Screening, brief intervention, and referral to treatment: public health training for primary care.

Abstract:

OBJECTIVES:The purpose of this study was to elucidate changes in attitudes, experiences, readiness, and confidence levels of medical residents to perform screening, brief intervention, and referral to treatment (SBIRT) and factors that moderate these changes. METHODS:A cohort of 121 medical residents received an educational intervention. Self-reported experience, readiness, attitude, and confidence toward SBIRT-related skills were measured at baseline and at follow-up. Analyses were conducted to evaluate the effects of medical specialization. RESULTS:The intervention significantly increased experience (P<.001), attitude (P<.05), readiness (P<.001), and confidence (P<.001). Residents were more likely to report that their involvement influenced patients' substance use. However, experience applying SBIRT skills varied by country of birth, specialty, and baseline scores. CONCLUSIONS:This study suggested that SBIRT training was an effective educational tool that increased residents' sense of responsibility. However, application of skills might differ by specialization and other variables. Future studies are needed to explore and evaluate SBIRT knowledge obtained, within the context of cultural awareness and clinical skills.

journal_name

Am J Public Health

authors

Marshall VJ,McLaurin-Jones TL,Kalu N,Kwagyan J,Scott DM,Cain G,Greene W,Adenuga B,Taylor RE

doi

10.2105/AJPH.2012.300802

subject

Has Abstract

pub_date

2012-08-01 00:00:00

pages

e30-6

issue

8

eissn

0090-0036

issn

1541-0048

journal_volume

102

pub_type

杂志文章
  • Availability of litigation as a public health tool for firearm injury prevention: comparison of guns, vaccines, and motor vehicles.

    abstract::The Protection of Lawful Commerce in Arms Act (PLCAA), enacted in 2005, grants the firearm industry broad immunity from liability. The PLCAA not only prevents most people from receiving compensation for their firearm-related injuries, it erodes litigation's ability to serve its public health role of providing manufact...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2006.092544

    authors: Vernick JS,Rutkow L,Salmon DA

    更新日期:2007-11-01 00:00:00

  • Tobacco Industry Research on Nicotine Replacement Therapy: "If Anyone Is Going to Take Away Our Business It Should Be Us".

    abstract::Nicotine replacement therapy (NRT) is recommended for tobacco cessation on the basis of pharmaceutical industry research showing its effectiveness when combined with counseling. The tobacco industry opposed NRT when it first appeared in the 1980s but by 2016 was marketing its own NRT products. We used internal tobacco...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2017.303935

    authors: Apollonio D,Glantz SA

    更新日期:2017-10-01 00:00:00

  • Future Directions for Incorporating Intersectionality Into Quantitative Population Health Research.

    abstract::Intersectionality, an analytical approach rooted in Black feminist theory and praxis, has become more widely used in population health research. The majority of quantitative population health studies have used intersectionality as a theoretical framework to investigate how multiple social identities rather than social...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2020.305610

    authors: Agénor M

    更新日期:2020-06-01 00:00:00

  • Politics and practice: introducing Norplant into a school-based health center in Baltimore.

    abstract::As one element of Baltimore's effort to combat its high rate of teenage pregnancy, the Baltimore City Health Department added the implantable contraceptive Norplant to the array of services offered at one of its school-based health centers in early 1993. The initial findings with the adolescents who received this cont...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.85.3.309

    authors: Beilenson PL,Miola ES,Farmer M

    更新日期:1995-03-01 00:00:00

  • Pregnancy among the Hmong: birthweight, age, and parity.

    abstract:OBJECTIVES:The influx of Southeast Asians into the United States allows for the study of this special population and contributes to a broader understanding of reproductive health. METHODS:We used information on birth certificates to identify 1937 Hmong children born 1985 through 1988 in California, and we compared bir...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.82.10.1361

    authors: Helsel D,Petitti DB,Kunstadter P

    更新日期:1992-10-01 00:00:00

  • The impact of DRGs on community-based service providers: implications for the elderly.

    abstract::We investigated changes in community-based agencies following the implementation of the Medicare prospective payment system for hospitals utilizing DRGs (diagnosis-related groups). Data were collected in 1986 and 1987 from 771 community service providers. There were five major findings: 1) hospital discharge planners,...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.80.7.840

    authors: Wood JB,Estes CL

    更新日期:1990-07-01 00:00:00

  • Framing HIV prevention discourse to encompass the complexities of war in northern Uganda.

