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Provider and Practice Characteristics and Perceived Barriers Associated With Different Levels of Adolescent SBIRT Implementation Among a National Sample of US Pediatricians.

Authors :
Hammond CJ
Parhami I
Young AS
Matson PA
Alinsky RH
Adger H Jr
Levy S
Horner M
Source :
Clinical pediatrics [Clin Pediatr (Phila)] 2021 Sep; Vol. 60 (9-10), pp. 418-426.
Publication Year :
2021

Abstract

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.

Details

Language :
English
ISSN :
1938-2707
Volume :
60
Issue :
9-10
Database :
MEDLINE
Journal :
Clinical pediatrics
Publication Type :
Academic Journal
Accession number :
34342242
Full Text :
https://doi.org/10.1177/00099228211034334