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Electronic-Screening, Brief Intervention and Referral to Treatment (e-SBIRT) for Addictive Disorders: Systematic Review and Meta-Analysis
Substance Use and Addiction Journal
Swansea University Authors:
Matthew Jones, Chris Seel, Simon Dymond
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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 date...
| Published in: | Substance Use and Addiction Journal |
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| ISSN: | 2976-7342 2976-7350 |
| Published: |
SAGE Publications
2024
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| Online Access: |
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| URI: | https://cronfa.swan.ac.uk/Record/cronfa66049 |
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| 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 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. |
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| Keywords: |
systematic review, meta-analysis, addiction, substance use, SBIRT, e-SBIRT, brief intervention, health screening |
| College: |
Faculty of Medicine, Health and Life Sciences |
| Funders: |
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. |