Strayer Scott M, Rollins Lisa K, Martindale James R
Department of Family Medicine, University of Virginia Health System, Charlottesville, VA 22908-0729, USA.
J Am Board Fam Med. 2006 Jul-Aug;19(4):350-7. doi: 10.3122/jabfm.19.4.350.
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.
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).
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).
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.
本研究旨在评估一款手持式计算机戒烟干预工具，该工具旨在协助医生对患者进行戒烟咨询。
本研究采用前后调查设计，对该软件进行为期4个月的试验期。研究参与者包括弗吉尼亚大学的22名教员和住院医师。配对样本t检验用于评估4个主要子量表（医生行为、态度、与为患者提供戒烟咨询相关的舒适度以及知识）的平均差异。
在医生行为方面未发现具有统计学意义的平均差异（平均增加 = 0.44，P = 0.55），在医生态度方面也未发现（平均增加 = 0.44，P = 0.16）。在医生舒适度子量表上观察到具有统计学意义的平均增加2.29（t = 3.87，自由度 = 16，P = 0.001）。医生表示在为患者提供戒烟咨询方面舒适度有所提高（P = 0.007），在使用公共卫生服务临床实践指南方面舒适度也有所提高（P = 0.012）。
通过手持式计算机软件可以提高医生在为患者提供戒烟咨询时的舒适度。当与其他实践改进措施结合使用时，该工具有可能改善医生的戒烟干预实践。
