This paper describes formative field research to develop and test the utility of a system dynamics modeling intervention intended to promote evidence-based tobacco treatment practices in community-based primary care settings. Brief counseling interventions by primary care providers have been shown to effectively promote tobacco cessation among patients who smoke, yet many physicians are inconsistent in the way they intervene with their patients. Too little time, poor training, lack of third-party reimbursement, competing clinical problems, and the belief that their patients are not able to change explain, in part, why some physicians do not adhere to evidence-based guidelines for treating tobacco use and dependence. Via a protocol for conducting on-site office visits to small primary care practices located in medically underserved urban communities, we tested the hypothesis that providers exposed to the simulation tool would demonstrate better understanding and progress towards full implementation of the US Public Health Service Guideline for Treating Tobacco Use and Dependence. Results indicate that simulated output that reflects the dynamics of providers’ unique practice environment is associated with stronger behavioral intent than other forms of feedback information, such as patient chart reviews.

This is the whole item.

Date created

• 2010 July 25-2010 July 29

Type

• Document

Processing Activity

• Processing documentation available at: https://wiki.albany.edu/display/SCA/Processing+Ingested+Digital+Files

License

• Creative Commons BY-NC-ND Attribution-NonCommercial-NoDerivs 4.0 International

  
  Contact Us for questions or additional rights.

ITEM CONTEXT

Part of

17bfad39e1d09bfe17f82d7ae001449f

Scope and Contents

Part of

23d738ba88f8333bc39725f9cb5bd0b8

Scope and Contents

Part of

516b485dacfb3c26da448243f0948912

Scope and Contents

Collection

System Dynamic Society Records

Scope and Contents

Collecting area

• This collection is part of the University Archives