SBIRT Learning Series Evaluation for Nurses & Social Workers

Post Training Evaluation

Please take a few moments to evaluation this training.  Your input will help inform future sessions. 
IMPORTANT!!
Once you complete the post-training evaluation and click FINISHED and you will be redirected to a webpage to print or save your continuing education certificate.
If you have difficulties completing this survey, contact Amy Wales at amy.wales@miccsi.org.

Demographics
1.Personal Information(Required.)
2.Please choose your organization from the choices below:(Required.)
3.Please choose your role:(Required.)
4.Do you attest that you have completed ALL required sessions of this learning series?(Required.)
5.After attending this learning series, please indicate your confidence in utilizing SBIRT screening tools to assist with managing patients with AUD or SUD.(Required.)
Less Confident-1
Same Confidence-2
Increased Confidence-3
6.On a scale of 1-5, how would you rate this learning series overall? (Scale: 1=very dissatifed & 5=very satisfied)(Required.)
1
2
3
4
5
7.What did you like most about this learning series?
8.What did you like least about this learning series?
9.Do you have specific suggestions as to how this learning series might be improved?
10.Did you feel the content was:(Required.)
Just right
Too advanced
Too basic
11.(Nurses please skip this question)
Did the presentations and materials meet the following objectives?
Objective 1: Review history taking and placement in the substance use continuum.
Objective 2:State the prevalence of high-risk use and substance use disorder and the proportion of patients with SUD that receive treatment.
Objective 3: Explain the process of SBIRT and evidence for effective treatment.
Objective 4:Review patient selection, administration and interpretation for assessing SUD.
Objective 5: Administer and interpret AUD/SUD for adults.
Objective 6: Administer and interpret AUD/SUD for Adolescents.
Objective 7: Explain 2 key ways of maximizing patient participation in SBIRT.
Objective 8: Describe SUD treatment levels and placement criteria.
Objective 9:  Enumerate the various kinds of non-pharmacological treatment.
Objective 10: Explain the various pharmacotherapy options for opioid and alcohol use disorders.
Objective 11: Describe the spirit of motivational interviewing
Objective 12: Explain MI Key Concepts of leveraging change and change talk.
Objective 13: Execute MI skills of Reflections, Open questions, giving information and summarizing & asking key questions.
Objective 14: Describe BI’s and their effectiveness.
Objective 15: Delineate the steps of BI.
Objective 16: Explain a process for assessing effectiveness of BI
Objective 17: Conduct and BI demo.
Objective 18: Identify referral to treatment steps.
Objective 19: Using a self-evaluation tool, evaluate your performance through the interactive video responses.
Objective 20: Delineate the barriers to durable changes in drinking and drug use.
Objective 21: Address those barriers during follow-up visits.
Yes
No
12.As a result of completing this training, I have gained knowledge on how to use the AUD and SUD screening tools.
(Scale: 1=Not at all, 2=Slightly, 3=Somewhat, 4=Fairly well, 5=Fully)
(Required.)
1
2
3
4
5
13.After attending this learning series, do you intend to change your practice behavior?(Required.)
14.After attending this session, I have the ability to apply the skills learned in my role.(Required.)
15.What new abilities/strategies have you gained from this training?
16.Was the information/material presented in this learning activity free from commercial bias?(Required.)
17.If you answered no to the above question, please explain.
18.Additional Comments: