Using Interactive Web-Based Screening, Brief Intervention and Referral to Treatment in an Urban, Safety-Net HIV Clinic

被引:16
作者
Rose, Carol Dawson [1 ]
Cuca, Yvette P. [1 ]
Kamitani, Emiko [1 ]
Eng, Shannon [1 ]
Zepf, Roland [1 ]
Draughon, Jessica [1 ]
Lum, Paula [2 ]
机构
[1] Univ Calif San Francisco, Sch Nursing, San Francisco, CA 94143 USA
[2] Univ Calif San Francisco, Sch Med, San Francisco, CA USA
关键词
Substance use screening; Computer-based programs; Brief interventions; HIV; SBIRT; ECOLOGICAL MOMENTARY ASSESSMENT; COGNITIVE-BEHAVIORAL THERAPY; INJECTION-DRUG USERS; RANDOMIZED-TRIAL; ALCOHOL-USE; ANTIRETROVIRAL THERAPY; ILLICIT DRUGS; USE DISORDERS; PRIMARY-CARE; TEST ASSIST;
D O I
10.1007/s10461-015-1078-y
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Substance use among people living with HIV is high, and screening, brief intervention, and referral to treatment (SBIRT) is an evidence-based approach to addressing the issue. We examined whether patients would participate in a technology-based SBIRT program in an urban HIV clinic. An SBIRT intervention was programmed into the clinic's web-based patient portal linked to their personal health record. We examined: demographic, health, HIV, and substance use characteristics of participants who completed the web-based intervention compared to those who did not. Fewer than half of the 96 participants assigned to the web-based SBIRT completed it (n = 39; 41 %). Participants who completed the web-based intervention had significantly higher amphetamine SSIS scores than those who did not complete the intervention. Participants whose substance use is more harmful may be more motivated to seek help from a variety of sources. In addition, it is important that technology-based approaches to behavioral interventions in clinics take into consideration feasibility, client knowledge, and comfort using technology.
引用
收藏
页码:S186 / S193
页数:8
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