Integrating tobacco dependence counseling into electronic dental records: A multi-method approach

William A. Rush, Titus Schleyer, Michael Kirshner, Raymond Boyle, Merry Jo Thoele, P. A. Lenton, Steve Asche, Thankam Paul Thyvalikakath, Heiko Spallek, Emily C. Durand, Chris J. Enstad, Charles L. Huntley, D. Brad Rindal

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Dentistry has historically seen tobacco dependence as a medical problem. As a consequence, dentistry has not adopted or developed effective interventions to deal with tobacco dependence. 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. Because dental providers are always pressed for time, 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 heavy involvement of stakeholders in all components of the design gave providers and administrators ownership of the final product, which was ultimately adopted for use in all the clinics of a large dental group practice in Minnesota.

Original languageEnglish (US)
Pages (from-to)31-39
Number of pages9
JournalJournal of Dental Education
Volume78
Issue number1
StatePublished - Jan 1 2014

Fingerprint

Dental Records
Tobacco Use Disorder
nicotine
Counseling
counseling
electronics
dentistry
Dentistry
Dental Group Practices
Tooth
nicotine addiction
group practice
Ownership
Focus Groups
Administrative Personnel
Nicotine
stakeholder
expert
Group

Keywords

  • Dental care
  • Dental hygienists
  • Dental records
  • Dentists
  • Electronic dental records
  • Electronic health records
  • Tobacco
  • Tobacco dependence

ASJC Scopus subject areas

  • Dentistry(all)
  • Education

Cite this

Rush, W. A., Schleyer, T., Kirshner, M., Boyle, R., Jo Thoele, M., Lenton, P. A., ... Rindal, D. B. (2014). Integrating tobacco dependence counseling into electronic dental records: A multi-method approach. Journal of Dental Education, 78(1), 31-39.

Integrating tobacco dependence counseling into electronic dental records : A multi-method approach. / Rush, William A.; Schleyer, Titus; Kirshner, Michael; Boyle, Raymond; Jo Thoele, Merry; Lenton, P. A.; Asche, Steve; Thyvalikakath, Thankam Paul; Spallek, Heiko; Durand, Emily C.; Enstad, Chris J.; Huntley, Charles L.; Rindal, D. Brad.

In: Journal of Dental Education, Vol. 78, No. 1, 01.01.2014, p. 31-39.

Research output: Contribution to journalArticle

Rush, WA, Schleyer, T, Kirshner, M, Boyle, R, Jo Thoele, M, Lenton, PA, Asche, S, Thyvalikakath, TP, Spallek, H, Durand, EC, Enstad, CJ, Huntley, CL & Rindal, DB 2014, 'Integrating tobacco dependence counseling into electronic dental records: A multi-method approach', Journal of Dental Education, vol. 78, no. 1, pp. 31-39.
Rush, William A. ; Schleyer, Titus ; Kirshner, Michael ; Boyle, Raymond ; Jo Thoele, Merry ; Lenton, P. A. ; Asche, Steve ; Thyvalikakath, Thankam Paul ; Spallek, Heiko ; Durand, Emily C. ; Enstad, Chris J. ; Huntley, Charles L. ; Rindal, D. Brad. / Integrating tobacco dependence counseling into electronic dental records : A multi-method approach. In: Journal of Dental Education. 2014 ; Vol. 78, No. 1. pp. 31-39.
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