196037 Increasing skilled adoption of SBIRT through media-rich, theory driven web-based training

Tuesday, November 10, 2009

Richard Goldsworthy, MSEd, PhD , Academic Edge, Inc., Bloomington, IN
Peter Honebein, PhD , Academic Edge, Inc., Bloomington, IN
Issue. An estimated 25% of primary care patients have a substance use disorder. Screening, Brief Intervention, and Referral to Treatment (SBIRT), originally implemented in emergency rooms, has received attention by federal, state, and local entities as a valued primary care provider (PCP) practice. PCP SBIRT adoption involves buy-in among all care team members. To encourage SBIRT adoption, PCPs need accessible, engaging, replicable, and relevant training and performance support.

Objective. The objective of this project was to develop a theoretically grounded and scientifically valid web-based course that facilitates SBIRT adoption by the primary care team, including receptionists, medical assistants, and physicians.

Method. The effort followed a well-established instructional development methodology, involving three highly-respected subject matter experts; evaluation occurred through single-subject usability trials. The primary pedagogical foundation is social learning theory: authentic video-based modeling and reflection segments investigate team roles, processes, and patient interactions. Expository lessons and interactive case-based practice explore specific knowledge and skills.

Results. The effort produced engaging interactive lessons, multiple simulated patient cases, and rich, navigable video documentaries. Experts found the course exemplary. End-users rated the course extremely highly (avg.9.25/10), and demonstrated significant growth and/or exceeded hypothetical values on most study variables. Additional SBIRT skills and cases need to be integrated and inclusion of other web-based technologies, including social media, investigated.

The presentation will demonstrate the course and describe its scientific and methodological basis, results, and implications for future work in SBIRT dissemination and, more broadly, the development of theory-rich web-based learning environments.

Supported in part by NIDA/NIH Contract#N43DA-8-2215.

Learning Objectives:
Participants will be able to: 1. describe an ongoing effort to develop rich training materials regarding SBIRT adoption and practice among primary care providers. 2. describe the theoretical and content bases of the SBIRT course as well as the instructional strategies and educational technologies embedded within it 3. Assess the efficacy of the web-based course 4. Analyze the relevancy, appropriateness, and utility of the SBIRT Web-based course for their own practice environments

Keywords: Screening, Professional Development

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I served as the principle investigator on this federally funded effort. I have over 10 years of experience designing, developing, and evaluating educational systems for a wide range of learners for a wide array of health related topics, especially those with behavioral adoption/change aspects.
Any relevant financial relationships? Yes

Name of Organization Clinical/Research Area Type of relationship
Academic Edge, Inc. Educational Tools Employment (includes retainer)

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.