rates of SBIRT among US pediatricians and identified provider- and practice-level characteristics and barriers associated with SBIRT utilization. All participants completed an electronic survey querying the demographics, practice patterns, and perceived barriers related to SBIRT practices. Our results showed that 88% of respondents reported screening for substance use annually, but only 26% used structured/validated screening instruments. Furthermore, 40% of respondents provided evidence-based brief interventions, and only 11% implemented all core SBIRT practices. Common barriers (eg, confidentiality and insufficient time) and unique provider- and setting-specific barriers to implementation were identified. These findings indicate that although most pediatricians deliver some SBIRT components in their practice, few implement the full SBIRT model, and barriers persist. |
| Databáze: | OpenAIRE |
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