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

> **NIH NIH R01** · RHODE ISLAND HOSPITAL · 2020 · $187,525

## Abstract

PROJECT SUMMARY
The American College of Surgeons mandate universal screening for alcohol misuse and delivery of a brief
intervention for those screening positive as a requirement for certification as a level one trauma center. Though
this requirement has been mandated for over a decade, its implementation has been challenging, especially for
pediatric trauma centers. Our currently funded study, IAMSBIRT, tests the effectiveness of a comprehensive
implementation strategy in increasing the implementation of SBIRT for alcohol and other drug (AOD) use in
pediatric trauma centers through a Type III hybrid effectiveness-implementation trial. This goal is accomplished
through: Primary Aim: Evaluate the effectiveness of the SSL implementation strategy in increasing fidelity of
SBIRT delivery at pediatric trauma centers, relative to usual implementation; Secondary Aim 1: Evaluate
whether readiness for organizational change mediates the influence of the SSL implementation strategy on
implementation effectiveness (i.e., fidelity of SBIRT delivery); Secondary Aim 2: Evaluate the effect of the SSL
implementation strategy on improving patient linkage to appropriate care (i.e., continued AOD discussion with
primary care provider and/or AOD treatment) following discharge from pediatric trauma centers; and
Exploratory Aim: Examine the integration of counseling regarding the use of prescription pain relievers into
SBIRT delivery with injured adolescent patients who screen positive for AOD use. Utilizing a stepped wedge
design, a national cohort of 10 pediatric trauma centers receive the SSL implementation strategy. At six distinct
time points, each site provides data from a sample of thirty electronic health records (EHRs); a subset of
adolescents report on fidelity of intervention delivery and linkage to care. Clinical staff from each pediatric
trauma center report on organizational readiness for implementation at three distinct time points. The
administrative supplement requested will expand our EHR review to be of all admitted adolescents across all
wedges (including those already occurred) to examine providers’ clinical notes 30 days post discharge for
evidence of linkage to care (AOD follow up discussions/ AOD treatment) after the trauma center visit. This
change is necessary to effectively examine Secondary Aim 2 given changes in the research protocol due to the
COVID-19 pandemic. Results of this study will demonstrate that a highly scalable implementation strategy will
improve the fidelity (i.e., the consistency and quality) of SBIRT delivery in pediatric trauma centers.

## Key facts

- **NIH application ID:** 10170926
- **Project number:** 3R01AA025914-04S1
- **Recipient organization:** RHODE ISLAND HOSPITAL
- **Principal Investigator:** Michael J Mello
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $187,525
- **Award type:** 3
- **Project period:** 2017-08-01 → 2022-07-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10170926

## Citation

> US National Institutes of Health, RePORTER application 10170926, IAMSBIRT: Implementing Alcohol Misuse SBIRT in a National Cohort of Pediatric Trauma Centers (3R01AA025914-04S1). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/10170926. Licensed CC0.

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