SBI/RT + MAT Implementation Checklist Results*
| Baseline | 9-Month | ||
|---|---|---|---|
| Variable | Mean (95% CI) | Mean (95% CI) | P-value |
| Overall summed SBI/RT implementation score** | 5.9 (4.8, 6.9) | 12.7 (11.5, 13.8) | <0.0001 |
| Process for UAU screening** | 1.4 (1.1, 1.6) | 2.7 (2.4, 2.9) | <0.0001 |
| Process for reviewing and interpreting UAU screening result** | 1.2 (0.9, 1.4) | 2.6 (2.4, 2.9) | <0.0001 |
| Process for + Screen results** | 1.0 (0.8, 1.3) | 2.6 (2.3, 2.8) | <0.0001 |
| Process for routinely providing feedback and brief intervention** | 1.2 (0.9, 1.5) | 2.5 (2.2, 2.7) | <0.0001 |
| Process for providing care following + UAU screening result** | 1.1 (0.9, 1.4) | 2.4 (2.1, 2.7) | <0.0001 |
| Other survey questions | |||
| Baseline | 9-Month | ||
|---|---|---|---|
| Total n = 51 | Total n = 43 | ||
| Variable | n (%) | n (%) | P-value* |
| Which patients are screened? | |||
| All patients ages 18 and above | 30 (59%) | 35 (81%) | 0.0184 |
| All patients with different age range | 6 (12%) | 1 (2%) | 0.0588 |
| Patients with a particular condition | 2 (4%) | 2 (5%) | 1.0 |
| Patients presenting for a health maintenance/preventive care visit | 13 (25%) | 20 (47%) | 0.0290 |
| Patients participating in telehealth or phone appointments | 4 (8%) | 2 (5%) | 0.4142 |
| Patients participating in web-based/ tablet/ | 2 (4%) | 2 (5%) | 1.0 |
| application-based appointments | |||
| How often are eligible patients screened? Your best estimate is fine. | |||
| Up to 25% of the time | 3 (8%) | 0 (0%) | |
| 26% to 50% of the time | 12 (32%) | 11 (26%) | |
| 51% to 75% of the time | 16 (42%) | 13 (30%) | |
| 76% of the time or more | 7 (18%) | 19 (44%) | 0.0040 |
| The practice provides the following support to help patients with unhealthy drinking or alcohol use disorder | |||
| “Yes” | “Yes” | P-value | |
| N (%) | N (%) | ||
| 1, Brief intervention/brief treatment provided by internal clinician | 33 (65%) | 41 (95%) | 0.0010 |
| 2, Brief intervention/brief treatment provided by internal behavioral health provider | 18 (35%) | 23 (53%) | 0.0209 |
| Any brief intervention | 34 (67%) | 42 (98%) | 0.0005 |
| 3, Provide patient educational materials | 12 (24%) | 37 (86%) | <0.0001 |
| 4, Refer to external medical or behavioral health provider | 23 (45%) | 35 (81%) | <0.0001 |
| 5, Refer to self-help, mutual support, or peer support groups | 20 (39%) | 34 (79%) | <0.0001 |
| 6, Refer to external treatment program (inpatient, outpatient, residential) | 21 (41%) | 30 (70%) | 0.0013 |
| Any external referral for treatment (“yes” to 4 or 6 above) | 26 (51%) | 37 (86%) | 0.0002 |
| 7, Prescribe medication for alcohol use disorders (prescribe medication without behavioral health intervention) | 21 (41%) | 31 (72%) | 0.0029 |
| 8, Prescribe medication-assisted therapy (prescribe medication with behavioral health intervention) | 15 (29%) | 27 (63%) | 0.0043 |
| Any provision of MAT | 21 (41%) | 33 (77%) | 0.0011 |
↵*Adjusted for visits per week and practice type (safety-net, hospital owned, rural health center, independent).
↵**SBIRT implementation questions are scored 0 (not started at this time) to 3 (full implementation). The total score is the sum of the scores on the individual items; higher scores mean greater implementation. The n’s (n = 51, n = 43) refer to the number of randomized practices that submitted baseline and 9-month surveys respectively.
±McNemar’s test on practices with both baseline and follow-up.
Abbreviations: SBI, Screening and Brief Intervention; RT, Referral to Treatment; UAU, Urinalysis and Urine Culture; MAT, Medication-Assisted Treatment; SBIRT, Screening Brief Intervention and Referral to Treatment.