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

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 interven...

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Bibliographic Details
Published in:AIDS and behavior 2015-06, Vol.19 (Suppl 2), p.186-193
Main Authors: Dawson Rose, Carol, Cuca, Yvette P., Kamitani, Emiko, Eng, Shannon, Zepf, Roland, Draughon, Jessica, Lum, Paula
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
AIDS
Alcohol-Related Disorders - diagnosis
Alcohol-Related Disorders - therapy
Amphetamines
Clinical trials
Counseling - methods
Delivery of Health Care, Integrated - organization & administration
Demographics
Drug use
Electronic Health Records
Evidence-based practice
Health
Health Psychology
HIV
HIV Infections - therapy
Human immunodeficiency virus
Humans
Infectious Diseases
Internet
Intervention
Male
Mass Screening - methods
Medicine
Medicine & Public Health
Original Paper
Patients
Personal health
Public Health
Referral and Consultation
Safety-net Providers
Screening
Sociodemographics
Substance abuse
Substance use
Substance-Related Disorders - diagnosis
Substance-Related Disorders - psychology
Substance-Related Disorders - therapy
Technology
Tests
Transportation safety
Treatment Outcome
Urban areas
Urban Population
Webs
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Summary: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.
ISSN:1090-7165
1573-3254
DOI:10.1007/s10461-015-1078-y