Interactive Mobile Doctor (iMD) to Promote Patient-Provider Discussion on Tobacco Use among Asian American Patients in Primary Care: A Pilot Study
| Autor: | Susan M. Huang, Tung T. Nguyen, Thomas B. Duong, Emily Sa Nan Park, Thu Quach, Janice Y. Tsoh, Ching Wong |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Male
common medicine.medical_treatment Prevalence Pilot Projects Smoking Prevention Tobacco Use 0302 clinical medicine Health care Medicine 030212 general & internal medicine media_common Cancer education.field_of_study common.demographic_type Smoking Substance Abuse Middle Aged Health Services Mobile Applications Stroke Computers Handheld language Respiratory Public Health and Health Services Patient Safety 0305 other medical science Family Practice medicine.medical_specialty Vietnamese media_common.quotation_subject Population Health Promotion 03 medical and health sciences Patient Education as Topic Clinical Research Vietnamese American Intervention (counseling) General & Internal Medicine Behavioral and Social Science Tobacco Humans Patient Reported Outcome Measures education Aged 030505 public health Asian Tobacco Smoke and Health Primary Health Care business.industry Computers Handheld Prevention Public Health Environmental and Occupational Health Abstinence language.human_language Good Health and Well Being Asian Americans Family medicine Smoking cessation Feasibility Studies Smoking Cessation Self Report Self-Report business Delivery of Health Care Follow-Up Studies Program Evaluation |
| Zdroj: | Tsoh, Janice Y; Quach, Thu; Duong, Thomas B; Sa Nan Park, Emily; Wong, Ching; Huang, Susan M; et al.(2018). Interactive Mobile Doctor (iMD) to Promote Patient-Provider Discussion on Tobacco Use among Asian American Patients in Primary Care: A Pilot Study.. Journal of the American Board of Family Medicine : JABFM, 31(6), 869-880. doi: 10.3122/jabfm.2018.06.180018. UC Office of the President: Research Grants Program Office (RGPO). Retrieved from: http://www.escholarship.org/uc/item/52q1z6kp Journal of the American Board of Family Medicine : JABFM, vol 31, iss 6 |
| Popis: | Introduction: This study examined the feasibility, acceptability, and efficacy of an interactive “Mobile Doctor” intervention (iMD) for Korean and Vietnamese American men, population groups with high smoking prevalence rates. Methods: The iMD delivers 5As (Ask, Advise, Assess, Assist, and Arrange) via tailored in-language video messages on a mobile tablet to Korean and Vietnamese male daily smokers right before a health care visit. A single-group trial was conducted with Korean- and Vietnamese-speaking patients at a federally qualified health center. Outcomes were assessed by self-reported surveys obtained postvisit and 3-month follow-up, and by examining electronic health record (EHR) progress notes from 3 consecutive primary care visits to evaluate impacts. Results: Among 47 male daily smokers (87% participation rate), 98% were limited English proficient and 53% had no intent to quit smoking within 6 months. On average, iMD took 12.9 minutes to complete. All participants reported discussing smoking with their providers during the visit, and more than 90% thought iMD was at least somewhat helpful in their decision about quitting and in communicating with their providers. EHR-documented 5As were significantly higher at the iMD visit for Assess (38.3%), Assist (59.6%), and Arrange (36.2%) compared with other visits without iMD. At 3 months, 51% made at least 1 24-hour quit attempt since the intervention. The self-reported 7-day point prevalence abstinence was 19%. Conclusions: iMD is feasible and acceptable to Korean and Vietnamese male smokers, including those who were not intending to quit smoking. It is a promising tool for increasing patient-provider discussion of tobacco use and possibly smoking cessation among Asian American male smokers. |
| Databáze: | OpenAIRE |
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