Feasibility and acceptability of an oral pathology asynchronous tele-mentoring intervention: A protocol

  • Mary E. Northridge | Mary.Northridge@nyulangone.org Hansjörg Wyss Department of Plastic Surgery, Division of Dental Medicine, New York University) NYU Grossman School of Medicine, Brooklyn, NY, United States. https://orcid.org/0000-0003-0358-8930
  • Tina Littlejohn Hansjörg Wyss Department of Plastic Surgery, Division of Dental Medicine, New York University) NYU Grossman School of Medicine, Brooklyn, NY, United States. https://orcid.org/0000-0001-6488-9695
  • Nathalie Mohadjeri-Franck Hansjörg Wyss Department of Plastic Surgery, Division of Dental Medicine, New York University) NYU Grossman School of Medicine, Brooklyn, NY, United States.
  • Steven Gargano Hansjörg Wyss Department of Plastic Surgery, Division of Dental Medicine, New York University) NYU Grossman School of Medicine, Brooklyn, NY, United States.
  • Andrea B. Troxel Department of Population Health, Division of Biostatistics, NYU Grossman School of Medicine, New York, NY, United States.
  • Yinxiang Wu Department of Population Health, Division of Biostatistics, NYU Grossman School of Medicine, New York, NY, United States. https://orcid.org/0000-0001-7806-6999
  • Robert B. Bowe Hansjörg Wyss Department of Plastic Surgery, Division of Dental Medicine, New York University) NYU Grossman School of Medicine, Brooklyn, NY, United States.
  • Paul A. Testa Ronald O. Perelman Department of Emergency Medicine, NYU Grossman School of Medicine, New York, NY, United States.

Abstract

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 tele-mentoring 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.

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Published
2020-05-27
Info
Issue
Section
Study Protocols
Supporting Agencies
US Health Services and Services Administration (HRSA)
Keywords:
Tele-dentistry, dental clinics, oral cancer screening, oral health care, intra-oral cameras
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How to Cite
Northridge, M. E., Littlejohn, T., Mohadjeri-Franck, N., Gargano, S., Troxel, A. B., Wu, Y., Bowe, R. B., & Testa, P. A. (2020). Feasibility and acceptability of an oral pathology asynchronous tele-mentoring intervention: A protocol. Journal of Public Health Research, 9(1). https://doi.org/10.4081/jphr.2020.1777