title: A handheld computer smoking intervention tool and its effects on physician smoking cessation counseling.
abstract: OBJECTIVE
  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).
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Family Medicine, University of Virginia Health System, Charlottesville, VA 22908-0729, USA. sstrayer@virginia.edu
authors.forename: Scott M
authors.initials: SM
authors.lastname: Strayer
authors.forename: Lisa K
authors.initials: LK
authors.lastname: Rollins
authors.forename: James R
authors.initials: JR
authors.lastname: Martindale
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003376:Counseling; D004358:Drug Therapy / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010817:Physician-Patient Relations; D010865:Pilot Projects; D017410:Practice Guidelines as Topic; D012907:Smoking / Q000453:epidemiology; D016540:Smoking Cessation / Q000379:methods*; D000074606:Smoking Prevention; D012984:Software; D011795:Surveys and Questionnaires; D013813:Therapy, Computer-Assisted / Q000379:methods* / Q000706:statistics & numerical data