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Electronic-Screening, Brief Intervention and Referral to Treatment (e-SBIRT) for Addictive Disorders: Systematic Review and Meta-Analysis

Matthew Jones, Chris Seel, Simon Dymond Orcid Logo

Substance Use and Addiction Journal, Volume: 45, Issue: 4, Pages: 736 - 752

Swansea University Authors: Matthew Jones, Chris Seel, Simon Dymond Orcid Logo

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DOI (Published version): 10.1177/29767342241248926

Abstract

Background: Addictive disorders are significant global public health burdens. Treatment uptake with these disorders is low and outcomes can be mixed. Electronic screening, brief intervention, and referral to treatment (e-SBIRT) programs have potential to improve uptake and treatment outcomes. To dat...

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Published in: Substance Use and Addiction Journal
ISSN: 2976-7342 2976-7350
Published: SAGE Publications 2024
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URI: https://cronfa.swan.ac.uk/Record/cronfa66049
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Meta-analysis found e-SBIRT to be effective at reducing drinking frequency in the short term only. e-SBIRT was not found to be advantageous over control conditions for abstinence or other treatment outcomes. We identified and described common components of e-SBIRT programs and assessed the quality of available evidence, which was generally poor. Conclusion: The present findings suggest that research regarding e-SBIRT is concentrated exclusively on higher-risk substance use. There is a lack of consensus regarding the effectiveness of e-SBIRT for addictive disorders. Although common features exist, e-SBIRT designs are variable, which complicates identification of the most effective components. 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spelling 2024-10-17T14:29:21.0209940 v2 66049 2024-04-12 Electronic-Screening, Brief Intervention and Referral to Treatment (e-SBIRT) for Addictive Disorders: Systematic Review and Meta-Analysis d063b18627093a02f325955f76eeeb76 Matthew Jones Matthew Jones true false efcdb46fbc410e8f4fa1484775979cc9 Chris Seel Chris Seel true false 8ed0024546f2588fdb0073a7d6fbc075 0000-0003-1319-4492 Simon Dymond Simon Dymond true false 2024-04-12 MEDS Background: Addictive disorders are significant global public health burdens. Treatment uptake with these disorders is low and outcomes can be mixed. Electronic screening, brief intervention, and referral to treatment (e-SBIRT) programs have potential to improve uptake and treatment outcomes. To date, however, no prior review of the literature has been conducted to gauge the effectiveness of e-SBIRT for addictive disorders. Methods: We conducted a systematic review and meta-analysis of the literature concerning e-SBIRT for addictive disorders by surveying the MEDLINE, PubMed, Web of Science, Scopus, Embase, and PsycInfo databases on January 17, 2023. Results: Ten articles were included at analysis reporting evaluation of e-SBIRT interventions for substance use disorders including alcohol use in a variety of settings. No articles were identified regarding treatment for behavioral addictions such as disordered/harmful gambling. Meta-analysis found e-SBIRT to be effective at reducing drinking frequency in the short term only. e-SBIRT was not found to be advantageous over control conditions for abstinence or other treatment outcomes. We identified and described common components of e-SBIRT programs and assessed the quality of available evidence, which was generally poor. Conclusion: The present findings suggest that research regarding e-SBIRT is concentrated exclusively on higher-risk substance use. There is a lack of consensus regarding the effectiveness of e-SBIRT for addictive disorders. Although common features exist, e-SBIRT designs are variable, which complicates identification of the most effective components. Overall, the quality of outcome evidence is low, and furthermore, high-quality experimental treatment evaluation research is needed. Journal Article Substance Use and Addiction Journal 45 4 736 752 SAGE Publications 2976-7342 2976-7350 Systematic review, meta-analysis, addiction, substance use, SBIRT, e-SBIRT, brief intervention, health screening 1 10 2024 2024-10-01 10.1177/29767342241248926 COLLEGE NANME Medical School COLLEGE CODE MEDS Swansea University SU Library paid the OA fee (TA Institutional Deal) The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was funded by Gambling Research Exchange Ontario (GREO). The funding organization had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication. 2024-10-17T14:29:21.0209940 2024-04-12T13:25:42.4456946 Faculty of Medicine, Health and Life Sciences School of Psychology Matthew Jones 1 Chris Seel 2 Simon Dymond 0000-0003-1319-4492 3 66049__30432__eee477f60dbc4e7eaafe9dd7dadea4d9.pdf 66049.VoR.pdf 2024-05-22T12:58:17.9025007 Output 692986 application/pdf Version of Record true This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License. true eng https://creativecommons.org/licenses/by-nc/4.0/
