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Feasibility and acceptability of an oral pathology asynchronous tele-mentoring intervention: A protocol

Introduction: Oral cancer remains prevalent, despite being largely preventable. The widespread use of technology at chairside, combined with advances in electronic health record (EHR) capabilities, present opportunities to improve oral cancer screening by dentists, especially for disadvantaged patie...

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Autores principales: Northridge, Mary E., Littlejohn, Tina, Mohadjeri-Franck, Nathalie, Gargano, Steven, Troxel, Andrea B., Wu, Yinxiang, Bowe, Robert B., Testa, Paul A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: PAGEPress Publications, Pavia, Italy 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7282314/
https://www.ncbi.nlm.nih.gov/pubmed/32550221
http://dx.doi.org/10.4081/jphr.2020.1777
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author Northridge, Mary E.
Littlejohn, Tina
Mohadjeri-Franck, Nathalie
Gargano, Steven
Troxel, Andrea B.
Wu, Yinxiang
Bowe, Robert B.
Testa, Paul A.
author_facet Northridge, Mary E.
Littlejohn, Tina
Mohadjeri-Franck, Nathalie
Gargano, Steven
Troxel, Andrea B.
Wu, Yinxiang
Bowe, Robert B.
Testa, Paul A.
author_sort Northridge, Mary E.
collection PubMed
description Introduction: Oral cancer remains prevalent, despite being largely preventable. The widespread use of technology at chairside, combined with advances in electronic health record (EHR) capabilities, present opportunities to improve oral cancer screening by dentists, especially for disadvantaged patients with severe health needs. Design and methods: Using a mixed-methods approach, we will evaluate the feasibility and acceptability of integrating a telementoring component into the identification of oral lesions using the following 3 methods: 1) administering provider surveys that consist of a checklist of 10 key components of the intervention based on process, and asking the dental provider subjects if each one was covered; 2) conducting semi-structured interviews informed by the Consolidated Framework for Implementation Research and the Implementation Outcomes Framework with dental resident subjects to assess specific barriers to sustaining the intervention and strategies for addressing these barriers to facilitate integration of the intervention into the routine workflow of the dental clinics; and 3) administering brief exit interviews with patient subjects regarding the acceptability of the intervention to assess satisfaction with the use of intra-oral cameras at chairside to screen for and refer patients with oral lesions and identification of these oral lesions via EHR and secure e-mail tele-mentoring with an oral pathology expert. Expected impact of the study for public health: If successful, then later clinical trials will maximize the external validity of the intervention and facilitate the widespread implementation and dissemination of the model for the teaching of dentists and residents, with the ultimate goal of improving patient care.
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spelling pubmed-72823142020-06-16 Feasibility and acceptability of an oral pathology asynchronous tele-mentoring intervention: A protocol Northridge, Mary E. Littlejohn, Tina Mohadjeri-Franck, Nathalie Gargano, Steven Troxel, Andrea B. Wu, Yinxiang Bowe, Robert B. Testa, Paul A. J Public Health Res Study Protocol Introduction: Oral cancer remains prevalent, despite being largely preventable. The widespread use of technology at chairside, combined with advances in electronic health record (EHR) capabilities, present opportunities to improve oral cancer screening by dentists, especially for disadvantaged patients with severe health needs. Design and methods: Using a mixed-methods approach, we will evaluate the feasibility and acceptability of integrating a telementoring component into the identification of oral lesions using the following 3 methods: 1) administering provider surveys that consist of a checklist of 10 key components of the intervention based on process, and asking the dental provider subjects if each one was covered; 2) conducting semi-structured interviews informed by the Consolidated Framework for Implementation Research and the Implementation Outcomes Framework with dental resident subjects to assess specific barriers to sustaining the intervention and strategies for addressing these barriers to facilitate integration of the intervention into the routine workflow of the dental clinics; and 3) administering brief exit interviews with patient subjects regarding the acceptability of the intervention to assess satisfaction with the use of intra-oral cameras at chairside to screen for and refer patients with oral lesions and identification of these oral lesions via EHR and secure e-mail tele-mentoring with an oral pathology expert. Expected impact of the study for public health: If successful, then later clinical trials will maximize the external validity of the intervention and facilitate the widespread implementation and dissemination of the model for the teaching of dentists and residents, with the ultimate goal of improving patient care. PAGEPress Publications, Pavia, Italy 2020-05-27 /pmc/articles/PMC7282314/ /pubmed/32550221 http://dx.doi.org/10.4081/jphr.2020.1777 Text en ©Copyright: the Author(s) http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Study Protocol
Northridge, Mary E.
Littlejohn, Tina
Mohadjeri-Franck, Nathalie
Gargano, Steven
Troxel, Andrea B.
Wu, Yinxiang
Bowe, Robert B.
Testa, Paul A.
Feasibility and acceptability of an oral pathology asynchronous tele-mentoring intervention: A protocol
title Feasibility and acceptability of an oral pathology asynchronous tele-mentoring intervention: A protocol
title_full Feasibility and acceptability of an oral pathology asynchronous tele-mentoring intervention: A protocol
title_fullStr Feasibility and acceptability of an oral pathology asynchronous tele-mentoring intervention: A protocol
title_full_unstemmed Feasibility and acceptability of an oral pathology asynchronous tele-mentoring intervention: A protocol
title_short Feasibility and acceptability of an oral pathology asynchronous tele-mentoring intervention: A protocol
title_sort feasibility and acceptability of an oral pathology asynchronous tele-mentoring intervention: a protocol
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7282314/
https://www.ncbi.nlm.nih.gov/pubmed/32550221
http://dx.doi.org/10.4081/jphr.2020.1777
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