Implementation and Evaluation of a Risk Assessment Tool for Periodontal Disease

牙周病风险评估工具的实施和评估

基本信息

批准号：
8113888
负责人：
Thankam P Thyvalikakath
金额：
$ 13.98万
依托单位：
UNIVERSITY OF PITTSBURGH AT PITTSBURGH
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-08-01 至 2013-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8113888
关键词：
Address Adopted Adoption Algorithms American Caring Charities Clinical Computerized Patient Records Computers Data Decision Making Decision Support Systems Dental Dental Care Dental General Practice Dental Informatics Dental Offices Dental Schools Dentistry Dentists Development Diagnosis Diagnostic Doctor of Philosophy Effectiveness Evaluation Feasibility Studies Focus Groups Funding Future General Practices Goals Individual Informatics Intervention Intervention Studies Interview Knowledge Literature Measures Medical Medicine Mentored Clinical Scientist Award Mentors Mentorship Methods Mouth Diseases Online Systems Outcome Outcome Measure Outcome Study Patient Care Patients Periodontal Diseases Preventive Process Professional Practice Qualifying Recommendation Records Research Research Personnel Research Project Grants Research Training Risk Risk Assessment Structure Surveys System Testing Therapeutic Time Tooth Diseases Training Translating Universities Work base biomedical informatics career clinical care clinical decision-making clinical practice cost design effective intervention effectiveness trial experience improved insight multidisciplinary operation point of care post intervention programs prototype public health relevance skills social tool

项目摘要

DESCRIPTION (provided by applicant): The goal of this Mentored Clinical Scientist Award (K08) is to help Thankam Paul Thyvalikakath, BDS, MDS, MS, build on her previous training and experience to become a fully qualified investigator in dental informatics. Through the multidisciplinary mentorship, training and research experience proposed in this application, Dr. Thyvalikakath expects to become an independently funded researcher capable of leading and working in multidisciplinary teams that conduct cutting-edge research on clinical decision support interventions in dental practice. Despite an existing body of research, clinical decision support in dentistry has yet to produce advances in patient care and outcomes similar to those seen in medical care. This is especially true regarding risk-based approaches to diagnosing and treating dental disease, which have not been widely translated to and adopted in general practice. The multiple factors involved in the development and progression of oral diseases, and the lack of well-developed tools to integrate risk-based diagnosis and treatment into the workflow make it difficult for clinicians to consistently and systematically apply a risk-based approach. The objective of Dr. Thyvalikakath's research project is to integrate a computer-based risk assessment tool, the Periodontal Risk Calculator (PRC) (Previser Corp., Mount Vernon, WA), with a commercial computer-based patient record system (CPR), Dentrix Dental System (Henry Schein, American Fork, UT) and measure its impact on clinicians' decision-making. The three specific aims in this project are: 1) determine clinicians' opinions and recommendations on using risk-based care and risk-based tools in practice ; 2) determine the barriers and facilitators for routine implementation of risk-based tools such as the PRC in practice ; and 3) integrate the risk assessment tool with a CPR and perform a feasibility study assessing the effectiveness of risk- assessment tool for decision-making in a dentist's office. In order for Dr. Thyvalikakath to carry out the proposed research projects, she will further develop her dental informatics knowledge and skills by completing the doctoral program at the Department of Biomedical Informatics at the University of Pittsburgh. She will be mentored by a multidisciplinary team consisting of Titus Schleyer, DMD, PhD, Asim Smailagic, PhD, Greg Cooper, MD, PhD, Karen Novak, DDS, PhD, Charles Sfeir, DDS, PhD and Charity Moore, MSPH, PhD all of whom are well-funded investigators and have proven track records of prior mentorship. The training and mentored research project, combined with the guidance of the multidisciplinary mentoring team and commitment of the School of Dental Medicine, will prepare Dr. Thyvalikakath optimally for a successful career as an independent investigator in dental informatics. PUBLIC HEALTH RELEVANCE: This project will pave the way to developing effective methods to integrate decision support systems in general dental practice and thus enhance preventive management and improve patient outcomes.

描述（由申请人提供）：这项指导的临床科学家奖（K08）的目标是帮助感谢Paul Paul Thyvalikakath，BDS，MDS，MS，基于她以前的培训和经验，成为牙科信息学中合格的研究者。通过本申请中提出的多学科指导，培训和研究经验，Thyvalikakath博士希望成为一名独立资助的研究人员，能够领导和从事多学科团队，从而对牙科实践中的临床决策支持进行尖端研究。尽管现有的研究机构，但牙科的临床决策支持尚未在患者护理和与医疗保健相似的结果方面取得进步。对于基于风险的诊断和治疗牙齿疾病的方法尤其如此，这些方法尚未被广泛地转化为一般实践中。口腔疾病发展和进展的多个因素，以及缺乏将基于风险的诊断和治疗整合到工作流程中的发达工具，这使得临床医生难以始终如一，系统地采用基于风险的方法。 Thyvalikakath博士的研究项目的目的是将基于计算机的风险评估工具，牙周风险计算器（PRC）（Previser Corp.，Previser Corp.，Mount Vernon，WA）与基于计算机的商业患者记录系统（CPR），Dentrix牙科系统（Henry Schein，American Fork，American Fork，UT）和对临床医生的影响。该项目的三个具体目标是：1）确定临床医生在实践中使用基于风险的护理和基于风险的工具的意见和建议； 2）确定常规实施基于风险的工具的障碍和促进者，例如实践中的中国； 3）将风险评估工具与心肺复苏术相结合，并进行可行性研究，以评估风险评估工具在牙医办公室决策的有效性。为了使Thyvalikakath博士开展拟议的研究项目，她将通过在匹兹堡大学生物医学信息学系完成博士学位课程，以进一步发展自己的牙科信息学知识和技能。她将受到由Titus Schleyer，DMD，PhD，Asim Smailagic，PhD，Greg Cooper，MD，PhD，Karen Novak，DDS，DDS，DDS，DDS，Charles Sfeir，DDS，DDS，DDS，DDS，PHD和Charity Moore，MSPH，MSPH，PHD的良好型赛道的人的指导者。培训和指导的研究项目，再加上多学科指导团队的指导和牙科医学学院的承诺，将为Thyvalikakath博士提供最佳的准备，以成功地成为牙科信息学独立研究者的成功职业。公共卫生相关性：该项目将为开发有效的方法铺平道路，以将决策支持系统整合到一般牙科实践中，从而增强预防性管理并改善患者的结果。

项目成果

期刊论文数量（6）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

An integrated risk assessment tool for team-based periodontal disease management.

用于基于团队的牙周病管理的综合风险评估工具。

DOI：
发表时间：
2013
期刊：
Studies in health technology and informatics
影响因子：
0
作者：
Thyvalikakath,ThankamP;Padman,Rema;Gupta,Sugandh
通讯作者：
Gupta,Sugandh

An ontology-based method for secondary use of electronic dental record data.

一种基于本体的电子牙科记录数据二次利用方法。

DOI：
发表时间：
2013
期刊：
AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science
影响因子：
0
作者：
Schleyer,TitusKl;Ruttenberg,Alan;Duncan,William;Haendel,Melissa;Torniai,Carlo;Acharya,Amit;Song,Mei;Thyvalikakath,ThankamP;Liu,Kaihong;Hernandez,Pedro
通讯作者：
Hernandez,Pedro

Perceptions and attitudes toward performing risk assessment for periodontal disease: a focus group exploration.