{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T08:33:57Z","timestamp":1777883637220,"version":"3.51.4"},"reference-count":24,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000027","name":"National Institute on Alcohol Abuse and Alcoholism","doi-asserted-by":"publisher","award":["R01AA025914"],"award-info":[{"award-number":["R01AA025914"]}],"id":[{"id":"10.13039\/100000027","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Substance Use: Research and Treatment"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Screening, brief intervention, and referral to treatment (SBIRT) for adolescent alcohol and drug (AOD) use is recommended to occur with adolescents admitted to pediatric trauma centers. Most metrics on SBIRT service delivery only reference medical record documentation. In this analysis we examined changes in adolescents\u2019 perception of SBIRT services and concordance of adolescent-report and medical record data, among a sample of adolescents admitted before and after institutional SBIRT implementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We implemented SBIRT for adolescent AOD use using the Science to Service Laboratory implementation strategy and enrolled adolescents at 9 pediatric trauma centers. The recommended clinical workflow was for nursing to screen, social work to provide adolescents screening positive with brief intervention and referral to their PCP for continued AOD discussions with those. Adolescents screening as high-risk also referred to specialty services. Adolescents were enrolled and contacted 30\u2009days after discharge and asked about their perception of any SBIRT services received. Data were also extracted from enrolled patient\u2019s medical record.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>There were 430 adolescents enrolled, with 424 that were matched to their EHR data and 329 completed the 30-day survey. In this sample, EHR documented screening increased from pre-implementation to post-implementation (16.3%-65.7%) and brief interventions increased (27.1%-40.7%). Adolescents self-reported higher rates of being asked about alcohol or drug use than in EHR data both pre- and post-implementation (80.7%-81%). Both EHR data and adolescent self-reported data demonstrated low referral back to PCP for continued AOD discussions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Implementation of SBIRT at pediatric trauma centers was not associated with change in adolescent perceptions of SBIRT, despite improved documentation of delivery of AOD screening and interventions. Adolescents perceived being asked about AOD use more often than was documented. Referral to PCP or specialty care for continued AOD discussion remains an area of needed attention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration:<\/jats:title>\n                    <jats:p>Clinicaltrials.gov NCT03297060<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/29768357241272356","type":"journal-article","created":{"date-parts":[[2024,8,21]],"date-time":"2024-08-21T18:47:18Z","timestamp":1724266038000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Adolescents\u2019 Perceptions of Screening, Brief Intervention, and Referral to Treatment Service at Pediatric Trauma Centers"],"prefix":"10.1177","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9683-6889","authenticated-orcid":false,"given":"Michael J","family":"Mello","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, Rhode Island Hospital, Providence, RI, USA"},{"name":"Department of Emergency Medicine, Alpert Medical School of Brown University, Providence, RI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janette","family":"Baird","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Rhode Island Hospital, Providence, RI, USA"},{"name":"Department of Emergency Medicine, Alpert Medical School of Brown University, Providence, RI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthony","family":"Spirito","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelli","family":"Scott","sequence":"additional","affiliation":[{"name":"Northwestern University Feinberg School of Medicine, Center for Dissemination and Implementation Science, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark R","family":"Zonfrillo","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine and Pediatrics, Rhode Island Hospital, Providence, RI, USA"},{"name":"Departments of Emergency Medicine and Pediatrics, Alpert Medical School of Brown University, Providence, RI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lois K","family":"Lee","sequence":"additional","affiliation":[{"name":"Division of Emergency Medicine, Boston Children\u2019s Hospital, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Kiragu","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Hennepin County Medical Center and Children\u2019s Minnesota, Minneapolis, MN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily","family":"Christison-Lagay","sequence":"additional","affiliation":[{"name":"Division of Pediatric of Surgery, Yale School of Medicine\/Yale New Haven Children\u2019s Hospital, New Haven, CT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie","family":"Bromberg","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Rhode Island Hospital, Providence, RI, USA"},{"name":"Department of Emergency Medicine, Alpert Medical School of Brown University, Providence, RI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie","family":"Ruest","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Rhode Island Hospital, Providence, RI, USA"},{"name":"Department of Emergency Medicine, Alpert Medical School of Brown University, Providence, RI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles","family":"Pruitt","sequence":"additional","affiliation":[{"name":"Department