    abstract::In northern Uganda, physical and structural violence (political repression, economic inequality, and gender-based discrimination) increase vulnerability to HIV infection. In settings of war, traditional HIV prevention that solely promotes risk avoidance and risk reduction and assumes the existence of personal choice i...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2005.072777

    authors: Westerhaus MJ,Finnegan AC,Zabulon Y,Mukherjee JS

    更新日期:2007-07-01 00:00:00

  • Fire victims: medical outcomes and demographic characteristics.

    abstract::The medical outcomes and demographic characteristics of all victims of fires identified by The Baltimore Fire Department during a 14-month period in Baltimore City were studied. Fifty-nine per cent of victims suffered minor injuries, 25 per cent required hospitalization and 16 per cent were fatalities. The majority of...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.67.11.1077

    authors: Levine MS,Radford EP

    更新日期:1977-11-01 00:00:00

  • Consistency between increasing trends in added-sugar intake and body mass index among adults: the Minnesota Heart Survey, 1980-1982 to 2007-2009.

    abstract:OBJECTIVES:We described 27-year secular trends in added-sugar intake and body mass index (BMI) among Americans aged 25 to 74 years. METHODS:The Minnesota Heart Survey (1980-1982 to 2007-2009) is a surveillance study of cardiovascular risk factors among residents of the Minneapolis-St Paul area. We used generalized lin...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2011.300562

    authors: Wang H,Steffen LM,Zhou X,Harnack L,Luepker RV

    更新日期:2013-03-01 00:00:00

  • The effectiveness of a tobacco prevention program with adolescents living in a tobacco-producing region.

    abstract:OBJECTIVES:This study investigated the efficacy of a social-influences tobacco prevention program conducted with adolescents living in a high tobacco production area. METHODS:Students in 10 experimental schools completed the tobacco prevention program and a booster intervention. Control students received health educat...

    journal_title:American journal of public health

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.2105/ajph.88.12.1862

    authors: Noland MP,Kryscio RJ,Riggs RS,Linville LH,Ford VY,Tucker TC

    更新日期:1998-12-01 00:00:00

  • Silicosis among gold miners: exposure--response analyses and risk assessment.

    abstract:OBJECTIVES:This study sought to estimate the risk of silicosis by cumulative exposure-years in a cohort of miners exposed to silica, as well as the lifetime risk of silicosis under the current Occupational Safety and Health Administration (OSHA) standard (0.09 mg/m3). METHODS:In a cohort study of 3330 gold miners who ...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.85.10.1372

    authors: Steenland K,Brown D

    更新日期:1995-10-01 00:00:00

  • Declining trends in local health department preparedness capacities.

    abstract:OBJECTIVES:We examined local health department (LHD) preparedness capacities in the context of participation in accreditation and other performance improvement efforts. MetHODS: We analyzed preparedness in 8 domains among LHDs responding to a preparedness capacity instrument from 2010 through 2012. Study groups include...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2014.302159

    authors: Davis MV,Bevc CA,Schenck AP

    更新日期:2014-11-01 00:00:00

  • The statin-iron nexus: anti-inflammatory intervention for arterial disease prevention.

    abstract:OBJECTIVES:We postulated the existence of a statin-iron nexus by which statins improve cardiovascular disease outcomes at least partially by countering proinflammatory effects of excess iron stores. METHODS:Using data from a clinical trial of iron (ferritin) reduction in advanced peripheral arterial disease, the Iron ...

    journal_title:American journal of public health

    pub_type: 杂志文章,随机对照试验

    doi:10.2105/AJPH.2012.301163

    authors: Zacharski LR,DePalma RG,Shamayeva G,Chow BK

    更新日期:2013-04-01 00:00:00

  • Household crowding and food insecurity among Inuit families with school-aged children in the Canadian Arctic.

    abstract:OBJECTIVES:We examined the relation of household crowding to food insecurity among Inuit families with school-aged children in Arctic Quebec. METHODS:We analyzed data collected between October 2005 and February 2010 from 292 primary caregiver-child dyads from 14 Inuit communities. We collected information about househ...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2014.302290

    authors: Ruiz-Castell M,Muckle G,Dewailly É,Jacobson JL,Jacobson SW,Ayotte P,Riva M

