The remote brief intervention and referral to treatment model: Development, functionality, acceptability, and feasibility
dc.contributor.author | Boudreaux, Edwin D. | |
dc.contributor.author | Haskins, Brianna | |
dc.contributor.author | Harralson, Tina | |
dc.contributor.author | Bernstein, Edward | |
dc.date | 2022-08-11T08:08:34.000 | |
dc.date.accessioned | 2022-08-23T15:59:17Z | |
dc.date.available | 2022-08-23T15:59:17Z | |
dc.date.issued | 2015-10-01 | |
dc.date.submitted | 2016-03-23 | |
dc.identifier.citation | Drug Alcohol Depend. 2015 Oct 1;155:236-42. doi: 10.1016/j.drugalcdep.2015.07.014. Epub 2015 Jul 23. <a href="http://dx.doi.org/10.1016/j.drugalcdep.2015.07.014">Link to article on publisher's site</a> | |
dc.identifier.issn | 0376-8716 (Linking) | |
dc.identifier.doi | 10.1016/j.drugalcdep.2015.07.014 | |
dc.identifier.pmid | 26297297 | |
dc.identifier.uri | http://hdl.handle.net/20.500.14038/30633 | |
dc.description.abstract | BACKGROUND: Screening, brief intervention, and referral to treatment (SBIRT) is effective for reducing risky alcohol use across a variety of medical settings. However, most programs have been unsustainable because of cost and time demands. Telehealth may alleviate on-site clinician burden. This exploratory study examines the feasibility of a new Remote Brief Intervention and Referral to Treatment (R-BIRT) model. METHODS: Eligible emergency department (ED) patients were enrolled into one of five models. (1) Warm Handoff: clinician-facilitated phone call during ED visit. (2) Patient Direct: patient-initiated call during visit. (3) Electronic Referral: patient contacted by R-BIRT personnel post visit. (4) Patient Choice: choice of models 1-3. (5) Modified Patient Choice: choice of models 1-2, Electronic Referral offered if 1-2 were declined. Once connected, a health coach offered assessment, counseling, and referral to treatment. Follow up assessments were conducted at 1 and 3 months. Primary outcomes measured were acceptance, satisfaction, and completion rates. RESULTS: Of 125 eligible patients, 50 were enrolled, for an acceptance rate of 40%. Feedback and satisfaction ratings were generally positive. Completion rates were 58% overall, with patients enrolled into a model wherein the consultation occurred during the ED visit, as opposed to after the visit, much more likely to complete a consultation, 90% vs. 10%, chi(2) (4, N=50)=34.8, p < 0.001. CONCLUSIONS: The R-BIRT offers a feasible alternative to in-person alcohol SBIRT and should be studied further. The public health impact of having accessible, sustainable, evidence-based SBIRT for substance use across a range of medical settings could be considerable. | |
dc.language.iso | en_US | |
dc.relation | <a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=26297297&dopt=Abstract">Link to Article in PubMed</a> | |
dc.relation.url | http://dx.doi.org/10.1016/j.drugalcdep.2015.07.014 | |
dc.subject | Brief motivational intervention | |
dc.subject | Referrals | |
dc.subject | Screening | |
dc.subject | Substance abuse | |
dc.subject | Technology | |
dc.subject | Telehealth | |
dc.subject | Health Information Technology | |
dc.subject | Psychiatry and Psychology | |
dc.subject | Substance Abuse and Addiction | |
dc.title | The remote brief intervention and referral to treatment model: Development, functionality, acceptability, and feasibility | |
dc.type | Journal Article | |
dc.source.journaltitle | Drug and alcohol dependence | |
dc.source.volume | 155 | |
dc.identifier.legacycoverpage | https://escholarship.umassmed.edu/faculty_pubs/909 | |
dc.identifier.contextkey | 8370990 | |
html.description.abstract | <p>BACKGROUND: Screening, brief intervention, and referral to treatment (SBIRT) is effective for reducing risky alcohol use across a variety of medical settings. However, most programs have been unsustainable because of cost and time demands. Telehealth may alleviate on-site clinician burden. This exploratory study examines the feasibility of a new Remote Brief Intervention and Referral to Treatment (R-BIRT) model.</p> <p>METHODS: Eligible emergency department (ED) patients were enrolled into one of five models. (1) Warm Handoff: clinician-facilitated phone call during ED visit. (2) Patient Direct: patient-initiated call during visit. (3) Electronic Referral: patient contacted by R-BIRT personnel post visit. (4) Patient Choice: choice of models 1-3. (5) Modified Patient Choice: choice of models 1-2, Electronic Referral offered if 1-2 were declined. Once connected, a health coach offered assessment, counseling, and referral to treatment. Follow up assessments were conducted at 1 and 3 months. Primary outcomes measured were acceptance, satisfaction, and completion rates.</p> <p>RESULTS: Of 125 eligible patients, 50 were enrolled, for an acceptance rate of 40%. Feedback and satisfaction ratings were generally positive. Completion rates were 58% overall, with patients enrolled into a model wherein the consultation occurred during the ED visit, as opposed to after the visit, much more likely to complete a consultation, 90% vs. 10%, chi(2) (4, N=50)=34.8, p < 0.001.</p> <p>CONCLUSIONS: The R-BIRT offers a feasible alternative to in-person alcohol SBIRT and should be studied further. The public health impact of having accessible, sustainable, evidence-based SBIRT for substance use across a range of medical settings could be considerable.</p> | |
dc.identifier.submissionpath | faculty_pubs/909 | |
dc.contributor.department | Department of Emergency Medicine | |
dc.source.pages | 236-42 |