Dissertation
SBIRT Implementation in a Midwest Family Practice Clinic
University of Iowa
Doctor of Nursing Practice (DNP), University of Iowa
Spring 2025
Abstract
Background Substance use is a global health concern that impacts individuals across the lifespan and at every level of socioeconomic standing (Schulte & Hser, 2014). It is estimated that 46 million people in the U.S. aged 12 and older are impacted by substance use disorders (SUDs), and the prevalence only continues to rise (Bednar et al., 2024). Failure to detect substance misuse early in the course leads to the subsequent development of SUDs and chronic medical conditions that contribute to individual financial burden, comorbid conditions, and early mortality (McLellan, 2017; Schulte & Hser, 2014).PurposeThe purpose of this DNP project was to implement an evidence-based protocol known as Screening, Brief Intervention, and Referral to Treatment (SBIRT) into an urban Midwest primary care clinic to aid in identification of substance use/misuse among adults aged 18+ and subsequently offer earlier intervention(s) for this population.MethodsThe Iowa Implementation for Sustainability Framework guided this evidence-based DNP project. This project was implemented into an urban family practice clinic in Iowa, and data was collected over a 24-week implementation period. Online educational resources available from the University of Iowa were utilized to enhance provider knowledge and confidence with SBIRT implementation. Data on screening adherence was collected via individual chart audits. Provider knowledge and satisfaction was also measured using individual Likert surveys (pre-, mid-, and post-implementation). Findings518 adults between the ages of 18 and 82 were screened for substance use using the Annual SBIRT Questionnaire. Of those 518 patients, 67 screened positive for substance use and received expanded screening with documented brief intervention. Discussion The outcomes of this project demonstrate that the use of SBIRT can be successfully integrated into a family practice setting and may increase provider knowledge of substance misuse, as well as satisfaction with ease of substance use screening.
Details
- Title: Subtitle
- SBIRT Implementation in a Midwest Family Practice Clinic
- Creators
- Jessica B Whitmore - University of Iowa
- Contributors
- Larry Newman (Chair) - University of Iowa
- Resource Type
- Dissertation
- Project Type
- Poster
- Degree Awarded
- Doctor of Nursing Practice (DNP), University of Iowa
- Degree in
- Adult/Gerontology Nurse Practitioner (Acute Care)
- Date degree season
- Spring 2025
- Publisher
- University of Iowa
- Number of pages
- 1 page
- Copyright
- Copyright 2025 Jessica B Whitmore
- Language
- English
- Academic Unit
- College of Nursing; Doctor of Nursing Practice Projects
- Record Identifier
- 9984841036102771
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