Posts Tagged ‘SBIRT’

Potential Role of Assessment Reactivity in SMART-ED Protocol (CTN-0047)

September 4, 2012

Screening, brief intervention, and referral to treatment (SBIRT) approaches to reducing hazardous alcohol and illicit drug use have been assessed in a variety of health care settings, including primary care, trauma centers, and emergency departments. A major methodological concern in these trials, however, is “assessment reactivity,” the hypothesized impact of intensive research assessments to reduce alcohol and drug use and thus mask the purported efficacy of the interventions under scrutiny.

Assessment reactivity is a potential source of bias that may reduce and/or lead to an underestimation of the purported effectiveness of brief interventions. From a methodological perspective, it needs to be accounted for in research design. This article in Addiction Science & Clinical Practice, by Pacific Northwest Node PI Dennis Donovan and colleagues, describes the design of the National Drug Abuse Treatment Clinical Trials Network (CTN) protocol, “Screening, Motivational Assessment, Referral, and Treatment in Emergency Departments” (SMART-ED, CTN-0047), which addresses the potential bias of assessment reactivity using a 3-arm design.

The SMART-ED design offers an approach to minimize assessment reactivity as a potential source of bias. Elucidating the role of assessment reactivity may offer insights into the mechanisms underlying SBIRT as well as suggest clinical options incorporating assessment reactivity as a treatment adjunct.

Citation: Donovan DM, Bogenschutz MP, Perl HI, et al. Study Design to Examine the Potential Role of Assessment Reactivity in Screening, Motivational Assessment, Referral and Treatment in Emergency Departments (SMART-ED) Protocol. Addiction Science & Clinical Practice 2012;7:16.


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ATTC iTraining: Intro to SBIRT, May 19

May 10, 2011

Join the ATTC Network’s “Third Thursday iTrainings” each month to learn about various topics effecting the field of addictions treatment and recovery services. Each month, a different Regional Center will present information and resources on topics ranging from health care reform to implementing specific evidence-based practices.

This Month’s iTraining is on “Introduction to Screening, Brief Interventions, & Referral to Treatment (SBIRT),” hosted by the Northwest Frontier ATTC on May 19, 2011, 2:00 – 3:30 pm (EDT). This webinar will discuss the research and rationale for widespread implementation of SBIRT; review common screening instruments; describe and demonstrate a brief intervention model, and explore protocols for referral to treatment. Lessons learned from an SBIRT residency teaching program and implementation project at Oregon Health and Science University will be shared. The session will also include a discussion of the potential role of substance abuse providers in SBIRT protocols.

ATTC iTraining on SBIRT
May 19, 2011 2:00 – 3:30 p.m. (EST)