Trial reportBMC health services research2008
Does delayed measurement affect patient reports of provider performance? Implications for performance measurement of medical assistance with tobacco cessation: a Dental PBRN study.
Trial report in BMC health services research, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
10 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Interventions for tobacco cessation delivered by dental professionals.The Cochrane database of systematic reviews · 2021Pooled it
- Interventions for tobacco cessation in the dental setting.The Cochrane database of systematic reviews · 2012Pooled it
- The effect of training on the use of tobacco-use cessation guidelines in dental settings.Journal of the American Dental Association (1939) · 2012Trial
- Internet delivered support for tobacco control in dental practice: randomized controlled trial.Journal of medical Internet research · 2008Trial
- Black versus white differences in rates of addressing parental tobacco use in the pediatric setting.Academic pediatricsTrial
- Patient tobacco use, quit attempts, and perceptions of healthcare provider practices in a safety-net healthcare system.Ochsner journal · 2013Article
- Random blood glucose testing in dental practice: a community-based feasibility study from The Dental Practice-Based Research Network.Journal of the American Dental Association (1939) · 2012Article
- Validation of the "SmoCess-GP" instrument - a short patient questionnaire for assessing the smoking cessation activities of general practitioners: a cross-sectional study.BMC family practice · 2010Article
- Practices participating in a dental PBRN have substantial and advantageous diversity even though as a group they have much in common with dentists at large.BMC oral health · 2009Article
- Paramedic-conducted mental health counselling for abused women in rural Bangladesh: an evaluation from the perspective of participants.Journal of health, population, and nutrition · 2009Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
backgroundWe compared two methods of measuring provider performance of tobacco control activities: immediate "exit cards" versus delayed telephone follow-up surveys. Current standards, e.g. HEDIS, use delayed patient measures that may over or under-estimate overall performance.
methodsPatients completed exit cards in 60 dental practices immediately after a visit to measure whether the provider "asked" about tobacco use, and "advised" the patient to quit. One to six months later patients were asked the same questions by telephone survey. Using the exit cards as the standard, we quantified performance and calculated sensitivity (agreement of those responding yes on telephone surveys compared with exit cards) and specificity (agreement of those responding no) of the delayed measurement.
resultsAmong 150 patients, 21% reporting being asked about tobacco use on the exit cards and 30% reporting being asked in the delayed surveys. The sensitivity and specificity were 50% and 75%, respectively. Similarly, among 182 tobacco users, 38% reported being advised to quit on the exit cards and this increased to 51% on the delayed surveys. The sensitivity and specificity were 75% and 64%, respectively. Increasing the delay from the visit to the telephone survey resulted in increasing disagreement.
conclusionPatient reports differed considerably in immediate versus delayed measures. These results have important implications because they suggest that our delayed measures may over-estimate performance. The immediate exit cards should be included in the armamentarium of tools for measuring providers' performance of tobacco control, and perhaps other service delivery.
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