Evidence map›Paper›PMID 39885597›Full record

ArticleImplementation science communications2025

A qualitative process evaluation of SBIRT implementation in pediatric trauma centers using the Science to Service Laboratory implementation strategy.

Kelli Scott, Michael J Mello, Geraldine Almonte, Emely Arenas Lemus, Julie R Bromberg, Janette Baird, Anthony Spirito, Mark R Zonfrillo, Karla Lawson, Lois K Lee and 9 more

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Implementation science communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03297060 (Implementing Alcohol Misuse SBIRT in a National Cohort of Pediatric Trauma Centers), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

NCT03297060 nacompletednot on this map

Implementing Alcohol Misuse SBIRT in a National Cohort of Pediatric Trauma Centers

TypeinterventionalSponsorRhode Island HospitalRan2018 to 2024Enrolled430ConditionsAlcohol DrinkingArmsSSL Implementation Strategy
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

19 authors.

Kelli ScottCenter for Dissemination and Implementation Science, Northwestern University Feinberg School of Medicine, 633 N St Clair Street, Chicago, IL, USA. kelli.scott@northwestern.edu.ORCID http://orcid.org/0000-0002-4511-8825
Michael J MelloInjury Prevention Center of Rhode Island Hospital-Hasbro Children's Hospital, Department of Emergency Medicine, Alpert Medical School of Brown University, Department of Health Services, Policy and Practice, Brown University School of Public Health, 55 Claverick Street, Providence, RI, USA.
Geraldine AlmonteInjury Prevention Center of Rhode Island Hospital-Hasbro Children's Hospital, 55 Claverick Street, Providence, RI, USA.
Emely Arenas LemusInjury Prevention Center of Rhode Island Hospital-Hasbro Children's Hospital, 55 Claverick Street, Providence, RI, USA.
Julie R BrombergDepartment of Emergency Medicine, Injury Prevention Center of Rhode Island Hospital-Hasbro Children's Hospital, Alpert Medical School of Brown University, 55 Claverick Street, Providence, RI, USA.
Janette BairdDepartment of Emergency Medicine, Injury Prevention Center of Rhode Island Hospital-Hasbro Children's Hospital, Alpert Medical School of Brown University, 55 Claverick Street, Providence, RI, USA.
Anthony SpiritoDepartment of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI, USA.
Mark R ZonfrilloDepartment of Emergency Medicine, Department of Pediatrics, Injury Prevention Center of Rhode Island Hospital-Hasbro Children's Hospital, Alpert Medical School of Brown University, 55 Claverick Street, Providence, RI, USA.
Karla LawsonDell Children's Trauma and Injury Research Center, Trauma Services, Dell Children's Medical Center of Central Texas, 4900 Mueller Blvd., Austin, TX, USA.
Lois K LeeDivision of Emergency Medicine, Boston Children's Hospital, 333 Longwood Avenue, Boston, MA, USA.
Emily Christison-LagayYale Pediatric Surgery, Yale New Haven Children's Hospital, 1 Park Street, New Haven, CT, USA.
Stephanie RuestInjury Prevention Center of Rhode Island Hospital-Hasbro Children's Hospital, 593 Eddy Street, Claverick Building, Providence, RI, USA.
Jeremy AidlenDivision of Pediatric Surgery, UMass Memorial Medical Center - University Campus, 55 Lake Avenue North, Worcester, MA, USA.
Andrew KiraguDepartment of Pediatrics, University of Minnesota, Children's Hospital of Minnesota, Department of Pediatrics, Division of Critical Care, Hennepin Healthcare, University of Minnesota, 2530 Chicago Avenue, Minneapolis, MN, USA.
Charles PruittPediatric Emergency Medicine, Primary Children's Hospital, 100 N Mario Capecchi Dr, Salt Lake City, UT, USA.
Isam NasrDivision of Pediatric Surgery, Johns Hopkins Children's Center, The Johns Hopkins Hospital, 1800 Orleans St. The Charlotte R. Bloomberg Children's Center Building, Suite 7323, Baltimore, MD, USA.
Robert Todd MaxsonTrauma Services, Children's Hospital of Arkansas, Little Rock, AR, USA.
Beth EbelPediatric Clinic, Harborview Medical Center, 325 9th Ave, Seattle, WA, USA.
Sara J BeckerCenter for Dissemination and Implementation Science, Northwestern University Feinberg School of Medicine, 633 N St Clair Street, Chicago, IL, USA.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
IAMSBIRT: Implementing Alcohol Misuse SBIRT in a National Cohort of Pediatric Trauma CentersR01AA025914 · NIAAA · RHODE ISLAND HOSPITAL · PI MELLO, MICHAEL J · 2017 to 2021
$3.7M
Pilot Implementation of Measurement-Based Care in Community Opioid Treatment ProgramsK23DA050729 · NIDA · NORTHWESTERN UNIVERSITY AT CHICAGO · PI SCOTT, KELLI · 2021 to 2025
$946k
NCATS NIH HHS UL1 TR001863NIAAA NIH HHS R01 AA025914NIAAA NIH HHS R01AA025914NIDA NIH HHS K23 DA050729NIDA NIH HHS K23DA050729
6 · The paper itself

Abstract

backgroundScreening, Brief Intervention, and Referral to Treatment (SBIRT) is an evidence-based practice that can identify adolescents who use alcohol and other drugs and support proper referral to treatment. Despite an American College of Surgeons mandate to deliver SBIRT in pediatric trauma care, trauma centers throughout the United States have faced numerous patient, provider, and organizational level barriers to SBIRT implementation. The Implementing Alcohol Misuse Screening, Brief Intervention, and Referral to Treatment Study (IAMSBIRT) aimed to implement SBIRT across 10 pediatric trauma centers using the Science-to-Service Laboratory (SSL), an empirically supported implementation strategy. This manuscript aimed to assess trauma center staff preferences and experience with the didactic training, performance feedback, and ongoing coaching elements of the SSL via a retrospective qualitative process evaluation.

methodsNurses, social workers, and site leaders that participated in IAMSBIRT were recruited to complete qualitative exit interviews guided by the Consolidated Framework for Implementation Research. Qualitative interviews were recorded, transcribed, and analyzed by two coders using a directed content analysis approach in NVivo software. Codes were then translated into frequently endorsed themes by the IAMSBIRT study research team.

resultsThirty-six exit interviews were conducted with site leaders, social workers, and nurses across the 10 IAMSBIRT pediatric trauma centers. Findings revealed key strengths as well as areas for improvement across the IAMSBIRT preparation phase and the three elements of the SSL: didactic training, performance feedback, and ongoing coaching. Trauma center staff generally reported that all three elements of the SSL were high quality and helpful for supporting SBIRT implementation. However, staff also noted that performance feedback and ongoing coaching were generally only available to center leadership or to individuals selected by leadership, making it challenging for non-leaders to troubleshoot SBIRT delivery.

conclusionsFindings from the qualitative process evaluation revealed discrepancies in the experience of the SSL strategy between those in leadership roles and those involved in direct care delivery. These results suggest the need for several modifications to the SSL strategy, including increasing engagement of direct care staff in all elements of the SSL throughout the implementation process.

trial registrationClinicaltrials.gov NCT03297060 . Registered 29 September 2017.

Indexed as

AdolescentsImplementation sciencePediatric traumaProcess evaluationSBIRTSubstance use

Identifiers

PMID39885597
PMCPMC11783764

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Registered trials

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.