Implementing Alcohol Misuse SBIRT in a National Cohort of Pediatric Trauma Centers-a type III hybrid effectiveness-implementation trial

Implementation Science : IS
Michael J MelloAnthony Spirito

Abstract

The American College of Surgeons mandates universal screening for alcohol misuse and delivery of an intervention for those screening positive as a requirement for certification as a level 1 trauma center. Though this requirement has been mandated for over a decade, its implementation has been challenging. Our research team completed an implementation study supporting seven pediatric trauma centers' compliance with the requirement by developing and implementing an institutional alcohol Screening, Brief Intervention and Referral to Treatment (SBIRT) policy for adolescent trauma patients. A mixed-methods approach indicated that SBIRT adoption rates increased at all sites; however, providers' fidelity to the SBIRT intervention was variable, and providers reported a number of barriers to SBIRT implementation. The goal of this study is to conduct a fully powered type III hybrid effectiveness-implementation trial to test the effectiveness of a comprehensive implementation strategy in increasing the implementation of SBIRT for alcohol and other drug use (AOD) in pediatric trauma centers. Our implementation strategy is based on the Science to Service Laboratory (SSL), an approach developed by the SAMHSA-funded Addiction Technology Trans...Continue Reading

References

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May 25, 2013·The Journal of Trauma and Acute Care Surgery·Michael J MelloJames G Linakis
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Feb 11, 2015·BMJ : British Medical Journal·K HemmingR J Lilford
Aug 19, 2015·Trials·Gianluca BaioRumana Z Omar

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Citations

Jun 25, 2019·The Cochrane Database of Systematic Reviews·Gerd FlodgrenJeremy M Grimshaw
Nov 20, 2019·Journal of Clinical Psychology in Medical Settings·Alexa M HaysSteven E Ross
Nov 7, 2020·Journal of Trauma Nursing : the Official Journal of the Society of Trauma Nurses·Michael J MelloJanette Baird
May 2, 2021·Implementation Science Communications·Kelli ScottSara J Becker

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