Implementing Screening, Brief Interventions, and Referral to Treatment at Pediatric Trauma Centers: A Step Wedge Cluster Randomized Trial

In brief

This cluster randomized trial evaluated the Science to Service Laboratory implementation strategy for improving alcohol and drug screening, brief intervention, and referral to treatment (SBIRT) at pediatric trauma centers. The study addresses persistent gaps in meeting American College of Surgeons requirements for substance use screening in adolescent trauma patients.

• Pediatric trauma centers struggle to meet ACS criteria for alcohol screening and intervention in adolescent trauma patients.
• The SSL implementation strategy was tested to improve AOD SBIRT delivery in pediatric trauma settings.
• Step wedge cluster randomized trial design evaluated effectiveness of structured implementation approach.
• SBIRT addresses screening, brief intervention, and referral to treatment for alcohol and other drugs in injured youth.
• Implementation science methods can bridge the gap between evidence-based AOD interventions and clinical practice.

Written by the GCMD Library team from the article.