    更新日期:2015-03-01 00:00:00

  • Local public health systems and the incidence of sexually transmitted diseases.

    abstract:OBJECTIVES:We examined the associations of local public health system organization and local health department resources with county-level sexually transmitted disease (STD) incidence rates in large US health jurisdictions. METHODS:We linked annual county STD incidence data (2005-2008) to local health department direc...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2011.300497

    authors: Rodriguez HP,Chen J,Owusu-Edusei K,Suh A,Bekemeier B

    更新日期:2012-09-01 00:00:00

  • Healthy people 2010 leading health indicators: how children with special health care needs fared.

    abstract:OBJECTIVES:We compared estimates for children with and without special health care needs (SHCN) at 2 time periods for national health objectives related to the Healthy People 2010 leading health indicators (LHIs). METHODS:Data were from the 2003 and 2007 National Surveys of Children's Health. Seven survey items were r...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2012.301001

    authors: Ghandour RM,Grason HA,Schempf AH,Strickland BB,Kogan MD,Jones JR,Nichols D

    更新日期:2013-06-01 00:00:00

  • A randomized trial of augmented prenatal care for multiple-risk, Medicaid-eligible African American women.

    abstract:OBJECTIVES:This project investigated whether augmented prenatal care for high-risk African American women would improve pregnancy outcomes and patients' knowledge of risks, satisfaction with care, and behavior. METHODS:The women enrolled were African American, were eligible for Medicaid, had scored 10 or higher on a r...

    journal_title:American journal of public health

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.2105/ajph.91.1.105

    authors: Klerman LV,Ramey SL,Goldenberg RL,Marbury S,Hou J,Cliver SP

    更新日期:2001-01-01 00:00:00

  • A dosage response curve for the one rad range: adult risks from diagnostic radiation.

    abstract::Most exposure to low-level ionizing radiation, both diagnostic x-rays and nuclear radiation, occur in the range between 100 milirads and 10 rads--the "one rad range". In the past, the estimates of hazards in this range have been obtained by linear extrapolation from data on persons who were exposed to much higher dosa...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.69.2.130

    authors: Bross ID,Ball M,Falen S

    更新日期:1979-02-01 00:00:00

  • Disparities in Disability by Educational Attainment Across US States.

    abstract:OBJECTIVES:To examine how disparities in adult disability by educational attainment vary across US states. METHODS:We used the nationally representative data of more than 6 million adults aged 45 to 89 years in the 2010-2014 American Community Survey. We defined disability as difficulty with activities of daily living...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2017.303768

    authors: Montez JK,Zajacova A,Hayward MD

    更新日期:2017-07-01 00:00:00

  • Factors affecting place of death of hospice and non-hospice cancer patients.

    abstract::We identified factors associated with death at home for 28,828 hospice and non-hospice cancer patients in 13 counties of western Washington State. Hospice participation was found to be the variable most strongly associated with death at home. Admission to hospice appears to override the tendency for certain subgroups ...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.79.11.1549

    authors: Moinpour CM,Polissar L

    更新日期:1989-11-01 00:00:00

  • "I Always Felt I Had to Prove My Manhood": Homosexuality, Masculinity, Gender Role Strain, and HIV Risk Among Young Black Men Who Have Sex With Men.

    abstract::Objectives. We explored gender role strain (GRS) arising from conflict between homosexuality and cultural conceptions of masculinity among young Black men who have sex with men (MSM). Methods. We conducted a categorical analysis (a qualitative, 3-stage, iterative analysis) of data from studies conducted in 2001 to 200...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2013.301866

    authors: Fields EL,Bogart LM,Smith KC,Malebranche DJ,Ellen J,Schuster MA

    更新日期:2015-01-01 00:00:00

  • Poison politics: a contentious history of consumer protection against dangerous household chemicals in the United States.

    abstract::The history of consumer protection against household poisons presents a key case study of the uniquely American struggle to balance public health and safety with the interests of business. By the late 19th century, package designs, warning labels, and state statutes had formed an uneven patchwork of protective mechani...

    journal_title:American journal of public health

    pub_type: 历史文章,杂志文章

    doi:10.2105/AJPH.2012.301066

    authors: Jones MM,Benrubi ID

    更新日期:2013-05-01 00:00:00

  • Premigration exposure to political violence and perpetration of intimate partner violence among immigrant men in Boston.

    abstract:OBJECTIVES:We examined associations between premigration political violence exposure and past-year intimate partner violence (IPV) perpetration among immigrant men attending community health centers in Boston. METHODS:A convenience sample of immigrant men (N = 379; aged 18-35 years), largely from the Caribbean and Cap...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2007.120634

    authors: Gupta J,Acevedo-Garcia D,Hemenway D,Decker MR,Raj A,Silverman JG

    更新日期:2009-03-01 00:00:00

  • Changes in emergency department access between 2001 and 2005 among general and vulnerable populations.

    abstract:OBJECTIVES:We analyzed how ease of geographic access to emergency departments (EDs), defined as driving time to the closest ED, changed between 2001 and 2005, and whether access deterioration was more likely to occur in vulnerable communities. METHODS:We classified communities on the basis of American Hospital Associa...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2009.175828

    authors: Shen YC,Hsia RY

    更新日期:2010-08-01 00:00:00

  • Primary prevention of lead poisoning: protecting children from unsafe housing.

    abstract:OBJECTIVES:We examined the effects of changes in Rhode Island's Lead Hazard Mitigation Law in 2005 on children's blood lead levels. METHODS:We used 2005 to 2009 data from Rhode Island's Lead Elimination Surveillance System; city tax assessor records in Central Falls, Pawtucket, Providence, and Woonsocket, Rhode Island...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2014.301908

    authors: Rogers ML,Lucht JA,Sylvaria AJ,Cigna J,Vanderslice R,Vivier PM

    更新日期:2014-08-01 00:00:00

  • Public health asks of systems science: to advance our evidence-based practice, can you help us get more practice-based evidence?

    abstract::Public health asks of systems science, as it did of sociology 40 years ago, that it help us unravel the complexity of causal forces in our varied populations and the ecologically layered community and societal circumstances of public health practice. We seek a more evidence-based public health practice, but too much o...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2005.066035

    authors: Green LW

    更新日期:2006-03-01 00:00:00

  • Advancing Social Work Education for Health Impact.

    abstract::Social work education plays a critical role in preparing social workers to lead efforts that improve health. Because of the dynamic health care landscape, schools of social work must educate students to facilitate health care system improvements, enhance population health, and reduce medical costs. We reviewed the exi...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2017.304054

    authors: Browne T,Keefe RH,Ruth BJ,Cox H,Maramaldi P,Rishel C,Rountree M,Zlotnik J,Marshall J

    更新日期:2017-12-01 00:00:00

  • An assessment of occupation and industry data from death certificates and hospital medical records for population-based cancer surveillance.

    abstract::This study analyzed 30,194 incident cases and 4,301 death certificates for completeness of occupational reporting. Analysis of data accuracy was based upon a comparison of more than 2,000 death certificates with incident abstracts and 352 death certificates with interview data. Death certificates had a higher proporti...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.74.5.464

    authors: Swanson GM,Schwartz AG,Burrows RW

    更新日期:1984-05-01 00:00:00

  • The association between length of stay in Canada and intimate partner violence among immigrant women.

    abstract:OBJECTIVE:We examined the prevalence of intimate partner violence (IPV) among recent (0-9 years) and nonrecent (>/= 10 years) immigrant women in Canada to determine whether differences in IPV were associated with length of stay in Canada. METHODS:We analyzed data from the 1999 General Social Survey, a national cross-s...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2004.046409

    authors: Hyman I,Forte T,Du Mont J,Romans S,Cohen MM

    更新日期:2006-04-01 00:00:00

  • Risk of postmenopausal hip fracture in Mexican American women.

    abstract::To assess the risk of hip fracture in Mexican Americans, the ethnicity of 80 women aged 50 years and over admitted with hip fractures to a Texas hospital was compared with that of age-matched women hospitalized for other reasons. The risk of fracture for Mexican Americans was only 35 per cent that of Whites (95% CI = ...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.76.8.1020

    authors: Bauer RL,Diehl AK,Barton SA,Brender J,Deyo RA

    更新日期:1986-08-01 00:00:00