of Pediatric Emergency Medicine, Primary Children\u2019s Hospital, Salt Lake City, UT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karla A","family":"Lawson","sequence":"additional","affiliation":[{"name":"Dell Children\u2019s Trauma and Injury Research Center, Dell Children\u2019s Medical Center of Central Texas, Austin, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isam W","family":"Nasr","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, Johns Hopkins Children\u2019s Center, Baltimore, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeremy T","family":"Aidlen","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, UMass Memorial Medical Center, Worcester, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert Todd","family":"Maxson","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Arkansas Children\u2019s Hospital, Little Rock, AR, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Becker","sequence":"additional","affiliation":[{"name":"Northwestern University Feinberg School of Medicine, Center for Dissemination and Implementation Science, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,8,21]]},"reference":[{"key":"bibr1-29768357241272356","unstructured":"Centers for Disease Control and Prevention. WISQARS Fatal Injury Reports: National, Regional and State, 1981-2020. Accessed January 24, 2023. https:\/\/webappa.cdc.gov\/sasweb\/ncipc\/mortrate.html"},{"key":"bibr2-29768357241272356","doi-asserted-by":"publisher","DOI":"10.1111\/add.13757"},{"key":"bibr3-29768357241272356","doi-asserted-by":"crossref","first-page":"767","DOI":"10.1038\/s41390-020-01163-1","volume":"89","author":"Maxwell BG","year":"2021","journal-title":"Pediatr Res"},{"key":"bibr4-29768357241272356","doi-asserted-by":"crossref","first-page":"1672","DOI":"10.1016\/j.ajem.2018.11.043","volume":"37","author":"Noffsinger DL","year":"2018","journal-title":"Am J Emerg Med"},{"key":"bibr5-29768357241272356","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1016\/j.jpedsurg.2013.10.012","volume":"49","author":"Johnson KN","year":"2014","journal-title":"J Pediatr Surg"},{"key":"bibr6-29768357241272356","doi-asserted-by":"crossref","DOI":"10.1136\/tsaco-2018-000181","volume":"3","author":"Maung AA","year":"2018","journal-title":"Trauma Surg Acute Care Open"},{"key":"bibr7-29768357241272356","doi-asserted-by":"crossref","first-page":"1530","DOI":"10.1016\/S0196-0644(05)81253-3","volume":"22","author":"Loiselle JM","year":"1993","journal-title":"Ann Emerg Med"},{"key":"bibr8-29768357241272356","unstructured":"Substance Abuse and Mental Health Services. Key Substance Use and Mental Health Indicators in the United States: Results from the 2021 National Survey on Drug Use and Health. Updated 2022. https:\/\/www.samhsa.gov\/data\/report\/2021-nsduh-annual-national-report"},{"key":"bibr9-29768357241272356","unstructured":"American College of Surgeons Committee on Trauma. Resources for the Optimal Care of the Injured Patient. Accessed January 5, 2024. https:\/\/www.facs.org\/quality-programs\/trauma\/quality\/verification-review-and-consultation-program\/standards\/"},{"key":"bibr10-29768357241272356","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199910000-00003"},{"key":"bibr11-29768357241272356","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1097\/TA.0000000000002501","volume":"88","author":"Kodadek LM","year":"2020","journal-title":"J Trauma Acute Care Surg"},{"key":"bibr12-29768357241272356","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2020.01.042"},{"key":"bibr13-29768357241272356","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2015.3145"},{"key":"bibr14-29768357241272356","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2020.01.007"},{"key":"bibr15-29768357241272356","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1186\/s13012-018-0725-x","volume":"13","author":"Mello MJ","year":"2018","journal-title":"Implement Sci"},{"key":"bibr16-29768357241272356","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2007.04.010"},{"key":"bibr17-29768357241272356","doi-asserted-by":"publisher","DOI":"10.1080\/08897077.2015.1129524"},{"key":"bibr18-29768357241272356","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2018.09.004"},{"key":"bibr19-29768357241272356","volume":"11","author":"Levy S","year":"2016","journal-title":"PLoS One"},{"key":"bibr20-29768357241272356","volume-title":"The CRAFFT 2.1 Manual","author":"The Center for Adolescent Behavioral Health Research","year":"2021"},{"key":"bibr21-29768357241272356","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2023-063161"},{"key":"bibr22-29768357241272356","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2016-1210"},{"key":"bibr23-29768357241272356","volume":"197","author":"Newton AS","year":"2018","journal-title":"Pediatrics"},{"key":"bibr24-29768357241272356","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2015.10.006"}],"container-title":["Substance Use: Research and Treatment"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/29768357241272356","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/29768357241272356","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/29768357241272356","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T01:52:55Z","timestamp":1777600375000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/29768357241272356"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":24,"alternative-id":["10.1177\/29768357241272356"],"URL":"https:\/\/doi.org\/10.1177\/29768357241272356","relation":{},"ISSN":["2976-8357","2976-8357"],"issn-type":[{"value":"2976-8357","type":"print"},{"value":"2976-8357","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1]]},"article-number":"29768357241272356"}}