학술논문

Using Interactive Web-Based Screening, Brief Intervention and Referral to Treatment in an Urban, Safety-Net HIV Clinic
Document Type
article
Source
AIDS and Behavior. 19(Suppl 2)
Subject
Health Services
Clinical Research
Screening And Brief Intervention For Substance Abuse
Behavioral and Social Science
Substance Misuse
Drug Abuse (NIDA only)
HIV/AIDS
Clinical Trials and Supportive Activities
Prevention
Infection
Good Health and Well Being
Alcohol-Related Disorders
Counseling
Delivery of Health Care
Integrated
Electronic Health Records
HIV Infections
Humans
Male
Mass Screening
Referral and Consultation
Safety-net Providers
Substance-Related Disorders
Treatment Outcome
Urban Population
Substance use screening
Computer-based programs
Brief interventions
HIV
SBIRT
Public Health and Health Services
Social Work
Public Health
Language
Abstract
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.