Grant Details
| Grant Number: | 5R21CA126325-02 Interpret this number |
| Primary Investigator: | Bakken, Suzanne |
| Organization: | Columbia University Health Sciences |
| Project Title: | Improving Use of Cis in the Underserved Through Mobile Access & Decision Support |
| Fiscal Year: | 2007 |
Abstract
DESCRIPTION (provided by applicant): Cigarette smoking is the leading cause of lung cancer and has been implicated in other cancers such as larynx, oral cavity and pharynx, esophagus, bladder, stomach, liver, kidney, cervix, and myeloid leukemia. Although NCI's Cancer Information Service (CIS) provides substantial resources related to education about the risks of tobacco and support for smoking cessation, these resources are underutilized by health professionals and by persons from traditionally underserved populations. The overall goal of this project is to determine if integration of resources from NCI's CIS into an existing personal digital assistant (PDA)-based mobile decision support system for advanced practice nurses (MODS-APN) increases use of tobacco-related CIS resources by APN students and the underserved populations for whom they provide care. The proposed randomized, controlled trial (RCT) will explore the efficacy of two informatics-based approaches for integrating tobacco-related CIS resources into the clinical workflow: a) MODS-APN:CIS, a PDA-based clinical documentation system that integrates decision support for patient referrals; and b) MODS-APN:CIS plus context-specific access (info buttons) to tobacco-related CIS resources (MODS-APN:CIS-IB). It is estimated that during the two-year study period, 75,000 clinical encounters will be documented by 150 APN students using MODS-APN:CIS and MODS-APN:CIS-IB. Preliminary data suggest that 46.2% of the patients seen by APN students will be Hispanic and 20.9% will be Black, non-Hispanic. Moreover, only 20% will have private health insurance. The specific aims of the RCT are to: 1. Integrate tobacco-related CIS resources into the clinical workflow of APN students in underserved settings: CIS resources will be integrated into the clinical workflow by extending MODS-APN to create MODS-APN:CIS and by creating a tailored portal for tobacco-related CIS resources to be accessed via MODS-APN:CIS-IB or desktop computer. 2. Evaluate APN students' use and perceptions of ease of use and usefulness of tobacco-related CIS resources in underserved settings. Use patterns will be explored by APN specialty, overtime, and by patient sociodemographic variables (gender, age, race, ethnicity, zip code, and health insurance status). Perceptions of ease of use and usefulness of tobacco-related CIS resources will be compared for access via MODS-APN:CIS-IB or desktop computer. 3. Assess the relationship between APN students' referrals and patients' use of tobacco-related CIS resources. Differences in patients' use of tobacco-related CIS resources will be explored by sociodemographic variables (gender, age, race, ethnicity, zip code, and health insurance status).
Publications
Reducing health disparities and improving patient safety and quality by integrating HIT into the Columbia APN curriculum.
Authors: Bakken S, Currie L, Hyun S, Lee NJ, John R, Schnall R, Velez O
Source: Stud Health Technol Inform, 2009;146, p. 859.
PMID: 19593021
Related Citations
Grant Numbers:
| NCI NIH HHS - R21 CA126325 | NINR NIH HHS - R01NR008903 | NLM NIH HHS - G08 LM008588 |
MeSH Terms:
| Nursing Informatics | Quality of Health Care | Humans |
| Curriculum | Medical Errors | Education, Nursing |
| Evidence-Based Nursing | Safety Management | Healthcare Disparities |
How we design feasibility studies.
Authors: Bowen DJ, Kreuter M, Spring B, Cofta-Woerpel L, Linnan L, Weiner D, Bakken S, Kaplan CP, Squiers L, Fabrizio C, Fernandez M
Source: Am J Prev Med, 2009 May;36(5), p. 452-7.
PMID: 19362699
Related Citations
Grant Numbers:
MeSH Terms:
Nurses' use and perceptions of usefulness of National Cancer Institute's tobacco-related Cancer Information Service (CIS) resources.
Authors: Hyun S, Currie LM, Hodorowski JK, Joyce MP, Lee NJ, Velez O, Bakken S
Source: AMIA Annu Symp Proc, 2008 Nov 6;null, p. 985.
EPub date: 2008 Nov 6.
PMID: 18999044
Related Citations
Grant Numbers:
| NINR NIH HHS - R01 NR008903 | NCI NIH HHS - R21CA126325 |
MeSH Terms:
