The goal of the proposed research is to complete the development of a web-based program to train Employee Assistance Program (EAP) and EAP-affiliated managed behavioral health organization (MBHO) practitioners to conduct screening, brief intervention, and referral to treatment (SBIRT) for problem alcohol use among working adults.
In Phase 2, the investigators propose to develop the SBIRT Training \& Support Tool with two components: (1) online SBIRT Training for call-center and face-to-face practitioners conducting alcohol SBIRT and (2) SBIRT Support Tool with mobile/web interactive alcohol screening tools and brief intervention protocols to facilitate use of SBIRT by practitioners. The SBIRT Training component will provide practitioners with the skills, knowledge, motivation, and self-efficacy to: (a) screen their clients for unhealthy alcohol use with validated screening tools; (b) provide brief, motivational interviewing-informed intervention; and (c) make appropriate referrals. The training program will incorporate the Phase 1 content and expand the curriculum to include the use of additional validated alcohol screening tools. Content for alcohol SBIRT will be derived from NIAAA evidence-based materials. The SBIRT Support Tool will provide a mobile/web interface for practitioners to use interactive screening and brief intervention forms with (a) prompts for validated questions in the screening or brief intervention; (b) motivational interviewing-informed dialogue suggestions; (c) online resources (i.e., standard drink list; importance, confidence rulers); and (d) alcohol education and referral information. The practitioner will use the SBIRT Support Tool to (a) screen clients for alcohol use with interactive validated screening tools; (b) provide brief intervention for individuals based on their screening score; and (c) provide referral to treatment for individuals based on their screening score.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
330
Program to train EAP/behavioral health practitioners in conducting alcohol SBIRT
3-month wait-list and then provided access to the SBIRT training program
SBIRT implementation
Situation judgment tests (SJT) will assess trainee's responses to real-life situations and behaviors. The SJT will consist of 9 brief (20-30 seconds) audio-based vignettes of motivational interviewing and alcohol SBIRT in typical clinical and counseling situations. For each of the 9 SJTs, trainees will identify MI/SBIRT-compliant responses.
Time frame: 3 months
Perceived Competence
13-item scale assessing trainee's perceived competence (self-efficacy) for using motivational interviewing and alcohol SBIRT skills
Time frame: 3 months
Knowledge
23-item scale assessing trainee's knowledge of motivational interviewing and alcohol SBIRT concepts
Time frame: 3 months
Attitudes
10-item scale assessing trainee's attitudes about conducting motivational interviewing and alcohol SBIRT with clients
Time frame: 3 months
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