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Development of the SBIRT checklist for observation in real-time (SCORe).
- Source :
- Addiction; Feb2017 Supplement, Vol. 112, p34-42, 9p, 5 Charts
- Publication Year :
- 2017
-
Abstract
- Background and aims Screening, Brief Intervention and Referral to Treatment (SBIRT) programs have been implemented widely in medical settings, with little attention focused on how well providers adhere to evidence-based service delivery in everyday practice. The purposes of this paper were to: (1) introduce a flexible, relatively simple methodology, the SBIRT Checklist for Observation in Real-time (SCORe), to assess adherence to evidence-based practice and provide preliminary evidence supporting its criterion validity; and (2) illustrate the feasibility and potential utility of the SCORe by analyzing observations of providers within four large-scale SBIRT programs in the United States. Methods Eighteen potential adherence judges were trained to recognize SBIRT service elements presented in realistic taped portrayals constructed to serve as criterion coding standards. Across the four SBIRT programs, 76 providers were observed performing 388 services in three types of medical settings; emergency departments ( n = 10), hospital out-patient/ambulatory clinics ( n = 16) and hospital in-patient settings ( n = 5). Results Across two exercises, trainees identified 81% of screening and 75% of brief intervention (BI) elements correctly; for the six FRAMES components (Feedback, Responsibility, Advice, Menu of options, Empathy, Self-efficacy), agreement ranged from 69% to 91%. Across programs, 56% of screening, 54% of brief intervention (BI) (81% of FRAMES) and 53% of referral to treatment elements were observed. Programs differed significantly in adherence [screening, P = 0.024; BI, P < 0.001; FRAMES, P < 0.001; referral to treatment (RT), P < 0.001]; medical setting differences were minimal. Conclusions The Screening, Brief Intervention and Referral to Treatment Checklist for Observation in Real-time provides a flexible method for assessing adherence to evidence-based Screening, Brief Intervention and Referral to Treatment service protocols. Preliminary evidence supports the criterion validity, feasibility and potential utility of the Screening, Brief Intervention and Referral to Treatment Checklist for Observation in Real-time protocol. [ABSTRACT FROM AUTHOR]
- Subjects :
- SUBSTANCE abuse treatment
SUBSTANCE abuse diagnosis
CLINICS
EXPERIMENTAL design
HOSPITAL wards
HOSPITAL emergency services
RESEARCH methodology
MEDICAL cooperation
MEDICAL personnel
MEDICAL protocols
MEDICAL referrals
MEDICAL screening
SCIENTIFIC observation
PERSONNEL management
PROBABILITY theory
RESEARCH
RESEARCH evaluation
RESEARCH funding
STATISTICS
VIDEO recording
EVIDENCE-based medicine
DATA analysis
RESEARCH methodology evaluation
TREATMENT duration
DATA analysis software
DESCRIPTIVE statistics
ONE-way analysis of variance
Subjects
Details
- Language :
- English
- ISSN :
- 09652140
- Volume :
- 112
- Database :
- Complementary Index
- Journal :
- Addiction
- Publication Type :
- Academic Journal
- Accession number :
- 120660161
- Full Text :
- https://doi.org/10.1111/add.13657