The BIG Hospital SBIRT Initiative

A Learning Collaborative to Expand SBIRT into Hospitals and Other Medical Settings

SBIRT Resources for Nursing

Pitt SoN (Pittsburgh School of Nursing) & IRETA (Institute for Research, Education and Training in Addictions) ATN (Addiction Training for Nurses) - SBIRT Project [via the Northeast Addiction Technology Transfer Center]
Literature Review
SBIRT Colorado Literature Review

This annotated bibliography is a partial listing of articles containing studies on SBIRT from 2003-2008, prepared by OMNI Institute for SBIRT Colorado. This is an edited selection that provides a wide overview as many of the same ideas found earlier than 2003 are included later with an updated perspective. The complete bibliography dating back to 1989 and containing 128 articles can be found on the SBIRT Colorado website:

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Reducing Patient At Risk Drinking developed by the Emergency Nurses Association

Guides nurses and other healthcare professionals through implementation of SBIRT in emergency room settings

Nurse Leaders Advocate for Role in Screening, Intervention and Referral By Celia Vimont

Effectiveness of a Nurse-led Alcohol Liaison Service in a Secondary Care Medical Unit by Ryder et al.

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Hospitalized patients? acceptability of nurse-delivered Screening, Brief Intervention, and Referral to Treatment (SBIRT) by Broyles LM, Rosenberger EM, Hanusa BH, Kraemer KL, Gordon  AJ. (2012). Alcoholism: Clinical and Experimental Research, in press. doi: 10.1111/j.1530-0277.2011.01651.x. [Epub ahead of print]


A qualitative study of anticipated barriers and facilitators to the implementation of nurse-delivered alcohol screening, brief intervention, and referral to treatment for hospitalized patients in a Veterans Affairs medical center by Broyles, LM, Rodriguez, KL, Kraemer, KL, Sevick, MA, Price, PA and Gordon AJ. (2 May 2012). AJ Addiction Science and Clinical Practice, 7:7.

A Clarion Call for Nurse-Led SBIRT Across the Continuum by Deborah S. Finnell

This commentary discusses the impact of the study by Broyles and colleagues (2012) that reported on hospitalized patients? acceptability of nurse-delivered screening, brief intervention, and referral to treatment (SBIRT). This cross-sectional survey study assessed patient acceptability for and comfort with nurse-delivered SBIRT. 

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Nurses Face Challenges in Implementing Alcohol Screening, Intervention, and Referral by Celia Vimont
Addiction Training for Undergraduate Nurses using Screening, Brief Intervention, and Referral to Treatment by Burns, et al.
Other articles that feature active roles for nurses in hospital SBIRT (of note, ALL are from outside the US):

  1. Owens L, Butcher G, Gilmore I et al. A randomised controlled trial of extended brief intervention for alcohol dependent patients in an acute hospital setting (ADPAC). BMC Public Health, 2011;11:528.
  2. Groves P, Pick S, Davis P, Cloudesley RCR, Forsythe M, Pilling S. Routine alcohol screening and brief interventions in general hospital in-patient wards: acceptability and barriers. Drugs: Education, Prevention, and Policy 2011;17(1):55-71.
  3. Fahy P, Croton G, Voogt S. Embedding routine alcohol screening and brief interventions in a rural general hospital. Drug and Alcohol Review 2011;30:47-54.
  4. Sullivan LE, Tetrault JM, Braithwaite RS, Turner BJ, Fiellin DA. A meta-analysis of the efficacy of nonphysician brief interventions for unhealthy alcohol use: implications for the patient-centered medical home. Am J Addict 2011;20(4):343-356.
  5. Ryder SD, Aithal GP, Holmes M, Burrows M, Wright NR. Effectiveness of a nurse-led alcohol liaison service in a secondary care medical unit. Clin Med 2010;10(5):435-440.
  6. Tsai YF, Tsai MC, Lin YP, Chen CY. Brief intervention for problem drinkers in a Chinese population: a randomized controlled trial in a hospital setting. Alcohol Clin Exp Res 2009;33(1):95-101.
  7. Lock CA, Kaner EF. Implementation of brief alcohol interventions by nurses in primary care: do non-clinical factors influence practice? Fam Pract 2004;21(3):270-275.
  8. Lock CA, Kaner E, Heather N et al. Effectiveness of nurse-led brief alcohol intervention: a cluster randomized controlled trial. J Adv Nurs 2006;54(4):426-439.
  9. Lock CA, Kaner E, Lamont S, Bond S. A qualitative study of nurses' attitudes and practices regarding brief alcohol intervention in primary health care. J Adv Nurs 2002;39(4):333-342.
  10. Littlejohn C, Holloway A. Nursing interventions for preventing alcohol-related harm. Br J Nurs 2008;17(1):53-59.
  11. Holloway A, Watson H, Starr G. How do we increase problem drinkers' self-efficacy? A nurse-led brief intervention putting theory into practice. Journal of Substance Use 2006;11(6):375-386.
  12. Holloway A, Watson HE. Screening for hazardous/harmful alcohol consumption amongst general hospital in-patients: establishing concurrent validity of the Alcohol Use Disorders Identification Test in the UK. Journal of Substance Use 2005;5:263-271.
  13. Holloway AS, Watson HE, Arthur AJ, Starr G, McFadyen AK, McIntosh J. The effect of brief interventions on alcohol consumption among heavy drinkers in a general hospital setting. Addiction 2007;102(11):1762-1770.
  14. Griffiths RD, Stone A, Tran DT, Fernandez RS, Ford K. Drink a little; take a few drugs: do nurses have knowledge to identify and manage in-patients at risk of drugs and alcohol? Drug Alcohol Rev 2007;26(5):545-552.
  15. Tran D, Stone A, Fernandez R, Griffiths R, Johnson M. Changes in general nurses' knowledge of alcohol and substance use and misuse after education. Perspect Psychiatr Care 2009;45(2):128-139.
  16. Tran DT, Stone AMFRS, Griffiths RD, Johnson M. Does implementation of clinical practice guidelines change nurses' screening for alcohol and other substance use? Contemp Nurse 2009;33(1):13-19.