Date of Award

2023

Document Type

Project

College/School

College of Nursing

Degree Name

Doctor of Nursing Practice (DNP)

Project Mentor

Jila Mirlashari

Readers

Rashida N. Love

Abstract

Purpose: The present study had two aims: 1) to increase the self-perceived confidence level of primary care providers in their ability to screen and implement brief interventions with older adults (OAs) with substance use disorders and 2) to understand the primary care providers perception of the provided Screening Brief Intervention and Referral to Treatment (SBIRT) training session/toolkit. Background: OAs are more at risk for SUDs due to varying social factors they experience at their stage of life. Design: The study was a non-experimental one group pretest-posttest design. The participants were primary care providers (N=4). The intervention consisted of an in-person training specific to OAs with suspected SUDs (or that engage in risky substance use behavior) combined with a resource toolkit. Confidence and behavior practices were measured via survey before and after the intervention. Additionally, feedback regarding the intervention was solicited from participating providers. Results: For behavior practices prior to the intervention: 56.25% of providers always asked questions related to drug/alcohol use, 31.35% always asked questions related to assessing drug/alcohol. 10.34% reported they always provided education related to drug/alcohol use. There was no change in confidence but an improvement in screening behavior with the providers that completed the posttest. Conclusions: Confidence did not change in this clinic but behavior of screening increased. A larger sample size is needed to make results generalizable to the population of primary care providers. Implications: More tools are needed in the primary care setting in order for screening practices to increase.

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