title: An integrated computer-based system to support nicotine dependence treatment in primary care.
abstract: The purpose of this study was to develop, implement, and evaluate the feasibility of an integrated computer-based system for tobacco-user identification and smoking cessation intervention for primary care patients in a medically indigent, managed care population. Interactive voice response (IVR) technology was used to screen for tobacco use prior to scheduled primary care visits at two inner-city clinics. The IVR system placed calls to 2,039 patients scheduled for clinic visits, and 1,086 (53%) patients completed the automated tobacco-use question set. Current smokers were identified in 421 (39%) of the calls. Computer-generated reminders for clinicians that incorporated information obtained from the automated calls were placed on all smokers' encounter forms. In a post-visit interview of 120 smokers, 58 participants (48%) reported that they discussed smoking cessation with their provider. Some 71% of participants agreed that use of the IVR system to obtain information was a "good way for patients to give information about their health to doctors." Automated capture of patient-reported data via IVR technology is a potentially useful strategy for tobacco-use screening in primary care.
authors.affiliation: Indiana University School of Nursing, Indianapolis 46202, USA. amcdanie@iupui.edu
authors.forename: Anna M
authors.initials: AM
authors.lastname: McDaniel
authors.forename: Philip L
authors.initials: PL
authors.lastname: Benson
authors.forename: G H
authors.initials: GH
authors.lastname: Roesener
authors.forename: Julie
authors.initials: J
authors.lastname: Martindale
mesh_terms: D000465:Algorithms; D003194:Computer-Assisted Instruction / Q000592:standards* / Q000706:statistics & numerical data; D005240:Feasibility Studies; D005260:Female; D006293:Health Promotion / Q000592:standards; D006801:Humans; D008297:Male; D008329:Managed Care Programs / Q000592:standards; D020380:Needs Assessment / Q000592:standards* / Q000706:statistics & numerical data; D011320:Primary Health Care / Q000592:standards* / Q000706:statistics & numerical data; D016540:Smoking Cessation / Q000379:methods* / Q000706:statistics & numerical data; D000074606:Smoking Prevention; D013813:Therapy, Computer-Assisted / Q000592:standards* / Q000706:statistics & numerical data; D014481:United States