Computer Assisted Tobacco Intervention for Dental Providers

描述（由申请人提供）：电子牙科记录（EDRs）是一个强大的工具，通过在正确的时间以正确的格式向正确的人提供正确的信息，帮助提供最佳治疗，将当前的科学证据纳入临床实践。这项计划拨款将开展一项分组随机试验，考察私人诊所和牙科学校的牙医和牙科保健师在给予计算机辅助指导的情况下，与没有计算机辅助指导的对照组的提供者相比，在多大程度上评估患者对戒烟的兴趣，并提供更频繁的吸烟干预，这是通过对最近一次牙科就诊的当前吸烟者的调查来衡量的。主要结果是一个二元变量，表明提供者是否提供了短暂的干预或转诊治疗，如患者所报告的。其他结果包括患者自我报告的戒烟和减少。其他措施包括提供者层面的因素，这些因素可能会缓和计算机辅助指导的可用性与提供简短干预或转诊治疗之间的关系。利用电子病历将现有证据转化为牙科实践具有很大的潜力。这种方法为其他临床课题的实施挑战提供了模板。

DESCRIPTION (provided by applicant): Electronic dental records (EDRs) are a powerful tool to incorporate current scientific evidence into clinical practice by providing the right informatio at the right time to the right person in the right format that helps deliver optimal treatment. Thi planning grant will develop a group-randomized trial examining the degree to which dentists and dental hygienists in private practices and dental schools will assess patient interest in quitting and deliver a smoking intervention more often when given computer-assisted guidance compared with providers in a control group without such assistance, as measured by a survey of current smokers with a recent dental visit. The primary outcome is a binary variable indicating whether the provider delivered a brief intervention or referral for treatment, as reported by the patient. Additional outcomes include patient self- reported smoking cessation and reduction. Other measures include provider-level factors that may moderate the relationship between the availability of computer-assisted guidance and delivery of a brief intervention or referral for treatment. Using EDRs to translate current evidence into dental practice holds much potential. This approach provides a template for implementation challenges on other clinical topics.