• Dawson Rose Carol C School of Nursing, University of California, San Francisco, USA, carol.dawson-rose@ucsf.edu., Yvette P Cuca, Emiko Kamitani, Shannon Eng, Roland Zepf, Jessica Draughon, and Paula Lum.
• School of Nursing, University of California, San Francisco, USA, carol.dawson-rose@ucsf.edu.
• AIDS Behav. 2015 Jun 1; 19 Suppl 2: 186-93.

AbstractSubstance use among people living with HIV is high, and screening, brief intervention, and referral to treatment (SBIRT) is an evidence-based approach to addressing the issue. We examined whether patients would participate in a technology-based SBIRT program in an urban HIV clinic. An SBIRT intervention was programmed into the clinic's web-based patient portal linked to their personal health record. We examined: demographic, health, HIV, and substance use characteristics of participants who completed the web-based intervention compared to those who did not. Fewer than half of the 96 participants assigned to the web-based SBIRT completed it (n = 39; 41 %). Participants who completed the web-based intervention had significantly higher amphetamine SSIS scores than those who did not complete the intervention. Participants whose substance use is more harmful may be more motivated to seek help from a variety of sources. In addition, it is important that technology-based approaches to behavioral interventions in clinics take into consideration feasibility, client knowledge, and comfort using technology.

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