SBI Tech Michigan: Optimizing Implementation of Screening and Brief Intervention for Excessive Alcohol Use Among Women of Reproductive Age
Recommended Citation
Loree A, Yeh H, Elsiss F, Zabel C, Zelenak L, Moore S, Goyert G, Beatty J, Yadav P, Riba M, Ondersma S. SBI Tech Michigan: Optimizing Implementation of Screening and Brief Intervention for Excessive Alcohol Use Among Women of Reproductive Age. Drug Alcohol Depend 2024; 260:110119.
Document Type
Conference Proceeding
Publication Date
7-1-2024
Publication Title
Drug Alcohol Depend
Abstract
Aim: Excessive alcohol use has been increasing among women and is associated with negative health outcomes among pregnant and non-pregnant women. Health systems play an important role in addressing alcohol use through their ability to reach non-treatment-seeking women with the help of Screening and Brief Intervention (SBI). Technology-delivered SBI can help mitigate implementation challenges related to traditional, provider-delivered SBI. We describe a program that implemented technology based SBI (eSBI) within women’s health clinics in a large, integrated healthcare system. Methods (Optional): Patients (age 18-45) receiving routine care at Henry Ford Health Women’s Health clinics were offered the option to complete eSBI, which included universal screening for alcohol use and other substance use, in one of two ways: 1) via iPad in clinic waiting areas; 2) via link sent through the patient portal in advance of a visit to complete on their own device. Screening results are populated into the electronic health record for providers to view. Patients who screened positive had the option to connect with a behavioral health clinician. Outcomes of interest include number of clinics adopting eSBI, proportion of patients completing eSBI, and proportion of positive screens receiving brief intervention. Factors impacting implementation were also assessed. Results (Optional): Seven clinics adopted eSBI; however, completion rates were low (8%). Among patients who completed eSBI (n = 333), 29% reported alcohol misuse, 10% reported binge drinking, 28% reported cannabis use, 18% reported tobacco use, 3% reported prescription drug misuse, and 1% reported other drug use. Approximately 60% of those who completed screening opted to receive the brief intervention. Implementation barriers included a lengthy security compliance review process and substantial demands on clinic staff including but not limited to the COVID-19 pandemic. Conclusions: Despite advantages, several barriers impacted widespread adoption of eSBI. Efforts to integrate and streamline staff tasks may help to improve uptake and impact of eSBI. Financial Support: Centers for Disease Control and Prevention (NU84DD000001)
Volume
260
First Page
110119
