{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T12:18:57Z","timestamp":1777897137637,"version":"3.51.4"},"reference-count":49,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2017,4,1]],"date-time":"2017-04-01T00:00:00Z","timestamp":1491004800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Substance Abuse"],"published-print":{"date-parts":[[2017,4]]},"abstract":"<jats:p>Background: Many screening, brief intervention, and referral to treatment (SBIRT) training curricula have been implemented within graduate medical residency training programs, with varying degrees of success. The authors examined the implementation of a uniform, but adaptable, statewide SBIRT curriculum in 7 diverse residency training programs and whether it could improve resident knowledge, skills, and attitudes regarding SBIRT and unhealthy alcohol and other drug (AOD) use. Methods: The authors assessed the implementation of the Pennsylvania SBIRT Medical and Residency Training (SMaRT) curriculum at 7 residency sites training a variety of disciplines. Faculty could use a variety of training modalities, including (1) Web-based self-directed modules; (2) didactic lectures; (3) small-group sessions; and\/or (4) skill-transfer interactions with standardized or real patients in preceptor-led encounters. Acquisition of knowledge, skills, and attitudes regarding SBIRT and unhealthy AOD use\u2013associated patient care were assessed via a pre- and post-survey instrument with 4 domains: Resident Knowledge, Resident Competence, Resident Skills and Attitudes (Alcohol), and Resident Skills and Attitudes (Drug). Responses to the pre- and post-surveys ( N = 365) were compared and analyzed with t tests and Wilcoxon signed-rank tests. Results: The diverse modalities allowed each of the residency programs to adapt and implement the SMaRT curriculum based on their needs and environments. Residents\u2019 knowledge, skills, and attitudes regarding SBIRT and working with unhealthy AOD use, as assessed by survey, generally improved after completing the SMaRT curriculum, despite the variety of models used. Specifically, Resident Knowledge and Resident Competence domains significantly improved ( P &lt; .000). Residents improved the least for survey items within the Resident Skills and Attitudes (Alcohol) domain. Conclusions: Adaptable curricula, such as SMaRT, may be a viable step towards developing a nationwide curriculum.<\/jats:p>","DOI":"10.1080\/08897077.2017.1288195","type":"journal-article","created":{"date-parts":[[2017,2,8]],"date-time":"2017-02-08T11:36:17Z","timestamp":1486553777000},"page":"161-167","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["A Statewide Screening, Brief Intervention, and Referral to Treatment (SBIRT) Curriculum for Medical Residents: Differential Implementation Strategies in Heterogeneous Medical Residency Programs"],"prefix":"10.1177","volume":"38","author":[{"given":"Janice L.","family":"Pringle","sequence":"first","affiliation":[{"name":"Program Evaluation and Research Unit, School of Pharmacy, University of Pittsburgh, Pittsburgh, Pennsylvania, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shannon M.","family":"Kearney","sequence":"additional","affiliation":[{"name":"Program Evaluation and Research Unit, School of Pharmacy, University of Pittsburgh, Pittsburgh, Pennsylvania, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sherry","family":"Rickard-Aasen","sequence":"additional","affiliation":[{"name":"Program Evaluation and Research Unit, School of Pharmacy, University of Pittsburgh, Pittsburgh, Pennsylvania, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melinda M.","family":"Campopiano","sequence":"additional","affiliation":[{"name":"Substance Abuse and Mental Health Services Administration, Rockville, Maryland, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam J.","family":"Gordon","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA"},{"name":"Veterans Affairs Pittsburgh Healthcare System, Pittsburgh, Pennsylvania, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,4,1]]},"reference":[{"key":"bibr1-08897077.2017.1288195","doi-asserted-by":"publisher","DOI":"10.1300\/J465v28n03_03"},{"key":"bibr2-08897077.2017.1288195","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000157133.80396.1c"},{"key":"bibr3-08897077.2017.1288195","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526-4637.2011.01128.x"},{"key":"bibr4-08897077.2017.1288195","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2008.08.003"},{"key":"bibr5-08897077.2017.1288195","unstructured":"National Institute on Drug Abuse (NIDA) National Advisory Council on Drug Abuse. Minutes of the 101st Meeting of the National Advisory Council on Drug Abuse, February 3\u20134, 2009, Bethesda, MD. http:\/\/archives.drugabuse.gov\/about\/organization\/nacda\/minutes101st.html. Accessed March 9, 2015. Published 2009"},{"key":"bibr6-08897077.2017.1288195","unstructured":"Substance Abuse and Mental Health Services Administration Center for Integrated Health Solutions. SBIRT: Screening, Brief Intervention, and Referral to Treatment Opportunities for Implementation and Points for Consideration. http:\/\/www.integration.samhsa.gov\/SBIRT_Issue_Brief.pdf. Accessed March 9, 2015."},{"key":"bibr7-08897077.2017.1288195","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-140-7-200404060-00017"},{"key":"bibr8-08897077.2017.1288195","unstructured":"American College of Surgeons Committee on Trauma. Alcohol Screening and Brief Intervention (SBI) for Trauma Patients. https:\/\/www.facs.org\/\u223c\/media\/files\/quality%20programs\/trauma\/publications\/sbirtguide.ashx. 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