Volume 7 Supplement 1

International Network on Brief Interventions for Alcohol and Other Drugs (INEBRIA) Meeting 2011

Open Access

Screening, brief intervention, and referral to treatment for alcohol and other drug use among adolescents: evaluation of a pediatric residency curriculum

  • Sheryl Ryan1,
  • Shara Martel2,
  • Michael Pantalon3,
  • Steve Martino3,
  • Jeanette Tetrault4,
  • Stephen Thung5,
  • Steven Bernstein2,
  • Peggy Auinger6 and
  • Gail D’Onofrio2
Addiction Science & Clinical Practice20127(Suppl 1):A98


Published: 9 October 2012

Alcohol and other drug use and misuse are increasing in pediatric populations. As part of a US Substance Abuse and Mental Health Services Administration resident training grant, we sought to demonstrate the feasibility and effectiveness of initiating screening, brief intervention, and referral to treatment (SBIRT) in a pediatric residency program. We evaluated the efficacy of a training program for all second- and third-year pediatric and/or medicine/pediatric residents in an adolescent medicine rotation located in an urban teaching hospital. Main outcome measures were pre-/post-training knowledge scores, performance of the Brief Negotiated Interview (BNI) as measured by the BNI adherence scale in pre-/post-training standardized patient encounters (SPE), training satisfaction, and tracking of BNI performance. Thirty-four residents were trained (30 in pediatrics and four in medicine/pediatric programs). The mean age of participants was 28 years (range, 25-35 years); 26 (76%) were women. Fifty percent reported 0-5 hours of didactic training in medical school and residency. Thirty-five percent reported that they never had formal or informal teaching regarding alcohol and drug problems in their residency. There was a significant improvement in knowledge scores pre-/post-training (20.5 versus 23.4, p < 0.001) and a significant improvement in BNI adherence scores during SPE (3.1 versus 8.4, p < 0.001). Residents were very satisfied with their training, reporting a score of 1.6 on a scale of one to five (one = very satisfied, five = very dissatisfied). Integrating an SBIRT curriculum into a pediatric residency program is feasible and effective in increasing residents’ knowledge and skills in performing screening and brief interventions among adolescents and young adults.

Authors’ Affiliations

Department of Adolescent Medicine, Yale University School of Medicine
Department of Emergency Medicine, Yale University School of Medicine
Department of Psychiatry, Yale University School of Medicine
Department of General Internal Medicine, Yale University School of Medicine
Department of Obstetrics, Gynecology, and Reproductive Medicine, Yale University School of Medicine
Department of Neurology, University of Rochester Medical Center


© Ryan et al; licensee BioMed Central Ltd. 2012

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.