Integrating Tobacco Dependence Counseling Into Electronic Dental Records: a Multi-method Approach
Tuesday, January 14, 2014
Posted by: Natalia Gromov
J Dent Educ. 2014 Jan;78(1):31-9.
Integrating Tobacco Dependence Counseling Into Electronic Dental Records: a Multi-method Approach.
Rush WA, Schleyer TK, Kirshner M, Boyle R, Thoele MJ, Lenton PA, Asche S, Thyvalikakath T, Spallek H, Durand EC, Enstad CJ, Huntley CL, Rindal DB.
With the expanded use of electronic dental records, the authors identified an opportunity to incorporate standardized expert support for tobacco dependence counseling during the dental visit. Using qualitative results from observations and focus groups, a decision support system was designed that suggested discussion topics based on the patient's desire to quit and his or her level of nicotine addiction. The goal was a three-minute average intervention interval. To fulfill the provider's need for an easy way to track ongoing interventions, script usage was recorded. This process helped the provider track what he or she had said to the patient about tobacco dependence during previous encounters and to vary the messages. While the individual elements of the design process were not new, the combination of them proved to be very effective in designing a usable and accepted intervention. The final product was adopted for use in all the clinics of a large dental group practice in Minnesota.