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2020 ; 9
(1
): 1777
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Feasibility and acceptability of an oral pathology asynchronous tele-mentoring
intervention: A protocol
#MMPMID32550221
Northridge ME
; Littlejohn T
; Mohadjeri-Franck N
; Gargano S
; Troxel AB
; Wu Y
; Bowe RB
; Testa PA
J Public Health Res
2020[Jun]; 9
(1
): 1777
PMID32550221
show ga
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.