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Dissertation
Beyond Awareness: Development and Implementation of Provider Education on Youth Substance Use Screening, Brief Intervention, and Referral to Treatment (SBIRT)
University of Iowa
Doctor of Nursing Practice (DNP), University of Iowa
Spring 2024
Abstract
Background: Substance use is a nationwide problem that can begin early in adolescence and young adulthood. Despite recommendation (Levy et al., 2016), SBIRT intervention is not routinely used among primary care providers to address youth substance use (Kuhns et al., 2020; R. Harris et al., 2016, Ramos et al., 2017) and further education is necessary (R. Harris et al., 2016; Ramos et al., 2017). Purpose: This quality improvement project evaluated whether SBIRT education increased provider knowledge, confidence, use, and acceptance of SBIRT with the CRAFFT screening tool in youth aged 13-21. Methods: Seven providers (NP & MDs) at a federally qualified health center completed online SBIRT education then began implementing SBIRT at 13–18-year-old well child checks or 19–21-year-old physicals. Six providers completed a pre- and post-intervention survey to compare use, knowledge, and confidence. To assess provider utilization of SBIRT, confidence, and acceptability, a phone interview was conducted post-intervention and was completed by four providers. Findings: The results indicated that SBIRT education facilitated provider knowledge, confidence, use, and acceptance of SBIRT. Pre-intervention 50% of providers identified an appropriate SBIRT strategy which increased to 80% post-intervention. Provider confidence in utilizing SBIRT increased by 50% among interviewed providers however there was not a statistically significant increase in knowledge/confidence (p > 0.05). Two providers identified high risk youth and one recommended follow up. All interviewed providers reported using SBIRT, desired annual education to sustain SBIRT in practice, and would recommend SBIRT to a colleague. Discussion: Providers made the following recommendations to increase utilization of SBIRT and to improve the process; expand SBIRT to quick care visits, include behavioral health professionals as appropriate, and integrate SBIRT into the EMR. This QI project affirms prior evidence in the literature indicating the need for providers to have additional training in SBIRT (R. Harris et al., 2016; Ramos et al., 2017) to facilitate provider knowledge, confidence, and use of SBIRT.
Details
- Title: Subtitle
- Beyond Awareness: Development and Implementation of Provider Education on Youth Substance Use Screening, Brief Intervention, and Referral to Treatment (SBIRT)
- Creators
- Courtney Naomi McIntire - University of Iowa
- Contributors
- Barbara St. Marie (Chair) - University of Iowa
- Resource Type
- Dissertation
- Project Type
- Poster
- Degree Awarded
- Doctor of Nursing Practice (DNP), University of Iowa
- Degree in
- Psych-Mental Health Nurse Practitioner
- Date degree season
- Spring 2024
- Publisher
- University of Iowa
- Number of pages
- 1 page
- Copyright
- Copyright © 2024 Courtney Naomi McIntire
- Language
- English
- Academic Unit
- College of Nursing; Doctor of Nursing Practice Projects
- Record Identifier
- 9984627351702771
Metrics
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