Tobacco Cessation via Automation-Enhanced Primary Care

描述(由申请人提供)： 该SBIR项目的目标是创建一种模块化软件产品，通过在初级保健环境中进行戒烟干预来减少烟草使用。第一阶段的软件将包括以下模块：1)患者自我报告烟草使用和相关健康问题的筛选和跟踪；2)患者教育的数字视频材料；3)支持医生提供的药理学和激励性访谈治疗干预措施；4)患者学习的自我报告评估；以及5)医生干预的患者报告。第一阶段的具体目标是： 1)软件模块的设计与实现； 2.)在初级保健中部署和现场测试该软件； 3.)评估可用性和有效性方面的可行性； 4.)探讨教育和激励性访谈对医患关系的影响。 在第二阶段，这些模块将进一步扩展和完善，社会支持问题将通过评估和可视化患者的个人社交网络模块来解决。该系统将跟踪患者依从性和相关问题的临床过程，提供一种评估有效性的手段，并为个别患者确定可能阻碍或干扰戒烟努力的特定问题。决策支持算法将为戒烟过程中的各个步骤提供更多的自动化。通过与其他医疗软件系统的工程互操作性以及常规医疗办公室调度和计费功能的集成，将增加商业化潜力。

DESCRIPTION (provided by applicant): The goal of this SBIR project is to create a modular software product that will decrease tobacco use via smoking cessation interventions in primary care settings. The Phase I software will include modules for: 1) patient self-report screening and tracking of tobacco use and associated health issues; 2) digital video materials for patient education; 3) supporting physician-delivered pharmacologic and motivational interviewing treatment interventions; 4) self-report assessment of patient learning; and 5) patient report on the physician intervention. The Phase I Specific Aims are: 1.) To design and implement the software modules; 2.) To deploy and field test the software in primary care; 3.) To assess feasibility in terms of usability and validity; 4.) To study the effects of education and motivational interviews on the doctor-patient relationship. In Phase II these modules will be further extended and refined, and social support issues will be addressed with modules for assessing and visualizing patient's personal social networks. The system will track the clinical course of patient compliance and related issues, providing a means of assessing effectiveness, and identifying specific issues for individual patients that may be hindering or interfering with cessation efforts. Decision support algorithms will provide increased automation for various steps in cessation process. Commercialization potential will be increased by engineering interoperability with other medical software systems, and by integration of routine medical office scheduling and billing functions.