Dental providers use a computer-assisted tool to support tobacco interventions [presentation] Presentation uri icon
Overview
abstract
  • Objectives: Tobacco use is a significant risk factor for periodontal disease and oral cancer. However, previous research suggests that delivery of evidence-based tobacco cessation by dental providers is suboptimal. The purpose of this study was to create a tobacco cessation decision support tool within the health history of the electronic dental record (EDR).
    Methods: The tobacco section of the health history was modified to contain items designed to measure 1) dependency; 2) interest in quitting and 3) quit attempts. This information was then used to develop a series of scripts to assist the dental provider supporting tobacco cessation. Script usage was recorded by the provider. The results presented are drawn from tool use in 7 intervention clinics.
    Results: Of the 385 tobacco-using patients who had encounters during the study period, 276 (72%) had one or more scripts marked as used. The modal number of scripts used was 2 with a value of 48% of encounters. Across all the encounters there were 815 scripts used. Of the clinics, script usage went from a low of 34% to a high of 96% (p<0.0001). There was no difference in usage by gender (70% Males; 72% females; p=0.761). There was a clear decline in usage by age with 18 to 29 year olds having scripts used 80% of the time verses 60 to 69 year olds using scripts 66% of the time (p=0.0053). There was no variation in script usage relative to daily cigarette usage, dependency level, previous quit attempts or interest in quitting.
    Conclusions: The evidence from this study suggests a computer-assisted tool, incorporated within the electronic dental record, if carefully developed, with the needs of the providers considered, will be used.

  • participant
  • Asche, Stephen E., MA   Presenter  
  • Boyle, Raymond G., MD   Presenter  
  • Durand, Emily C.   Presenter  
  • Enstad, Christopher J., BS   Presenter  
  • Huntley, C. L.   Presenter  
  • Kirshner, M.   Presenter  
  • Rindal, D. Brad, DDS   Presenter  
  • Rush, William A., PhD   Presenter  
  • Schleyer, T. K.   Presenter  
  • Spallek, H.   Presenter  
  • Thoele, M. J.   Presenter  
  • Thyvalikakath, T. P.   Presenter  
  • Research
    keywords
  • Dental Care
  • Dentist's Practice Patterns
  • Medical Records Systems, Electronic
  • Smoking Cessation
  • Tobacco Use Disorder