Browsing by Author "Martindale, James R"
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- ItemA handheld computer smoking intervention tool and its effects on physician smoking cessation counseling.(2006-06-30) Strayer, Scott M; Rollins, Lisa K; Martindale, James ROBJECTIVE The objective of this study was to evaluate a handheld computer smoking cessation intervention tool designed to assist physicians in their smoking cessation counseling with patients METHODS This study used a pre post survey design with a 4 month trial period for the software Study participants included 22 faculty and resident physicians from the University of Virginia Paired samples t tests were used to assess mean differences in the 4 main subscales physician behavior attitudes comfort related to counseling patients about smoking cessation and knowledge RESULTS No statistically significant mean differences were found for physician behavior mean increase 0 44 P 55 or physician attitude mean increase 0 44 P 16 A statistically significant mean increase of 2 29 was observed for the physician comfort subscale t 3 87 df 16 P 001 Physicians indicated improved comfort in counseling patients about smoking cessation P 007 and improved comfort in using the Public Health Service Clinical Practice Guidelines P 012 CONCLUSION Physician comfort level in counseling patients about smoking cessation can be improved through handheld computer software When used in conjunction with other practice modifications this tool has the potential to improve physician smoking cessation intervention practices
- ItemA PDA-based counseling tool for improving medical student smoking cessation counseling.(2010-05-12) Strayer, Scott M; Pelletier, Sandra L; Martindale, James R; Rais, Salehin; Powell, Jon; Schorling, John BBACKGROUND AND OBJECTIVES There is little research on training medical students in smoking cessation counseling SCC This study aimed to determine if a personal digital assistant PDA based SCC tool can improve medical student SCC METHODS We conducted a randomized controlled trial with third year medical students SCC behaviors comfort and knowledge were assessed using a validated survey before students attended a workshop on SCC Student groups were then randomized to receive a paper based reminder tool or the reminder plus a PDA based SCC tool The validated survey was repeated upon clerkship completion and a videotaped standardized patient interview was assessed by trained reviewers using a 24 item SCC checklist Focus groups assessed satisfaction with the PDA tool usability and barriers to use RESULTS SCC behaviors knowledge and comfort increased among all participants with no statistical differences between groups The PDA tool group performed 62 of key SCC activities during the videotaped interview while the control group performed 69 Students reported discomfort using the PDA with patients lack of time and lack of training as barriers to use of the tool CONCLUSIONS We demonstrated improvement of SCC skills by third year medical students using a workshop combined with a supplemental reference tool However a PDA based tool did not increase key SCC behaviors compared with a paper based reminder For a PDA intervention to be effective in this setting the tool must be simplified and additional training provided