ArticleDiscover health systems2026
Health professional perspectives on integrating substance use services into pediatric hospitals for adolescents with chronic medical conditions.
Article in Discover health systems, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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.
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Who cites it
1 citing paper in PubMed.
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Authors and funding
7 authors.
Funding
Abstract
Adolescents with chronic medical conditions (A-CMCs) are at elevated risk for alcohol and substance use (SU) and its adverse health consequences, yet screening and intervention remain limited in pediatric hospitals. This study identified barriers and facilitators to SBIRT implementation within an urban pediatric hospital, using the Learning Health System (LHS) framework and the Consolidated Framework for Implementation Research (CFIR) to embed SU prevention into routine clinical care. Guided by CFIR, we conducted semi-structured interviews with 26 multidisciplinary hospital staff. Interviews were analyzed deductively using CFIR domains to elucidate determinants influencing SBIRT implementation, with attention to LHS principles of continuous learning and data-driven improvement. Facilitators included provider perception of SBIRT effectiveness, alignment with existing hospital workflows, electronic health record integration with decision support tools, and engagement of behavioral health staff, which are all consistent with LHS mechanisms of routine data use and continuous learning. Barriers included high patient acuity in the pediatric emergency department and inpatient settings, insufficient SU screening protocols, competing workload priorities, unclear role responsibilities, billing challenges, and concerns regarding SU stigma among patients and families. Participants emphasized that implementing SBIRT in pediatric inpatient settings requires multi-level strategies that leverage LHS strengths such as embedded data capture, real-time decision support, and continuous quality improvement cycles to overcome barriers. Addressing identified barriers via workflow piloting, standardized screening tools, leadership alignment, and training may enhance system capacity. Future research should evaluate LHS-enabled implementation models for SBIRT to scale equitable SU interventions within pediatric hospital settings. Supplementary Information: The online version contains supplementary material available at 10.1007/s44250-026-00357-4.
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Registered trials
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