Screening, Brief Intervention, and Referral to Treatment (SBIRT) is an evidence-based process healthcare personnel use to screen, manage, and triage patients struggling with substance use. The process requires clinic staff to furnish patients with structured screening questions. Providers can then offer treatment and mental health referral when indicated. Our team recently deployed a digital tablet-based version of the SBIRT screening questions in primary care. However, we needed to assess patient-reported usability of our approach because negative perceptions could limit clinic adoption, patient completion of the process, and effective referral. We, therefore, conducted a usability evaluation of our digital SBIRT screening instrument using a cross-sectional patient survey. Most participants (64.2%) reported completing the screening questions in under five minutes, with no reports of completion times exceeding fifteen minutes. Our results suggest the tablet-based SBIRT screener is easy to understand and can be efficiently completed before a clinical encounter. Furthermore, patients believed the digital SBIRT screener increases clinician awareness of patient health issues and promotes positive action. These findings support the continued use, wider adoption, and integration of digital SBIRT tools in clinical settings.

Keywords: Substance abuse; health screening; human factors; usability.

筛查、简短干预和转诊治疗（SBIRT）是一种基于证据的过程，医疗人员用它来筛查、管理和分流正在与物质使用问题作斗争的患者。该过程要求诊所工作人员为患者提供结构化的筛查问题。当需要时，提供者可以提供治疗和精神健康转介。我们团队最近在初级保健中部署了一个基于数字平板电脑版本的SBIRT筛查问题。然而，我们需要评估患者对我们方法的可用性，因为负面感知可能会限制诊所采用、患者的流程完成以及有效的转诊。因此，我们使用横断面患者调查进行了一项关于我们的数字SBIRT筛查工具的可用性评价。大多数参与者（64.2%）报告在五分钟内完成了筛查问题，没有报告耗时超过十五分钟的情况。我们的结果表明，基于平板电脑的SBIRT筛查器易于理解，并且可以在临床会面前高效完成。此外，患者认为数字SBIRT筛查器能够增加医生对患者健康问题的认识并促进积极行动。这些发现支持继续使用、更广泛的采用以及在临床环境中整合数字SBIRT工具。

关键词：物质滥用；健康筛查；人因工程；可用性。