Erin B Gibson1, John R Knight2, Jordan A Levinson3, Lon Sherritt4, Sion K Harris2. 1. Division of General Internal Medicine, Boston Medical Center, Charlestown, Massachusetts. Electronic address: erin.gibson@bmc.org. 2. The Center for Adolescent Substance Use and Addiction Research (CeASAR), Boston Children's Hospital, Boston, Massachusetts; Division of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, Massachusetts; Department of Pediatrics, Harvard Medical School, Boston, Massachusetts. 3. Department of Psychology, University of California, Los Angeles, California. 4. The Center for Adolescent Substance Use and Addiction Research (CeASAR), Boston Children's Hospital, Boston, Massachusetts; Division of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, Massachusetts.
Abstract
PURPOSE: This study aimed to elicit pediatric primary care providers' (PCPs) feedback on the acceptability and feasibility of implementing a tablet computer-facilitated Screening and Brief Intervention (cSBI) system for adolescent substance use in their practices. METHODS: We trained PCPs at five Boston area practices and enrolled their 12- to 18-year-old patients in a pilot randomized trial of cSBI versus usual care. PCPs completed an 18-item poststudy questionnaire. We computed frequencies and thematically coded open-ended responses. RESULTS: The analysis sample included 49 of 54 participating PCPs (90.7%). Overall, 89.8% of participants agreed the cSBI system was useful, and 81.6% reported increased confidence in providing brief counseling. Most useful were the immediate availability of screen results, talking points on substance use risks, and counseling prompts. Challenges included time and unfamiliarity with tablet computers. Many suggested electronic health record integration of cSBI to improve efficiency. CONCLUSIONS: cSBI showed high acceptability and increased confidence among pediatric PCPs. Feasibility could be enhanced by electronic health record integration.
PURPOSE: This study aimed to elicit pediatric primary care providers' (PCPs) feedback on the acceptability and feasibility of implementing a tablet computer-facilitated Screening and Brief Intervention (cSBI) system for adolescent substance use in their practices. METHODS: We trained PCPs at five Boston area practices and enrolled their 12- to 18-year-old patients in a pilot randomized trial of cSBI versus usual care. PCPs completed an 18-item poststudy questionnaire. We computed frequencies and thematically coded open-ended responses. RESULTS: The analysis sample included 49 of 54 participating PCPs (90.7%). Overall, 89.8% of participants agreed the cSBI system was useful, and 81.6% reported increased confidence in providing brief counseling. Most useful were the immediate availability of screen results, talking points on substance use risks, and counseling prompts. Challenges included time and unfamiliarity with tablet computers. Many suggested electronic health record integration of cSBI to improve efficiency. CONCLUSIONS: cSBI showed high acceptability and increased confidence among pediatric PCPs. Feasibility could be enhanced by electronic health record integration.
Authors: Shari Van Hook; Sion Kim Harris; Traci Brooks; Peggy Carey; Robert Kossack; John Kulig; John R Knight Journal: J Adolesc Health Date: 2007-02-15 Impact factor: 5.012
Authors: Sharon Levy; Rosemary E Ziemnik; Sion K Harris; Lily Rabinow; Louise Breen; Christina Fluet; Heather Strother; John H Straus Journal: J Addict Med Date: 2017 Nov/Dec Impact factor: 3.702
Authors: Suman Chandra; Mohamed M Radwan; Chandrani G Majumdar; James C Church; Tom P Freeman; Mahmoud A ElSohly Journal: Eur Arch Psychiatry Clin Neurosci Date: 2019-01-22 Impact factor: 5.270
Authors: Sion Kim Harris; John Rogers Knight; Shari Van Hook; Lon Sherritt; Traci L Brooks; John W Kulig; Christina A Nordt; Richard Saitz Journal: Subst Abus Date: 2015-03-16 Impact factor: 3.716
Authors: John R Knight; Lon Sherritt; Erin Bray Gibson; Jordan A Levinson; Laura K Grubb; Ronald C Samuels; Thomas Silva; Louis Vernacchio; Wendy Wornham; Sion Kim Harris Journal: JAMA Netw Open Date: 2019-06-05
Authors: Daniel Hargraves; Christopher White; Rachel Frederick; Margaret Cinibulk; Meriden Peters; Ashlee Young; Nancy Elder Journal: Public Health Rev Date: 2017-12-29