Browsing by Author "Schorling, John B"
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- ItemImproving smoking cessation counseling using a point-of-care health intervention tool (IT): from the Virginia Practice Support and Research Network (VaPSRN).(2013-03-08) Strayer, Scott M; Heim, Steven W; Rollins, Lisa K; Bovbjerg, Marit L; Nadkarni, Mohan; Waters, David B; Hauck, Fern R; Schorling, John BPURPOSE Primary care practices are an ideal setting for reducing national smoking rates because 70 of smokers visit their physician annually yet smoking cessation counseling is inconsistently delivered to patients We designed and created a novel software program for handheld computers and hypothesized that it would improve clinicians ability to provide patient tailored smoking cessation counseling at the point of care METHODS A handheld computer software program was created based on smoking cessation guidelines and an adaptation of widely accepted behavioral change theories The tool was evaluated using a validated before after survey to measure physician smoking cessation counseling behaviors knowledge and comfort self efficacy RESULTS Participants included 17 physicians mean age 41 years 71 male 5 resident physicians from a practice based research network After 4 months of use in direct patient care physicians were more likely to advise patients to stop smoking P 049 and reported an increase in use of the 5 As P 03 Improved self efficacy in counseling patients regarding smoking cessation P 006 was seen as was increased comfort in providing follow up to patients P 04 CONCLUSIONS Use of a handheld computer software tool improved smoking cessation counseling among physicians and shows promise for translating evidence about smoking cessation counseling into practice and educational settings
- 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