title Electronic-Screening, Brief Intervention and Referral to Treatment (e-SBIRT) for Addictive Disorders: Systematic Review and Meta-Analysis
spellingShingle Electronic-Screening, Brief Intervention and Referral to Treatment (e-SBIRT) for Addictive Disorders: Systematic Review and Meta-Analysis
Matthew Jones
Chris Seel
Simon Dymond
title_short Electronic-Screening, Brief Intervention and Referral to Treatment (e-SBIRT) for Addictive Disorders: Systematic Review and Meta-Analysis
title_full Electronic-Screening, Brief Intervention and Referral to Treatment (e-SBIRT) for Addictive Disorders: Systematic Review and Meta-Analysis
title_fullStr Electronic-Screening, Brief Intervention and Referral to Treatment (e-SBIRT) for Addictive Disorders: Systematic Review and Meta-Analysis
title_full_unstemmed Electronic-Screening, Brief Intervention and Referral to Treatment (e-SBIRT) for Addictive Disorders: Systematic Review and Meta-Analysis
title_sort Electronic-Screening, Brief Intervention and Referral to Treatment (e-SBIRT) for Addictive Disorders: Systematic Review and Meta-Analysis
author_id_str_mv d063b18627093a02f325955f76eeeb76
efcdb46fbc410e8f4fa1484775979cc9
8ed0024546f2588fdb0073a7d6fbc075
author_id_fullname_str_mv d063b18627093a02f325955f76eeeb76_***_Matthew Jones
efcdb46fbc410e8f4fa1484775979cc9_***_Chris Seel
8ed0024546f2588fdb0073a7d6fbc075_***_Simon Dymond
author Matthew Jones
Chris Seel
Simon Dymond
author2 Matthew Jones
Chris Seel
Simon Dymond
format Journal article
container_title Substance Use and Addiction Journal
container_volume 45
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publishDate 2024
institution Swansea University
issn 2976-7342
2976-7350
doi_str_mv 10.1177/29767342241248926
publisher SAGE Publications
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Psychology{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Psychology
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description Background: Addictive disorders are significant global public health burdens. Treatment uptake with these disorders is low and outcomes can be mixed. Electronic screening, brief intervention, and referral to treatment (e-SBIRT) programs have potential to improve uptake and treatment outcomes. To date, however, no prior review of the literature has been conducted to gauge the effectiveness of e-SBIRT for addictive disorders. Methods: We conducted a systematic review and meta-analysis of the literature concerning e-SBIRT for addictive disorders by surveying the MEDLINE, PubMed, Web of Science, Scopus, Embase, and PsycInfo databases on January 17, 2023. Results: Ten articles were included at analysis reporting evaluation of e-SBIRT interventions for substance use disorders including alcohol use in a variety of settings. No articles were identified regarding treatment for behavioral addictions such as disordered/harmful gambling. Meta-analysis found e-SBIRT to be effective at reducing drinking frequency in the short term only. e-SBIRT was not found to be advantageous over control conditions for abstinence or other treatment outcomes. We identified and described common components of e-SBIRT programs and assessed the quality of available evidence, which was generally poor. Conclusion: The present findings suggest that research regarding e-SBIRT is concentrated exclusively on higher-risk substance use. There is a lack of consensus regarding the effectiveness of e-SBIRT for addictive disorders. Although common features exist, e-SBIRT designs are variable, which complicates identification of the most effective components. Overall, the quality of outcome evidence is low, and furthermore, high-quality experimental treatment evaluation research is needed.
published_date 2024-10-01T14:32:20Z
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