Development of a provider centered intervention for Non-Traumatic Dental Condition management in the Emergency Department
开发以提供者为中心的急诊科非创伤性牙科疾病管理干预措施
基本信息
- 批准号:10597326
- 负责人:
- 金额:$ 10.31万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2023
- 资助国家:美国
- 起止时间:2023-09-22 至 2025-08-31
- 项目状态:未结题
- 来源:
- 关键词:Accident and Emergency departmentAcuteAdultAllergic ReactionAntibioticsAreaAwardBehavior TherapyBehavioralCaringClinical TrialsClostridium difficileDataData SetDentalDental CareDentistsDevelopmentDiagnosisDoctor of PhilosophyEducationEducational CurriculumEffectivenessEffectiveness of InterventionsElectronic Health RecordEmergency Department PhysicianEmergency department visitEndodonticsEnsureEvidence based interventionFosteringGoalsGuidelinesHealthHealth ServicesHealth systemHospitalizationHospitalsHourIndividualInfectionInflammationInsuranceInterventionInterviewKnowledgeLifeMedicaidMedicalMedical centerMedicareMentorshipMethodsMinorityMissionModelingMyocardial InfarctionNational Institute of Dental and Craniofacial ResearchNurse PractitionersOpioidOral healthPain managementPalliative CarePathway interactionsPatient CarePatientsPersonsPharmacistsPhysician AssistantsPhysiciansPreventive dental careProviderPsychologistPublic HealthQualitative MethodsResearchResearch MethodologyResearch PersonnelRuralScienceScientistSerious Adverse EventSmilingSourceSurgeonSystemTalentsTestingToothacheTrainingUninsuredUnited States National Institutes of HealthUniversitiesVariantVisitWorkacceptability and feasibilitybacterial resistancebiomedical informaticscareerclinical decision supportcohortdesigneffectiveness testingexperiencehealth care settingshuman centered designimprovedindexingopioid usepilot testprescription opioidprogramsskillssuccesssupport toolssymposiumtoolurgent care
项目摘要
PROJECT ABSTRACT
This NIDCR Dual Dentist Scientist Pathway to Independence Award (K99/R00) for Tumader Khouja BDS MPH
PhD, will establish Dr. Khouja as an independent oral health services researcher developing and
implementing evidence-based interventions that integrate dental care into medical settings utilizing both
qualitative and quantitative research methods. This long-term goal will be achieved via a 5-year training and
research plan that will launch Dr. Khouja’s independent program of research and academic career and support
the NIDCR’s mission to increase and maintain a strong cohort of new and talented independent dual degree
dentist scientists. The career goals of this program are: (1) training in intervention sciences [and biomedical
informatics]; (2) gain expertise in qualitative methods to inform, design, and evaluate theoretically based
behavioral interventions, and (3) professional development as an independent researcher. These career goals
will be achieved via formal coursework, trainings, national conferences, mentorship, and research experience.
The overall objective of this proposal is to understand the barriers and facilitators to non-traumatic dental
condition (NTDC) management in the emergency department (ED) through quantitative and qualitative methods.
The first aim will determine the national variation in NTDC prescribing in the ED and subsequent ED/urgent care
revisits and hospitalizations within 30-days of an index ED visit. Using national electronic health records and
integrated claims datasets and a random effects model, we will identify factors associated with prescribing for
NTDC and variation at the patient, provider, hospital and state levels. The second aim identifies ED providers’
perceived barriers and facilitators to the management of NTDC in the ED. Using individual in depth interviews,
ED providers (physicians, advanced practice providers) will identify the facilitators and barriers to management
and prescribing for NTDC in the ED. The third aim will pilot and refine a multifaceted approach for NTDC
prescribing in the ED and assess the acceptability and feasibility of the implementation of this strategy in ED
settings. We will develop a 2-level interventional strategy [using human centered design methods] that will aid
ED providers in NTDC prescribing and refine it based on our findings from the previous aims and field experience.
As we test the intervention in an ED, we will use [EHR data from the University of Pittsburgh Medical Center
(UPMC) to] evaluate appropriate treatment and clinician experience with ED use for NTDC before and during
the intervention. Further trials will test the effectiveness of the intervention in U- and/or R-level proposals. An
outstanding interprofessional team comprised of a public health dentist, pharmacist, ED physician, behavioral
psychologist, biostatistician [and biomedical infromatician] will provide mentorship to ensure the success of this
project. The long-term goal of this program of research is to develop a generalizable and sustainable
intervention to improve NTDC management in ED and other medical settings. [This work supports priorities of
the U.S. Surgeon General, NIH Director, and NIDCR to integrate oral health and general health through
collaborative alliances and creating a diverse pipeline of clinician oral health researchers.]
项目摘要
项目成果
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Tumader Khouja的其他文献
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