Computer-Assisted Guidance for Tobacco Dependence Interventions in Dental Offices

牙科诊所烟草依赖干预的计算机辅助指南

• 批准号: 7936102
• 负责人: D. Brad Rindal
• 金额: $ 40.62万
• 依托单位: HEALTHPARTNERS INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-22 至 2012-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7936102
• 关键词: Address; Adopted; Area; Attitude; Clinic; Clinical; Computer Assisted; Control Groups; Dental; Dental Hygienists; Dental Offices; Dental Records; Dentistry; Dentists; Disease; Drug Addiction; Effectiveness; Electronic Health Record; Electronics; Feedback; Focus Groups; Frequencies; Funding; Funding Mechanisms; Goals; Grant; Group Practice; Health; Intervention; Measures; National Institute of Dental and Craniofacial Research; Office Visits; Patient Care; Patients; Perception; Periodontal Diseases; Practice Guidelines; Process; Prospective Studies; Provider; Qualifying; Recommendation; Records; Research Personnel; Smoke; Smoking; Statutes and Laws; Surveys; System; Telephone; Testing; TimeLine; Tobacco; Tobacco Dependence; Tobacco Use Cessation; Translations; base; brief intervention; clinical practice; comparative effectiveness; design; drug use screening; effectiveness research; evidence based guidelines; health information technology; innovation; interest; intervention program; malignant mouth neoplasm; smoking cessation; therapy design; tool; willingness

DESCRIPTION (provided by applicant): This application addresses broad Challenge Area (05) Comparative Effectiveness Research and specific Challenge Topic (05-DE-102) treatment of tobacco and drug dependence in dental settings. Electronic dental records (EDR) are a potentially powerful tool to incorporate current scientific evidence into clinical practice by providing key information at the point of patient care. We know that disseminating evidence- based guidelines is not sufficient to change clinical practice so innovative approaches need to be tested in dentistry. The composite expertise of the investigators and consultants on this project and a large group practice with multiple clinics utilizing one EDR are essential to address the aims of this study. This project will examine whether dentists and hygienists will assess interest in quitting and deliver a tobacco intervention more frequently when provided with computer assisted guidance compared to a control group. Specifically we will measure the delivery of questions assessing willingness to change and appropriate interventions based on willingness to change by measuring the recording of these activities in the EDR and patient receipt of these recommendations through a phone survey. In addition, the study will do a qualitative assessment of the patient perceived value of the provider-patient encounter to further inform us about patient perception of this interaction. We want to know if dental providers will utilize these tools during the dental encounter. If they are used, we would propose further studies examining smoking cessation rates. We were not able to measure cessation rates due to the short two year timeline of this funding mechanism. This tool has potential application for other clinical topics, which makes this approach very innovative when considering the translation of evidence into the unique clinical practice of dentistry. This study will modify an existing electronic dental record to create recommendations for dentists and dental hygienists to provide for their patients that smoke. Smoking has major impact on health in general but it also causes gum disease and oral cancer. We will examine if dental providers with these tools provide more tobacco interventions compared to providers who do not have these tools.

描述（由申请人提供）： 该申请涉及广泛的挑战领域（05）比较有效性研究和特定的挑战主题（05-DE-102）在牙科环境中治疗烟草和药物依赖。电子牙科记录（EDR）是一个潜在的强大工具，通过在患者护理点提供关键信息，将当前的科学证据纳入临床实践。我们知道，传播循证指南不足以改变临床实践，因此需要在牙科中测试创新方法。本项目研究者和顾问的综合专业知识以及使用一个EDR的多个诊所的大型团体实践对于实现本研究的目的至关重要。该项目将研究牙医和戒烟专家是否会评估戒烟的兴趣，并提供与对照组相比，更频繁的计算机辅助指导时，烟草干预。具体而言，我们将通过测量EDR中这些活动的记录以及通过电话调查患者收到这些建议来测量评估改变意愿和基于改变意愿的适当干预措施的问题的交付。此外，该研究将做一个定性评估的病人感知价值的提供者-病人的遭遇，以进一步告知我们病人的看法，这种互动。我们想知道牙科医生是否会在牙科治疗中使用这些工具。如果使用它们，我们将建议进一步研究戒烟率。由于这一供资机制的时间轴很短，我们无法衡量戒烟率。该工具对其他临床主题具有潜在的应用，这使得这种方法在考虑将证据转化为牙科独特的临床实践时非常具有创新性。这项研究将修改现有的电子牙科记录，为牙医和牙科医生提供建议，为他们的吸烟患者提供帮助。吸烟对健康有重大影响，但它也会导致牙龈疾病和口腔癌。我们将研究与没有这些工具的提供者相比，使用这些工具的牙科提供者是否提供更多的烟草干预。