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Academic Psychiatry

, Volume 42, Issue 2, pp 309–312 | Cite as

Video Modeling of SBIRT for Alcohol Use Disorders Increases Student Empathy in Standardized Patient Encounters

  • Anthony Crisafio
  • Victoria Anderson
  • Julia Frank
In Brief Report

Abstract

Objectives

The purpose of this study was to assess the usefulness of adding video models of brief alcohol assessment and counseling to a standardized patient (SP) curriculum that covers and tests acquisition of this skill.

Methods

The authors conducted a single-center, retrospective cohort study of third- and fourth-year medical students between 2013 and 2015. All students completed a standardized patient (SP) encounter illustrating the diagnosis of alcohol use disorder, followed by an SP exam on the same topic. Beginning in August 2014, the authors supplemented the existing formative SP exercise on problem drinking with one of two 5-min videos demonstrating screening, brief intervention, and referral for treatment (SBIRT). P values and Z tests were performed to evaluate differences between students who did and did not see the video in knowledge and skills related to alcohol use disorders.

Results

One hundred ninety-four students were included in this analysis. Compared to controls, subjects did not differ in their ability to uncover and accurately characterize an alcohol problem during a standardized encounter (mean exam score 41.29 vs 40.93, subject vs control, p = 0.539). However, the SPs’ rating of students’ expressions of empathy were significantly higher for the group who saw the video (81.63 vs 69.79%, p < 0.05).

Conclusions

The findings did not confirm the original hypothesis that the videos would improve students’ recognition and knowledge of alcohol-related conditions. However, feedback from the SPs produced the serendipitous finding that the communication skills demonstrated in the videos had a sustained effect in enhancing students’ professional behavior.

Keywords

Video modeling Alcohol interventions SBIRT 

Notes

Acknowledgements

Thanks to Margaret Chisholm, Johns Hopkins University School of Medicine, for sharing the videos.

Compliance with Ethical Standards

This study used only non-copyrighted videos available from SBIRT Oregon.

Ethical Considerations

Study received a waiver from the GWU IRB. Data from student subjects was de-identified before analysis to protect confidentiality.

Disclosure

On behalf of all authors, the corresponding author states that there is no conflict of interest.

Funding Sources

None

References

  1. 1.
    National Resident Matching Program. National Resident Matching Program, Results and Data: 2015 main residency match®. Washington, DC: National Resident Matching Program; 2015. p. 1–120.Google Scholar
  2. 2.
    Ram A, Chisolm MS. The time is now: improving substance abuse training in medical schools. Acad Psychiatry. 2016;40:1–7.CrossRefGoogle Scholar
  3. 3.
    Madras BK, Compton WM, Avula D, Stegbauer T, Stein JB, Clark HW. Screening, brief interventions, referral to treatment (SBIRT) for illicit drug and alcohol use at multiple healthcare sites: comparison at intake and 6 months later. Drug Alcohol Depend. 2009;99:280–95.CrossRefPubMedGoogle Scholar
  4. 4.
    Babor TF, McRee BG, Kassebaum PA, Grimaldi PL, Ahmed K, Bray J. Screening, Brief Intervention, and Referral to Treatment (SBIRT). Subst Abus. 2007;28:7–30.CrossRefPubMedGoogle Scholar
  5. 5.
    McCance-Katz EF, Satterfield J. SBIRT: a key to integrate prevention and treatment of substance abuse in primary care. Am J Addict. 2012;21:176–7.CrossRefPubMedPubMedCentralGoogle Scholar
  6. 6.
    Gagliano ME. A literature review on the efficacy of video in patient education. J Med Educ. 1988;63:785–92.PubMedGoogle Scholar
  7. 7.
    Lee JT, Qiu M, Teshome M, Raghavan SS, Tedesco MM, Dalman RL. The utility of endovascular simulation to improve technical performance and stimulate continued interest of preclinical medical students in vascular surgery. J Surg. 2009;66:367–73.Google Scholar
  8. 8.
    Okuda Y, Bryson EO, DeMaria Jr S, Jacobson L, Quinones J, Shen B, et al. The utility of simulation in medical education: what is the evidence? Mt Sinai J Med. 2009;76:330–43.CrossRefPubMedGoogle Scholar
  9. 9.
    Harder BN. Use of simulation in teaching and learning in health sciences: a systematic review. J Nurs Educ. 2010;49:23–8.CrossRefPubMedGoogle Scholar
  10. 10.
    Brief intervention: “Steve” [Internet]. 2010. Available from: https://www.youtube.com/watch?v=b-ilxvHZJDc. Accessed 27 Dec 2016.
  11. 11.
    SBIRT Oregon. Brief Intervention: “Jill” [Internet]. 2010. Available from: https://www.youtube.com/watch?v=MaxHuf17A44. Accessed 27 Dec 2016.
  12. 12.
    Allen JP, Columbus M, editors. Assessing alcohol problems: a guide for clinicians and researchers. Washington DC: National Institute on Alcohol Abuse and Alcoholism; 1995.Google Scholar
  13. 13.
    SPSS Inc. IBM SPSS statistics for Macintosh, Version 23.00.Google Scholar
  14. 14.
    American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Washington DC: American Psychiatric Association; 1994.Google Scholar
  15. 15.
    American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Washington DC: American Psychiatric Association; 2013.CrossRefGoogle Scholar

Copyright information

© Academic Psychiatry 2017

Authors and Affiliations

  1. 1.The George Washington UniversityWashingtonUSA
  2. 2.University of MarylandBaltimoreUSA

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