Implementation and Evaluation of a Risk Assessment Tool for Periodontal Disease

描述（由申请人提供）：本指导临床科学家奖（K08）的目标是帮助Thankam Paul Thyvalikakath， BDS， MDS， MS，在她之前的培训和经验的基础上，成为一名完全合格的牙科信息学研究者。通过本申请中提出的多学科指导、培训和研究经验，Thyvalikakath博士希望成为一名独立资助的研究人员，能够领导和工作在多学科团队中，在牙科实践中进行临床决策支持干预的前沿研究。尽管有一个现有的研究机构，牙科临床决策支持尚未在病人护理方面取得进展，并产生类似于医疗护理的结果。在诊断和治疗牙病的基于风险的方法方面尤其如此，这些方法尚未广泛转化为一般实践并被采用。口腔疾病的发生和发展涉及多种因素，缺乏完善的工具将基于风险的诊断和治疗整合到工作流程中，这使得临床医生难以持续和系统地应用基于风险的方法。Thyvalikakath博士的研究项目的目标是整合基于计算机的风险评估工具，牙周风险计算器（PRC） （Previser公司，Mount Vernon， WA），与基于商业计算机的患者记录系统（CPR）， Dentrix牙科系统（Henry Schein, American Fork， UT），并测量其对临床医生决策的影响。该项目的三个具体目标是：1)确定临床医生在实践中使用基于风险的护理和基于风险的工具的意见和建议；2)确定在实践中常规实施基于风险的工具（如PRC）的障碍和促进因素；3)将风险评估工具与CPR相结合，进行可行性研究，评估风险评估工具在牙科诊所决策中的有效性。为了让Thyvalikakath博士开展拟议的研究项目，她将通过完成匹兹堡大学生物医学信息系的博士课程，进一步发展她的牙科信息学知识和技能。她将受到一个多学科团队的指导，包括Titus Schleyer， DMD, PhD, Asim Smailagic, PhD, Greg Cooper， MD, PhD, Karen Novak， DDS, PhD, Charles Sfeir， DDS， PhD和Charity Moore， MSPH, PhD，所有这些人都是资金充足的调查人员，并且已经证明了之前的指导记录。培训和指导的研究项目，结合多学科指导团队的指导和牙科医学院的承诺，将为Thyvalikakath博士作为牙科信息学独立研究者的成功职业生涯做好最佳准备。

DESCRIPTION (provided by applicant): The goal of this Mentored Clinical Scientist Award (K08) is to help Thankam Paul Thyvalikakath, BDS, MDS, MS, build on her previous training and experience to become a fully qualified investigator in dental informatics. Through the multidisciplinary mentorship, training and research experience proposed in this application, Dr. Thyvalikakath expects to become an independently funded researcher capable of leading and working in multidisciplinary teams that conduct cutting-edge research on clinical decision support interventions in dental practice. Despite an existing body of research, clinical decision support in dentistry has yet to produce advances in patient care and outcomes similar to those seen in medical care. This is especially true regarding risk-based approaches to diagnosing and treating dental disease, which have not been widely translated to and adopted in general practice. The multiple factors involved in the development and progression of oral diseases, and the lack of well-developed tools to integrate risk-based diagnosis and treatment into the workflow make it difficult for clinicians to consistently and systematically apply a risk-based approach. The objective of Dr. Thyvalikakath's research project is to integrate a computer-based risk assessment tool, the Periodontal Risk Calculator (PRC) (Previser Corp., Mount Vernon, WA), with a commercial computer-based patient record system (CPR), Dentrix Dental System (Henry Schein, American Fork, UT) and measure its impact on clinicians' decision-making. The three specific aims in this project are: 1) determine clinicians' opinions and recommendations on using risk-based care and risk-based tools in practice ; 2) determine the barriers and facilitators for routine implementation of risk-based tools such as the PRC in practice ; and 3) integrate the risk assessment tool with a CPR and perform a feasibility study assessing the effectiveness of risk- assessment tool for decision-making in a dentist's office. In order for Dr. Thyvalikakath to carry out the proposed research projects, she will further develop her dental informatics knowledge and skills by completing the doctoral program at the Department of Biomedical Informatics at the University of Pittsburgh. She will be mentored by a multidisciplinary team consisting of Titus Schleyer, DMD, PhD, Asim Smailagic, PhD, Greg Cooper, MD, PhD, Karen Novak, DDS, PhD, Charles Sfeir, DDS, PhD and Charity Moore, MSPH, PhD all of whom are well-funded investigators and have proven track records of prior mentorship. The training and mentored research project, combined with the guidance of the multidisciplinary mentoring team and commitment of the School of Dental Medicine, will prepare Dr. Thyvalikakath optimally for a successful career as an independent investigator in dental informatics. PUBLIC HEALTH RELEVANCE: This project will pave the way to developing effective methods to integrate decision support systems in general dental practice and thus enhance preventive management and improve patient outcomes.