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A Novel Training Modality for Providers in the Emergency Department Using a Computer-Based Scenario: A Pilot Study
Stephanie A Kehler1, Bassema Abufarsakh2, Sarret Seng3
1Stephanie A. Kehler, PhD, BSN, University of Kentucky, Lexington, KY, USA.
Journal of the American Psychiatric Nurses Association
|December 18, 2024
Summary
Emergency department providers found computer-based Screening, Brief Intervention, and Referral to Treatment (SBIRT) training desirable and acceptable. This education may improve their proficiency in addressing substance use disorders (SUDs) in patients.
Area of Science:
- Emergency Medicine
- Addiction Psychiatry
- Medical Education Technology
Background:
- Substance use disorders (SUDs) are a growing concern in emergency departments (EDs).
- ED providers often lack sufficient knowledge and confidence in managing SUDs, impacting patient outcomes.
- A need exists for effective training solutions for SUD management in the ED setting.
Purpose of the Study:
- To evaluate the desirability, applicability, and acceptability of a computer-based Screening, Brief Intervention, and Referral to Treatment (SBIRT) education module for ED providers.
- To assess changes in SUD knowledge and proficiency scores among ED providers after completing the SBIRT training.
Main Methods:
- A computer-based SBIRT education scenario was developed for ED providers at an academic medical center.
- Fifteen participants evaluated the tool's desirability, applicability, and acceptability.
- A pre-/post-test design measured changes in SUD knowledge and proficiency.
Main Results:
- The SBIRT education scenario received high ratings (≥4.0/5.0) for desirability, applicability, and acceptability.
- Participant knowledge scores showed a non-significant increase from 3.5 to 3.8.
- Proficiency scores demonstrated a 25% improvement.
Conclusions:
- Computer-based SBIRT training is a potentially acceptable and effective method for enhancing ED provider proficiency in addressing SUDs.
- Further research with larger sample sizes is warranted to validate these findings.

