Evidence map›Paper›PMID 31836903›Full record

ArticleFamily practice2020

Pilot of a screening, brief intervention and referral to treatment process for symptoms of trauma among primary care patients.

Jaedon P Avey, Laurie Moore, Barbara Beach, Vanessa Y Hiratsuka, Lisa G Dirks, Denise A Dillard, Douglas Novins

Open access · greenAbstract read
In one paragraph

Article in Family practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact, top 70% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Jaedon P AveyResearch Department, Southcentral Foundation, Anchorage.
Laurie MooreCenters for American Indian and Alaska Native Health, University of Colorado Anschutz Medical Campus, Aurora.
Barbara BeachBehavioral Health, Cherokee Nation, Tahlequah, USA.
Vanessa Y HiratsukaResearch Department, Southcentral Foundation, Anchorage.
Lisa G DirksResearch Department, Southcentral Foundation, Anchorage.
Denise A DillardResearch Department, Southcentral Foundation, Anchorage.
Douglas NovinsCenters for American Indian and Alaska Native Health, University of Colorado Anschutz Medical Campus, Aurora.
Southcentral Foundation · USNative Health · USCherokee Nation · US

Funding

Tracking and Evaluation CoreU54GM115371 · NIGMS · MONTANA STATE UNIVERSITY - BOZEMAN · PI QUINN, MARK T, RASMUS, STACY M. · 2016 to 2020
$20.9M
Trauma Screening, brief intervention and referral among AI/AN adultsP60MD000507 · NIMHD · UNIVERSITY OF COLORADO DENVER · PI MANSON, SPERO MARTIN · 2003 to 2016
$16.1M
Population-based Interventions to Improve Behavioral Health in a Tribal Healthcare SystemS06GM123545 · NIGMS · SOUTHCENTRAL FOUNDATION · PI DILLARD, DENISE A · 2017 to 2020
$1.6M
NIGMS NIH HHS S06 GM123545NIGMS NIH HHS U54 GM115371NIMHD NIH HHS P60 MD000507
6 · The paper itself

Abstract

backgroundFor populations with high rates of trauma exposure yet low behavioural health service use, identifying and addressing trauma in the primary care setting could improve health outcomes, reduce disability and increase the efficiency of health system resources.

objectiveTo assess the acceptability and feasibility of a screening, brief intervention and referral to treatment (SBIRT) process for trauma and symptoms of posttraumatic stress disorder (PTSD) among American Indian and Alaska Native people. We also examine the short-term effects on service utilization and the screening accuracy of the Primary Care Posttraumatic Stress Disorder Screen.

methodsCross-sectional pilot in two tribal primary care settings. Surveys and interviews measured acceptability among patients and providers. Health service utilization was used to examine impact. Structured clinical interview and a functional disability measure were used to assess screening accuracy.

resultsOver 90% of patient participants (N = 99) reported the screening time was acceptable, the questions were easily understood, the right staff were involved and the process satisfactory. Ninety-nine percent would recommend the process. Participants screening positive had higher behavioural health utilization in the 3 months after the process than those screening negative. The Primary Care Posttraumatic Stress Disorder Screen was 100% sensitive to detect current PTSD with 51% specificity. Providers and administrators reported satisfaction with the process.

conclusionsThe SBIRT process shows promise for identifying and addressing trauma in primary care settings. Future research should explore site specific factors, cost analyses and utility compared to other behavioural health screenings.

Indexed as

Indians, North AmericanPrimary Health CareAdultCrisis InterventionCross-Sectional StudiesFemaleHumansMaleMass ScreeningMiddle AgedPilot ProjectsPsychological TraumaReferral and ConsultationStress Disorders, Post-TraumaticSurveys and QuestionnairesAboriginal health/Native populationsmultidisciplinary careposttraumatic stress disorder (PTSD)primary carescreeningtrauma

Identifiers

PMID31836903
PMCPMC7377346
OpenAlexW3013837396

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.