The SBIRT program matrix: a conceptual framework for program implementation and evaluation

Area of Science:

• Public Health
• Substance Use Disorder Services
• Implementation Science

Background:

• Screening, Brief Intervention and Referral to Treatment (SBIRT) is an integrated public health approach for individuals at risk of alcohol and drug-related harm.
• Research on SBIRT implementation has not kept pace with studies on its efficacy and effectiveness.

Purpose of the Study:

• To introduce the SBIRT Program Matrix, a conceptual framework designed to guide SBIRT implementation research.
• To specify potential outcomes related to the implementation of SBIRT programs.

Main Methods:

• The SBIRT Program Matrix is described, detailing its five core components and associated elements.
• Potential implementation outcomes are outlined, encompassing program adoption, feasibility, fidelity, and sustainability.

Main Results:

• The SBIRT Program Matrix includes components such as SBIRT services, performance sites, provider attributes, patient populations, and management structure.
• Key implementation outcomes identified are program adoption, acceptability, appropriateness, feasibility, fidelity, costs, penetration, sustainability, service provision, and grant compliance.

Conclusions:

• The SBIRT Program Matrix serves as a template for organizing and classifying variations within SBIRT programs.
• This framework facilitates the investigation of variables linked to successful SBIRT implementation and treatment outcomes.